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[189] [190] Economics In the United States, cigarette smoking is estimated to cost the economy more than $96.8 billion a year in lost productivity from premature death, [191] and more than $225 billion a year in smoking-attributable healthcare spending as of 2014 based on data from 20102014

The precise reduction in cancer risk from switching to vaping will not be known for another 20-30 years when long term epidemiological studies are available

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We estimate that Delaware experienced a tax-induced casual smuggling export rate of 34.8 percent of its total cigarette consumption the highest average annual rate in the nation during that period followed by Virginia at 22.0 percent and New Hampshire at 21.4 percent