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A Three-Cornered Competition Conceptually, the market can be simplified into a three-cornered contest for nicotine consumers: Lawfully supplied but highly dangerous combustible products that are widely available, such as cigarettes, which cause the main burden of tobacco-related disease Popular but illicit, unregulated smoke-free products with uncertain risks and negative crime-related consequences, such as illegally supplied Chinese disposable vapes Lawfully supplied and regulated smoke-free products that are provably far safer than smoking but meet only a small fraction of consumer demand The FDAs main efforts in shaping this marketplace have been aimed at preventing youth uptake by creating high barriers to entry for lawful vapes

Konstantinou E, Fotopoulou F, Drosos A, et al

If you're initially denied coverage due to smoking, quitting and reapplying can make a difference

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