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It is a common misconception that states without personal income taxes are low tax. In reality, to compensate for lack of income tax revenues these state governments often rely more heavily on sales and excise taxes that disproportionately impact lower-income families

Nearly half (581) of the 2025 registrations represent companies owned by or affiliated with tobacco corporations that have been found liable under federal racketeering laws , including Altria and Reynolds American, Inc

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The CDC has used a national ad campaign of its own to reach especially hard-hit populations, including low-income, rural, Native American, mentally ill and minority smokers