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This discrepancy argues against a straightforward smoking-cessation explanation and instead points towards healthy switcher bias that is, former smokers who successfully transitioned to e-cigarettes may represent a systematically healthier subgroup with unmeasured advantages in terms of health motivation, body weight, and healthcare engagement

Leaner, faster, more innovative companies would take market share in new products, accelerating the decline in smoking and degrading the companies pricing power (the ability to raise cigarette prices to compensate for declining volumes)

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Formidable opponents: Anti-tobacco measures often encounter resistance from the tobacco industry and other groups with vested interests