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This survey may understate actual youth use of e-cigarettes as it was conducted in the spring of 2017 and does not fully capture the recent, widely-reported surge in popularity of Juul e-cigarettes among teens

The authors would like to thank contributors to this study including, but not limited to: Aiden Tanis, the Mackinac Center for Public Policys 2025 fiscal policy summer research assistant

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On an operational level, companies are able to build economies of scale with more licenses in more states, and are largely rewarded by investors and the public markets for doing so

Smoking also raises blood pressure, reduces oxygen supply to the heart, and promotes the formation of fatty plaques in the arteries, all of which contribute to the development of heart disease