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"We estimate that about $182 million a year is lost in unpaid excise taxes on cigarettes," says Anita Gore of the state's tax collection agency

An added concern is that the few products showing some efficacy, such as varenicline (Chantix) and combination nicotine replacement therapies, involve high costs that many smokers are reluctant or unable to afford

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"Get her a bone, she looks like a gnawer