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The excise tax is a flat dollar amount per pack set by state legislation

Although the 1964 Surgeon Generals Report on Smoking and Health criticized candy cigarette makers for trying to lure youngsters to the smoking habit, the sale of these products to children went unchallenged until the 1980s when pressure and adverse publicity generated by organizations such as DOC (Doctors Ought to Care) led tobacco companies to protect their cigarette brands from being used by candy companies

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This article incorporates text by Yvonne CM Staal, Suzanne van de Nobelen, Anne Havermans, and Reinskje Talhout available under the CC BY 4.0 license