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Under the current delivery system, California loses $19 million in yearly tobacco taxes, while New York City and New York State loose a combined $21 million a year from taxes

So no need to replace it constantly

Healthcare providers frequently offer comprehensive support services including behavioral therapy, pharmacologic aids, and follow-up evaluations to promote long-term quitting success

[iii] Hon Lik himself was a heavy smoker and, concerned about the health effects of cigarettes, began working on a device that would deliver a nicotine hit to users without the actual need to smoke cigarettes

Of course, the patterns in the observational data do not necessarily mean that e-cigarette use caused smoking cessation, but the United Kingdom study is a rare example of experimental evidence on the question of product substitutability 5.2.2