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It means nonsmokers will pay more because smokers generally have higher health care costs that were supposed to be partly offset through the surcharge

HighBeam Research

Effects of a 2-fold increase in SmkInit risk (without UKBB participant data) on the indicated blood traits by two sample MR

Infective endocarditis In recent years, significant associations have been elucidated between periodontitis and other systemic diseases [64, 65], and the bacterial flora of the mouth entering the bloodstream may potentially be involved in the pathogenesis of invasive infections such as infective endocarditis, and the bacterial flora of the mouth entering the bloodstream may potentially be involved in the pathogenesis of invasive infections such as infective endocarditis [66]

PMID 24923740