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Thats because fewer people smoke

Right now, insurance companies in Michigan can make cancer patients pay more out of pocket for oral chemotherapy drugs than they do for intravenous drugs

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Breja paints an alarming portrait of Burns, Juuls former CEO who stepped down in September, saying he ran the company in a win-at-all-costs, reckless fashion. Executives were not allowed to mention regulatory or safety concerns in writing over text, email, or internal messages, Breja claims, in an apparent effort to conceal information from the Food and Drug Administration, which regulates e-cigarette products