Sure, but only if the revenue is used to directly benefit those who are bearing its burden. Raise the cigarette tax and use the money to fund anti-smoking programs and services, research, and treatment for smokers, especially in poorer communities and communities of color, and the policy is no longer regressive but progressive. It could reduce, rather than exacerbate existing income and health inequities.

Even in light of a lack of official health studies, the AHA, as well as many other health care professionals can’t deny the use of e-cigarettes as a harm reducer. The policy from the AHA states: “E-cigarettes either do not contain or have lower levels of several tobacco-derived harmful and potentially harmful constituents compared with cigarettes and smokeless tobacco. In comparison with NRTs, [Nicotine replacement treatments] e-cigarette use has increased at an unprecedented rate, which presents an opportunity for harm reduction if smokers use them as substitutes for cigarettes.”

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