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Key costs include: Annual health care costs directly caused by smoking in Tennessee: $2.67 billion Medicaid costs caused by smoking in Tennessee: $823.6 million Residents state and federal tax burden from smoking-caused government expenditures: $1,035 per household Smoking-caused productivity losses in Tennessee: $3.59 billion The Health Impact of Tobacco and Vaping in Tennessee Tobacco use has significant health consequences for Tennesseans: 32.9% of cancer deaths in Tennessee are attributed to smoking

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