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Delaware raised taxes twice during the sample period: a 10-cent increase in 1991 to 24 cents per pack, and a 31-cent increase in 2003 to 55 cents per pack

The authors emphasized the importance of collaboration between doctors and industry for continued advances in medicine, but pointed to this study as a reminder to the medical community of the need to adhere to the "highest standards of scientific validity" and to remain vigilant in the advocacy for patients' interests when working with industry

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Some smokers buy in bulk, switch to cheaper brands, or cross state lines to buy in low-tax states