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According to one report, 26.5 percent of American adults making less than $25,000 a year smoke, but only 9.3 percent of American adults making more than $75,000 smoke.[15] As Table 3 shows, excise tax burden on highways, air travel, and alcohol generally follows the income distribution by income group

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2007 Jun 1;16(3):207-10

Even though they are aware of the dangers of smoking in the medical world, for those who enjoy it, cigarettes are a kind of medicine that makes them feel numb if they don't smoke them