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NiceRx researched which countries and states have the highest smoking rates and most deaths caused by smoking and Kentucky came in at No

The study, conducted by WalletHub, a personal finance website, established the real cost of smoking by state by calculating the costs of six categories: Total cost per smoker, Out-of-pocket cost, Financial opportunity cost, Health care cost per smoker, Income loss per smoker, and Costs associated with second-hand smoke

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