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A paper published earlier this year found that taxing vaping products led to large increases in cigarette smoking among youth that may considerably undercut or even outweigh any public health gains. Another study estimated that taxing e-cigarettes at the same rate as combustible cigarettes would deter more than 2.75 million smokers from quitting in the U.S

"Global effects of smoking, of quitting, and of taxing tobacco"

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In some cases, a skin biopsy may be required to rule out other skin conditions