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Initially, health workers expressed a lack of confidence or understanding of how to counsel a patient to quit: We tell him (the patient) information, find out how many he smokes, what he smokes etc, we note it down according to the format but even after that, we dont counselling them in detail. (phase 1: health worker, male) The questerviews with patients who had received the BS illustrate that these approaches were being used in practice

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We provide some of the first evidence on how e-cigarette taxes impact adult smokers, exploiting the large tax increase in Minnesota