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While it is beyond the scope of this paper to provide a detailed estimate of the financial costs of enhanced policing of the nicotine black market, previous research shows that local drug enforcement is hugely resource intensive and represents the single most costly component of Australias national drug enforcement budget, costing approximately $1.8 billion in 2021-22 [84]

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Present alternatives include other variants of the self-medication hypotheses, such as the idea that individuals with schizophrenia smoke to alleviate non-cognitive symptoms or medication side effects (Winterer, 2010