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The Global Burden of Disease 2004 Update (PDF)

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In light of the tax avoidance problems created by state cigarette tax differentials, some have questioned whether state excise taxes can work as intended

(At $1.78 per pack, New Hampshire has the lowest tobacco tax rate north of Virginia.) The studys data, from 2022, demonstrate that when states increase their cigarette taxes, smuggling rates increase, both in the form of increased purchases in neighboring states and through illicit international channels, the report concludes