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The authors noted that despite the lack of understanding of the long-term health impact of e-cigarette use, the contribution of current e-cigarette use to rising healthcare spending is significant and should not be overlooked. This excess spending is particularly relevant for employers, who cover over half of Americans through employer-sponsored health insurance

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In particular, N availability becomes ecologically important during decomposition when the C/N ratio of the decomposing substrate lies above a critical threshold of ~3035