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It is unrelated to tobacco though internet sources suggest it has been used by Lumbee and Cherokee (and possibly other people) to create smoke in sweat lodges or as a poultice for sores

Inside the pipe, tobacco is heated over a charcoal burner

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But, at the same time, the ACA allowed insurers to charge substantially higher premiums to cigarette users, which increased out-of-pocket costs for smokers, reduced insurance enrollment among smokers, and, ultimately, produced no difference in rates of smoking cessation between 2013 and 2014 49

Heated tobacco products like IQOS are a great example of a heat-not-burn alternative to smoking

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