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Respiratory Issues: Smoking damages the respiratory system, leading to chronic conditions such as chronic obstructive pulmonary disease (COPD) and emphysema

Smokers strategies across social grades to minimise the cost of smoking in a period with annual tax increases: evidence from a national survey in England

Jan Hein Strter, VSK director, attributed the situation to rising taxes in the Dutch media, saying, People were used to fixed prices, and now the norm is to opt for cheaper alternatives, whether foreign or on the black market. In his opinion, the tax burden has barely reduced the number of smokers (which fell from 20% in 2020 to 18% in 2024), and he proposes harmonizing these rates with neighboring countries, combating the illegal market, and supervising digital sales channels

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