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People concerned about this underground economy say the federal agency that should be aggressively involved, the U.S

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Tobacco tax increases present a win-win solution to the states a health win that will reduce tobacco use and save lives and a revenue win that can help fund tobacco control and other lifesaving public health programs. Tobacco use remains the leading cause of preventable disease and death in the U.S., killing nearly 500,000 Americans every year and costing over $241 billion in annual health care expenses, more than 60% of which is paid by taxpayers through government programs like Medicare and Medicaid