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As the wholesale cost of cigarettes has risen, taxes have represented a decreasing proportion of their total cost, and the effective tax rate has thus decreased

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After 20 years of passing a $1.50 cigarette tax increase, among those living in Tobacco Nation below the poverty line: Deaths, medical costs, cancers, and hospitalizations due to cardiovascular disease, diabetes, and respiratory diseases attributed to smoking would decrease by about five-fold , compared to changes among those living above the poverty line