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Studies are a mixed bag on how much those costs are, with the lost lives and health care costs weighed against lower Social Security and Medicare costs from early deaths and the personal enjoyment that smokers get from smoking

For example, the 20 counties with the highest rates of smoking-related cancers in 2016 had an average smoking prevalence nearly twice the overall average (32% versus 18%) and all 20 counties were in Kentucky

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This study revealed that death rates for people with a college education are 22 percent lower