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health spending, costing $233.3 billion in care and $184.6 billion in lost productivity, with cardiovascular disease costs projected to reach $2 trillion by 2050

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* Meanwhile, sales in neighboring states were not impacted, underscoring that the state policy did not cause a significant increase in sales in nearby states a claim the tobacco industry has made in its efforts to oppose state flavored tobacco policies

You can see this from Japans 2023 National Health and Nutritional Survey (NHNS)

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