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In Georgia, the cost of smoking equates to a total of $2.5 billion per year in Medicaid costs, including about $782 million per year in direct costs paid by the state in Fiscal Year (FY) 2026.[7] With a higher incidence of smoking among Medicaid enrollees, about 15% of all Medicaid spending is attributed to costs related to smoking.[8] Research finds that smoking rates are highest among those with less access to education and financial resources

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Smoking and smoking-related diseases kill 75,000 people in France every year, and cost French society the equivalent of more that $180 billion annually, says the OFDT (l'Observatoire francais des drogues et des tendances addictives) a French addiction observation group