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The overall impact on sales is expected to be small however, local retailers said, because New York and New Jersey have had higher tax rates on cigarettes for years and few can afford to travel across state lines just to buy cigarettes

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The cost of LDCT is approximately US $100, of which patients are required to pay only 10% (and it is free for those in the lower 50% income group) ( The National Cancer Center Lung Cancer Screening Quality Control Center found that many who received the invitation letter did not have a good understanding of the benefits of lung cancer screening and therefore rejected the offer ( Regarding infrastructure, a 2018 survey suggests that there is widespread distribution of CT scanners with radiology specialists, meaning that even small to medium-sized hospitals are able to operate screening programs