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For most excise taxes, the base should be the harm or cost-causing element because that best internalizes a negative externalityAn externality, in economic terms, is a side effect or consequence of an activity that is not reflected in the cost of that activity, and not primarily borne by those directly involved in said activity
Dental disease : The sugar and irritants in smokeless tobacco can cause cavities, worn-down teeth, staining, bad breath, gum disease, receding gums, bone loss around roots, and tooth loss