The only "negative effect" is: smokers are fed up. Smokers have gone to the Net, to the Reservations, across state lines AND to rolling our own so we do not pay into the state coffers anymore.
I knew that the minute the states weren't realizing the big cash cow from raising cigarette taxes, they would claim that "smokers have dropped off." This is not true.
We have found cheaper ways, and we do not pay into the state coffers any longer.
Or moved to a more smoking friendly place.