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If the change is finalized, it would have tremendous implications not just for people on Medicare and Medicaid, but for people with private insurance, said Ned Sharpless, a former director of the National Cancer Institute whos now a professor of cancer policy and innovation at the University of North Carolina School of Medicine

Some look like cigarettes, pens, and vape pens

Other types of lighters, like blue flame and torch lighters, are not allowed at all

The cigarette variety of the term has connotations of a plan being thought up in the pub, which plays to the image of Mr Farage and Reform - which has been accused of back of fag packet accountancy before