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The state's health care costs as a result of smoking exceed $4 billion and tobacco use remains the leading cause of preventable death across the country and in Massachusetts, with 9,300 smoking-attributable deaths reported each year in the state, according to the report

Seek Professional Help If you or someone you care about is misusing substances or experimenting in unsafe ways, its not too earlyor too lateto seek help

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Cigarette & Cigarette Use Taxes The Cigarette Tax Act imposes a tax on the occupation of selling cigarettes at retail

Philip Morris with Alpine cigarettes in 1959