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Each cigarette is hand-rolled with precision, using tobacco sourced from the most sought-after regions in the world

A smuggler who legally purchases cigarettes in a low-tax area, such as Missouri, and then sells the cigarettes in a high-tax area, like California, still pays tax and buys American-produced goods

"Generally, the Commonwealth's high tax ratesrelative to other states provide smugglers an incentive to import such products from low-tax states and sell them to in-state buyers willing to illegally evade payment of the applicable Massachusetts tobacco excise," conceded the report's authors

Cancer Epidemiol Biomarkers Prev