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However, whether the tax burden falls mostly on the medical device industry or on the patients depends simply on the elasticity of demand and supply.

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Excise taxes are commonly levied on cigarettes, alcoholic beverages, soda, gasoline, insurance premiums, amusement activities, and betting, and typically make up a relatively small and volatile portion of state and local and, to a lesser extent, federal tax collections..[23] Vaping devices have become difficult to sell because of regulatory changes at the Food and Drug Administration (FDA)

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