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To an extent, they do have a point: Stopping smoking, even by switching to smokeless tobacco, would greatly reduce the burden of tobacco-related illnesses in the United States

The following DOT agencies enforce the requirement: FMCSA Federal Motor Carrier Safety Administration FAA Federal Aviation Administration FRA Federal Railroad Administration FTA Federal Transit Administration PHMSA Pipeline and Hazardous Materials Safety Administration USCG United States Coast Guard Who Needs to Be Tested

The elevated levels of arsenic, acetaldehyde, and formaldehyde noted in independent testing deserve attention