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The FDA stated that, Ignoring the law and then paying associated fines and penalties should not simply be viewed as a cost of doing business. We agree, and we know that tobacco retailer licensing systems, particularly at the local level, allow better monitoring of retailer compliance and allow for a wider range of penalties, including having a retailers license to sell tobacco products suspended or revoked for repeated violations

The Lancet Public Health (7) 10, e834-43

According to Bostic, the public health communitys position is that reducing or ending tobacco farming in the United Statesor any individual nationwould not meaningfully alter the business, because tobacco is grown in so many countries and so often exported and imported

Participants gave oral informed consent to participate and were assured anonymity