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Higher state cigarette taxes can have a final consequence, though it is difficult to quantify: smokers substituting cheaper "roll-your-own" cigarettes for commercial ones.[3] This "hand-rolled tobacco" may be smoked with or without a filter, thereby regulating the amount of nicotine according to the smoker's preference

Evidence for cannabis positively affecting sleep and/or concentration is very limited, and self-prescribed use can have negative unintended consequences, including mood disturbances and THC dependence

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Internal Revenue Service data for 1879-80 show total tobacco tax receipts of $38.9 million, out of total receipts of $116.8 million

It causes dependency and damage at a pulmonary and cardiac level (COPD, angina or heart attack, among others)