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The total population covered by these policy actions is about 250 million people

& Mao, J

Nicotine, the addictive substance found in tobacco products, can create short-term feelings of relaxation and pleasure by stimulating the release of dopamine in the brain (World Health Organization [WHO], 2024)

Policy responses have included banning common carrier delivery of cigarettes,[5] greater law enforcement activity on interstate roads,[6] differential tax rates near low-tax jurisdictions,[7] and cracking down on tribal reservations that sell tax-free cigarettes.[8] However, the underlying problem remains: high cigarette taxes that amount to a price prohibition of the product in many U.S