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A sizable literature of peer-reviewed academic studies supports these observations.[11] A 2017 study published in Public Finance Review provides the academic theory and estimates for how tax rates affect smuggling, highlighting that easily transportable goods (e.g., cigarettes) will be attractive cross-border shopping items.[12] A 2018 study published in the same journal supported those findings by examining littered packs of cigarettes across 132 communities in 38 states, finding that 21 percent of packs did not have proper local stamps.[13] In addition to high taxes, the study found that bans on flavored cigarettes in Massachusetts and California have sent smuggling to new heights

Some state-specific or emergency room-specific studies have occurred, but Jangi said there is a serious need for a large-scale epidemiologic study

ORourke was catching in Lima, Ohio, in the 1880s, when a foul tip hit his Adams apple and crushed back the cartilage into Tims throat, leaving him unable to speak in much more than a whisper

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