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All of those things may drive further smoking as a coping mechanism. Powers said the takeaway from her research for clinicians and policymakers is people with chronic pain are being left behind We know that cigarette smoking rates overall are going down, which is good, she said

The recent enrollment growth was likely primarily driven by the enhanced tax credits in the American Rescue Plan Act and the Inflation Reduction Act, as well as the Biden administrations decision to direct more resources toward marketing, outreach, and enrollment assistance, reversing substantial reductions in funding by the Trump administration

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It creates a cooling sensation making smoke feel less harsh and easier to inhale, but that 'smoother' feeling doesn't make cigarettes safer