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Although increasing tobacco taxes is the single most cost-effective instrument to reduce smoking, it is the least adopted.1 2 Particularly, the WHOs guide on best practices recommends that total taxes on tobacco products should be at least 75% of the retail price, but this suggestion is rarely implemented.1 Vast worldwide evidence shows that tax increases that effectively increase tobacco products retail price make them less affordable,2 and generate large reductions in smoking prevalence and premature mortality.3 However, a common objection to tobacco taxes is that they tend to rely disproportionately on the poorest individuals since less affluent smokers incur proportionately greater expenditures on cigarettes compared with more affluent smokers.4 This is the classic observation on the regressivity of higher tobacco taxes

Co-authored by Luba Lee, FNP-BC, MS and Hannah Madden This article was co-authored by Luba Lee, FNP-BC, MS and by wikiHow staff writer, Hannah Madden

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