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While in 2019, tobacco taxes brought in 13.1 billion to the State and 2.8 billion in pensions were not paid due to premature tobacco-related deaths, tobacco-related health expenditures were 16.4 billion, to which must be added the 778 million invested in prevention, repression and social spending

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However, many millions of American adults still smoke, with many of them living with a serious illness caused by smoking, and an inexcusable number of Americans die prematurely each year as a result of tobacco use