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In addition, the same structural fragmentation also weakens compliance and expands opportunities for illicit cigarettes, as complex classifications and the presence of very low-priced legal products facilitate misclassification, tax evasion and illegal market entry, ultimately undermining public health goals, weakening national security safeguards and reducing government revenue (Ardana et al., 2025) Furthermore, the Multiple Streams Framework (MSF) [5] adds explanatory value by clarifying why simplification advances only when certain conditions align

Additional details of the methodology, including the complete list of all the diagnoses and pharmaceutical dispensing codes used to indicate mental health conditions, are available elsewhere [56]

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"The first few days might be very intense, then it might level off and come back again