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The Government Accountability Office study, which will be the focus of a congressional hearing on Tuesday, found that Childrens Health Insurance Program Reauthorization Act (CHIPRA) drove manufacturers and price-conscious consumers to gravitate to pipe tobacco and so-called large cigars because it taxed them at lower rates than cigarettes, small cigars and roll-your-own tobacco

If reporting shortfalls are not the reason, then why else might recall estimates be higher

Some components of tobacco smoke, other than nicotine, may be biologically active

At the end of the day, neither option is winning any awards for health benefits