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Even as things like seed oils, fluoride and vaccines have stirred up an eyebrow-raising mix of contentious opinions lately, no medical expert on any part of the political spectrum says tobacco is harmless or no big deal. Tobacco is the leading preventable cause of disease and death in the US, killing nearly half a million people a year, according to the American Cancer Society

On the legislative front, states such as Massachusetts and New Jersey are pushing for greater taxation parity between cigarettes and RYO tobacco, which may impact future purchasing behavior

Its value comes from scarcity and image rather than accessibility