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Nationally, the rate was 5.7%.2 Economics of tobacco use and tobacco control Michigan cigarette tax Michigan received $1.18 billion (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2021.4 Of this, the state allocated $1.8 million in state funds to tobacco prevention in fiscal year 2021, 1.7% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $4.59 billion per year.4 Smoking-caused losses in productivity: $4.78 billion per year.5 Michigan tobacco laws Michigan smoking laws Tobacco taxes Michigan is ranked 19th in the U.S

doi: 10.1056/NEJM198309293091321

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