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New York State almost tripled its tax rates during that time, but smokers appeared to respond by buying more of their cigarettes across state lines

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If one incident from Gates visit to Beijing in 2012 was cause for hope, another would eventually give the public health community pause

Illicit market concerns: Higher prices have unfortunately contributed to growth in illicit tobacco trade (7), with HMRC estimates suggesting illicit cigarettes account for approximately 12% of total consumption, representing significant lost tax revenue

Conversely, low-volume operations often face higher per-unit costs due to inefficiencies