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The 2012 decision subjects vapor inhalers to a 95 percent tax that is stapled to the wholesale cost of the product

A premium cigarette in Canada is defined by: Higher-quality tobacco blends More consistent manufacturing Strong brand equity Enhanced packaging durability Higher price positioning While taxes account for much of the retail cost, genuine differences in sourcing and production standards contribute to the premium classification

"Agents Classified by the IARC Monographs" (PDF)

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Renee Goodwin, Professor at the CUNY Graduate School of Public Health and Health Policy (CUNY SPH), shows that increased cigarette use is one possibility