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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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While most cruisers return home with a few souvenirs and photos, some attempt to bring back items that can land them in serious trouble at the port

This drives ongoing smoking even among people who may desire to quit.11 Quitting smoking increases life expectancy and improves mental health and quality of life.12 , 13 Behavioural interventions to promote smoking cessation may include brief advice from a health care provider of a few minutes or less