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In 2014, Medicaid and other insurers paid almost $2 billion in claims related to smoking

"If a delivery associate is impaired at work and tests positive post-accident or due to reasonable suspicion, that person would no longer be permitted to perform services for Amazon," they said

This shift has created policy, scientific, and political challenges that require balancing the dynamic interplay of initiation and cessation across multiple product categories and diverse populations with different needs

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