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The economic cost of tobacco smoking in the United States exceeded $600 billion in 2018, including more than $230 billion in direct healthcare expenditures and more than $370 billion in indirect expenditures due to productivity loss

Inhalation damages the cilia (tiny hair-like structures) in the lungs, leading to reduced lung function, chronic bronchitis, and emphysema

President Trumps chief of staff, Susie Wiles, worked as a tobacco lobbyist while running his 2024 presidential campaign

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Notes: Introduced in 1955