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Carol Johnson plays an electronic pull tab machine in Mandan, North Dakota, Thursday, Sept. 5, 2019. In the year since the state launched electronic pull tabs, charities and the state's treasury have ballooned with cash from the game that instantly became the state's most popular form of gambling. But critics say the e-pull tabs, a modern version of tear-off paper pull tabs, are simply slot machines in disguise that take away profits from the state's American Indian casinos and have caused problem gambling to soar. (AP Photo/James MacPherson).

Carol Johnson plays an electronic pull tab machine in Mandan, North Dakota, Thursday, Sept. 5, 2019. In the year since the state launched electronic pull tabs, charities and the state's treasury have ballooned with cash from the game that instantly became the state's most popular form of gambling. But critics say the e-pull tabs, a modern version of tear-off paper pull tabs, are simply slot machines in disguise that take away profits from the state's American Indian casinos and have caused problem gambling to soar. (AP Photo/James MacPherson).

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