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This decline translates to $135 million less in cigarette tax revenue for Massachusetts (not including lost revenue from sales taxA sales tax is levied on retail sales of goods and services and, ideally, should apply to all final consumption with few exemptions

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The tobacco is cut up and moistened before chewing or keeping it between the gum and the cheek in the mouth

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[26] Also, people who smoke and drink alcohol heavily have much higher risk of developing oral cancer (mouth and lip) compared with people who do neither