Policy enforcement is a critical component for having public health policies work as intended. The researchers also noted that smoking cessation products did not increase after the MFPL policy went into effect, which suggests that cessation promotion needs to be better integrated into tobacco policies
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A sizable literature of peer-reviewed academic studies supports these observations.[11] A 2017 study published in Public Finance Reviewprovides 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
