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On average, federal and state excise taxes account for 44.3% of the retail price of cigarettes (CDC, Economic trends in tobacco , n.d.) Cost of Smoking-Related Illness Smoking-related illness in the United States costs more than $300 billion each year, including: more than $225 billion for direct medical care for adults, and more than $156 billion in lost productivity, including $5.6 billion in lost productivity due to secondhand smoke exposure

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Tobacco addiction is an incredibly difficult addiction for people to overcome, says Davis, the medical director for the Duke Center for Smoking Cessation at Duke University School of Medicine in Durham, North Carolina