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Smoking directly causes $2.67 billion in annual health care costs in the state

If Massachusetts were to raise its age for sale of tobacco products to 21, it would join Hawaii as the only other state to do so

It reverses or halts the effects of the work that has been done to improve health care in these countries, and although smoking is deemed as a "voluntary" health risk, the marketing of tobacco towards very impressionable adolescents in the developing world makes it less of a voluntary action and more of an inevitable shift

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Regal (cigarette) Regal is a British brand of cigarettes