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Consequently, tobacco is blamed for contributing to the level of illiteracy in United States

According to a separate analysis by Truth Initiative and HealthPartners Institute, more tobacco policy spending paired with higher cigarette taxes targeted to areas with the highest smoking prevalence can reduce disparities in tobacco use that have existed for decades, bringing adult smoking in Tobacco Nation down to the national average and resulting in considerable health and economic benefits

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They also assessed the impact of excise tax policy on public health and on preventing premature disease and mortality