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Molly Collins , advocacy director for the American Lung Association in Wisconsin, said use of cigarettes and nicotine products leads to higher medical costs, including those with Medicaid insurance funded in part by the state

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and Nazik Elgaddal, M.S., July 2023, National Center for Health Statistics, "Current Electronic Cigarette Use Among Adults Aged 18 and Over: United States, 2021", Products - Data Briefs - Number 475 - July 2023 (cdc.gov), Michael Joseph Blaha, M.D., M.P.H., Johns Hopkins Medicine, "Will Vaping Lead Teens to Smoking Cigarettes?"