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"Cases of families falling into poverty due to marriage are not exceptions in some areas," Han said, adding that such customs have eroded poverty-alleviation efforts by local authorities. "Although farmers are strongly opposed to such practices, they feel it is very difficult not to follow suit," he said.

"China continues to be Vietnam's key export market for agricultural products," said Vo Tri Thanh, the former deputy head of Vietnam's Central Institute for Economic Management.

"China is a great market for us, massive demand and huge potential. Beyond a great market, China is dragging new technologies into practical applications," Tam said.

"But they have to elevate their product quality to meet future challenges. There won't be a clear distinction between customers' expectations for Chinese and foreign volume brands."

"Certainly we see the problem in states that allow for medical or recreational access, but even in states that are not allowing access," said Heidi King, deputy administrator of the NHTSA.