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The economic burden on healthcare is equally alarming

Smoking also raises the risk for erectile dysfunction and reduced fertility in men, and low bone density, altered menstrual cycles, and pregnancy complications in women, as well as dangers to unborn babies

The data would benefit all scholars, regulators and policymakers by enabling richer, evidence-based research on tobacco control and enforcement.[47] [*] An excerpt from this letter can be found in Appendix B: Request to the Food and Drug Administration. The market for cigarettes has changed a great deal since the Mackinac Center first published a report about smuggling in 2008

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