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These are stories of habits that began by impulse, of cigarettes that fit so well into the routine that they became invisible, of attempts to stop that were lost between difficult days
Instead of using fuel as a proxy for road usage, taxing actual road usage would better respect the benefit principle and guarantee that the tax acts as a user fee
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Excise is a regressive stealth tax and it disproportionately burdens lower and middle-income people As lower-income earners are more likely to smoke, they also bear more of the tax burden than higher-income earners, in absolute terms and as a percentage of income
We are proposing several candidate pathogenetic mechanisms, which all converge on the pulmonary DCs and interact within the complex cellular and molecular environment which is the lung (Figure 4)
