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This might be because there is no new federal plan in place to accelerate a reduction in smoking, with the possible exception of reducing nicotine in cigarettes to non-addictive levels

Over time, chronic exposure to nicotine and the associated cardiovascular stress can contribute to the development of lung cancer and heart disease

9 The current USPSTF recommendation statement for adults evaluated the evidence on the benefits and harms of e-cigarettes to increase tobacco cessation

On the other hand, the LAO points out that if these smokers quit and live longer, it could increase the governments health care costs

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