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"Tax is one of the most effective public health tools to change behaviour, but we are at a point where it is so high that I also think we need to be much more vigilant about the wider social consequences rather that using it as a blunt tool as we have in the past." Deloitte partner Allan Bullot said when any tax was designed with behavioural modification in mind, consideration needs to be given to the second and third order effects

But smokers are more readily abandoning cigarettes and moving to alternatives (or quitting altogether) as tobacco companies squeeze them on one end and federal, state, and local governments do so on the other with onerous taxes (which, when raised, tobacco companies typically match with more price hikes)