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New Hampshire has the highest level of net outbound smuggling at 52.4 percent of consumption, likely due to its relatively low tax rates and proximity to high-tax states in the northeastern United States

"It's the economy, stupid," Democratic operative James Carville once famously noted

While any decline is welcome, this was less than it should have been, and the first time in two decades that a statistically significant fall was not recorded

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Use of smokeless tobacco and risk of myocardial infarction and stroke: systematic review with meta-analysis