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Chronic pancreatitis: report from a multicenter Italian survey (PanCroInfAISP) on 893 patients

This seems to be what has happened in Canada, where people simply buy cigarette cases to avoid having to see the graphic images of tumors

A cigarette is a visible object

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One consequence of high state cigarette tax rates has been increased smuggling as criminals procure discounted packs from low-tax states to sell in high-tax states