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Tobacco regulation is a huge part of reaching the goals hes outlined for reducing chronic disease and a really important part of the conversation we need to have in this country, said Chrissie Juliano of the Big Cities Health Coalition, which represents the heads of more than 30 metropolitan health departments

These brand-name products, which were once considered a safe alternative to cigarettes, contain high levels of nicotine

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But Hoffer said he doesnt believe using regressive taxation to force behavior change is effective