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Currently under consideration in several states, is legislation that would tax electronic cigarettes as traditional tobacco cigarettes, which would be much costlier for consumers. For example, North Carolina currently taxes consumers 45 cents per pack, or 12.8% of the cost of traditional cigarettes and other tobacco products like snuff, cigars and chewing tobacco. David Powers, VP of Government Relations for R.J. Reynolds a large backer of the proposed legislation state’s “many smokers are switching from tobacco cigarettes to e-cigarettes, adding “vapor devices carry less health risk because no tobacco smoke is produced.” “We don’t want to create disincentives for smokers to try it.”

"“The majority of our patients are over 65, and they have expectations that cannot be ignored in terms of personal appearance,” hospital chief executive David Brown said in an interview. “We have the ability as an employer to characterize our process and to have a policy that says what’s best for our business and for our patients.” Employment lawyers say Citizens Medical Center’s hiring policy isn’t against the law. Only the state of Michigan and six U.S. cities — including San Francisco and Washington, D.C. — ban discrimination against the overweight in hiring."

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