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In conclusion, the escalating burden of smoking-associated bladder cancer in the US highlights the urgent need for strengthened tobacco control efforts, particularly among populations with low socioeconomic status (SES) and racial or ethnic minorities

This practically limits lawful tobacco vending to a small category of establishments, most commonly age-restricted bars and certain private clubs

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I realize that a decline in tobacco use is a healthy thing, but it is imposing a significant lifestyle penalty on the poor, while allowing others to escape it