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In fact, this fall, a proposal to tax nicotine products like cigarettes has been part of the funding package for the Build Back Better agenda.[22] Moreover, the Food and Drug Administration (FDA) is currently reviewing applications for millions of vapor products, and, so far, the agency is denying almost all of them.[23] It is still unclear what will remain of the nicotine market after the premarket tobacco application (PMTA) review process

Illicit cigarettes do make up a larger share of the cigarette market in 23/24 than in 22/23 (9.1% compared to 10.5%) but this is not as a result of increased volume of illicit tobacco but rather a smaller overall market for cigarettes in 23/24 with the volume of illicit tobacco holding steady at 2 billion cigarettes

Because there are therapies with evidence of favourable benefit-to-harm profiles, using therapies with very uncertain evidence of effectiveness is an important opportunity cost in that a potentially effective intervention is not attempted

But the shore is also infested with crass, noisy people