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They outline how the cost could drive otherwise honest people to become involved in the black market and hints at the potential for social unrest because of the disparity of access between the worker and the rich, at least if you read between the polite lines

Age, education level, e-cigarette dependence, and use during COVID-19 were significantly associated with at least one past e-cigarette quit attempt

A separate meta-analysis and systematic review of research on the effects of vaping on the cardiovascular system published in the journal Cureus in 2023 also found that people who smoked e-cigarettes were more likely to see a rise in blood pressure