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To address the business concerns, Cohen amended the legislation to have it go into effect in April 2018, four months after the initially proposed Jan

While such frequent changes may point to the political palatability of sin taxes relative to other approaches for generating the funds needed to finance public services, they reveal as well one of the shortcomings that all excise taxes share

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Consequently, the pressures are no longer additive

"If you think of these receptors as doors, smokers have more of them, so there are more openings for the virus," says Dr