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The authors noted that despite the lack of understanding of the long-term health impact of e-cigarette use, the contribution of current e-cigarette use to rising healthcare spending is significant and should not be overlooked. This excess spending is particularly relevant for employers, who cover over half of Americans through employer-sponsored health insurance

As you continue to smoke, you get more of these receptors

So we all are already paying that tax

While we encourage individuals to share their personal experiences with COPD, please consult a physician before making changes to your own COPD management plan.