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Tobacco labeled as pipe tobacco receives preferential tax treatment compared to cigarette tobacco or roll-your-own tobacco. The 2009 tax increase created a $21.95 per pound differential, leading to the market explosion in dual-purpose products

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Another person wrote, "i thought all cig packs looked like that." And finally, this bewildered Euro said, "I was today years old when I discovered American cigarette packs dont have medical gore on the package." Yes, so if you didn't know, Europeans (and most of the world) have cigarette packages with the absolute goriest, nastiest, gnarliest images on them

Its also left health regulators scrambling and sluggish in their response to the trend