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Nationally, the rate was 32.7%.2 Economics of tobacco use and tobacco control North Carolina cigarette tax North Carolina received $447.4 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2021.4 Of this, the state allocated $1.9 million in state funds to tobacco prevention in fiscal year 2021, 1.9% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.81 billion per year.4 Smoking-caused losses in productivity: $4.24 billion per year.5 North Carolina tobacco laws North Carolina smoking laws Tobacco taxes North Carolina is ranked 48th in the U.S

This decrease in labor force participation has contributed to the lower unemployment rate

"During the prohibition of alcohol in the United States during the 1920s, increased enforcement failed to significantly decrease the prevalence of bootlegging because the profit margins were so large and the distribution networks sophisticated," point out Hoffer and Macumber-Rosin