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States sometimes champion cigarette taxes as a fix for large, structural problems when they face revenue shortfalls

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[17] The smoking age was raised in Maryland from 18 to 21 in 2019 one month prior to the passage of the Tobacco 21 federal law

Conclusion Use of a 20-year smoking duration cutoff instead of a 20-pack-year cutoff greatly increases the proportion of patients with lung cancer who would qualify for screening and eliminates the racial disparity in screening eligibility between Black versus White individuals