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A Blueprint for Reform: How to Fix Nicotine Regulation in Five Steps

Step 1: Risk-proportionate regulation. Step 2: Honest communication. Step 3: Consumer participation. Step 4: Streamlined authorization. Step 5: Equitable taxation. The blueprint exists. The politics are the obstacle.

Risk-proportionate regulation: products classified by risk, not category. Honest communication: comparative risk information provided to consumers. Consumer participation: nicotine users included in policy processes. Streamlined authorization: reduced-risk products can reach market without million-dollar barriers. Equitable taxation: taxes proportional to risk, revenue dedicated to cessation support. **This blueprint is technically feasible, economically viable, and politically contested. Every element has been implemented somewhere. No jurisdiction has implemented them all.**

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