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The federal cigarette tax has not risen in years, but state governments in 2026 are increasingly using excise taxes as a primary tool for both revenue generation and public health policy

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Lead author Dr Sarah Jackson (UCL Institute of Epidemiology & Health Care) said: Action is likely still required to reduce high vaping rates, but now that the situation has stabilised policymakers may be reassured that it would be sensible to avoid stricter policy options currently under review

However, reductions in tobacco use have not occurred equally across U.S

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UT Southwestern physicians in more than 80 specialties care for more than 143,000 hospitalized patients, attend to more than 470,000 emergency room cases, and oversee nearly 5.3 million outpatient visits a year.