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Financial estimates for the direct impact of smoking on the NHS came to 5.2 billion for 2005/6, which equates to 5.5% of the total NHS budget for that year a proportion that has not changed since the early 1990s and this is thought to be an underestimation because it doesnt include lost productivity and informal care

Multiple players in and out of Washington have declined to act, tied the agencys hands, or neglected to provide the FDA with needed resources

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But no representation had been submitted before the state governments

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