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This distinction matters because tobacco use is associated with higher risks of chronic illness, cardiovascular disease, cancer, and respiratory conditionsall of which increase the likelihood of needing long-term care

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Public health advocacy groups continue to raise concerns about the potential for non tobacco nicotine products to serve as gateway products that initiate nicotine dependence among youth and non-smokers, generating political pressure for more restrictive regulatory treatment even of products that pose demonstrably lower risks than combustible tobacco