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With increasing unaffordability, a large section of consumers shifted to tax-evading illicit cigarettes and other revenue-inefficient forms of tobacco consumption, like bidis or smokeless tobacco products which, on the basis of unit consumption, make up a multiple of that of legal cigarettes

TOTAL ANNUAL PUBLIC AND PRIVATE HEALTH CARE EXPENDITURES CAUSED BY SMOKING: APPROXIMATELY $170 BILLION Annual Federal and state government smoking-caused Medicaid payments: $39.6 billion [Federal share: $22.6 billion per year

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