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It costs more than $300 billion a year nearly $170 billion in direct medical care for adults and more than $156 billion in lost productivity

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adults ages 18 and older smoked cigarettes, which is the lowest prevalence recorded since 1965 (116)

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The citys bed tax was increased in 2019 to fund improvements at Progressive Field and the Rock & Roll Hall of Fame, but it did not specifically earmark funds for the arts