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Given that twice as many Medicaid patients smoke as patients in the general population, the costs resulting from chronic tobacco exposure are therefore largely covered by state dollars, which, when coupled with our extraordinarily low state cigarette tax creates a perverse system where the Georgia is, in effect, subsidizing people to smoke

At around this same point in history, tobacco had been imported to England from Virginia to be inhaled, chewed, smoked (usually in a clay pipe), or smoldered as bum cigars. American First Nations people used tobacco as a medicine and pioneered the use of tobacco smoke enemas

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Sci Rep 16 , 11565 (2026)