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The correlation indexes between cigarette consumption and better educated consumers indicate that health concerns, in response to evidence of links between smoking and various diseases, have a major role in deterring consumers' desires for cigarettes, which contributes to the decrease in consumption over the past 20 years

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To calculate related health-care costs, we obtained state-level data from the Centers for Disease Control and Prevention namely the annual health care costs caused by smoking and divided that amount by the total number of adult smokers in each state