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The combined uppermost federal and state tax rates totaled 25 percent, ranking 42nd highest in the nation

PMC 4471993

Smoking is a leading cause of: Lung, mouth, throat, and esophageal cancers Heart disease, stroke, and high blood pressure Chronic obstructive pulmonary disease (COPD) and emphysema Reduced fertility and pregnancy complications Erectile dysfunction and reduced immune function Stomach ulcers and delayed wound healing Even secondhand smoke poses serious health risks, increasing the likelihood of cancer, asthma attacks, heart disease, and sudden infant death syndrome (SIDS) among nonsmokers