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Health-care costs are the most immediate societal cost but there are productivity costs and losses due to the No

On the other hand, given that in 2024, 7% of smokers quit because it was too expensive (and 16% tried to quit), the RIVM believes the government should impose special taxes on e-cigarettes, because many young people start there and then move on to real cigarettes. Dutch tobacco policy stems from the National Prevention Agreement (2018), based on two principles: higher prices and fewer points of sale

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21 This focus on individuals, or down-stream actors and voluntary groups, suits the tobacco industrys interests and ignores evidence that up-stream interventions, such as changes in tobacco product design, will be far more effective in reducing the environmental burden of TPW