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21 We now consider two distinct strategies for reshaping the market to restore law and order, support adults to quit smoking, and control youth uptake: Option 1: addressing the shadow economy primarily through enforcement Option 2: regularizing trade primarily through radically increased authorizations In practice, both will be required, but we strongly recommend focusing on Option 2 as the primary vehicle for restoring order and control to the US tobacco and nicotine marketplace

People with mental health and/or substance use challenges continue to smoke at rates 2-3 times higher than the general population, according to a study published in the Annual Review of Public Health