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Whether it is a choice by cigarette companies to maintain addictive levels of nicotine in their cigarettes, rather than a choice by consumers to continue smoking, that in the end is driving the demand for cigarettes in this country." Kessler recounted how the one-time "simple agricultural commodity" of tobacco eventually evolved into the production and marketing industry for a "nicotine delivery system." To the surprise of many who heard his testimony, he explained that by reconstituting tobacco stems, scraps, and dust, cigarette makers began controlling and manipulating nicotine levels to achieve maximum addictive potential

We also refer to these companies as the Big 4.* The longer answer: The Big 4 and their subsidiaries, or branches of their companies that they operate around the world, are the force behind the tobacco epidemic that currently kills more than 8 million people every year

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Yes - Valid for Submission Chronic Condition Indicator: [1] Chronic Code Navigator: F17.290 is a billable diagnosis code used to specify a medical diagnosis of nicotine dependence, other tobacco product, uncomplicated