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In addition, the same structural fragmentation also weakens compliance and expands opportunities for illicit cigarettes, as complex classifications and the presence of very low-priced legal products facilitate misclassification, tax evasion and illegal market entry, ultimately undermining public health goals, weakening national security safeguards and reducing government revenue (Ardana et al., 2025) Furthermore, the Multiple Streams Framework (MSF) [5] adds explanatory value by clarifying why simplification advances only when certain conditions align
Comment: Commenters stated that they believe CMS has not provided data, or that they believe the data presented is inaccurate to demonstrate behavior changes, and therefore, they believe any payment adjustment is not supported
Nicotine is one of the most addictive substances available
In addition to transforming them into ornaments, we are going to decorate them and give them a unique twist (as we see fit, individually)
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