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The Dominican Republic was cited as one of the clearest examples of tobaccos economic impact

Of $61 million paid to the states by tobacco companies to date, states spent less than 8% on anti-smoking endeavors, according to a March 2007 article by the American Bar Association Journal.b Government Accountability Office figures indicate that states have spent even less on tobacco control, which it defines as efforts to include prevention, education, enforcement, and cessation services.c States have allocated 30% of their MSA payments to health care, including Medicaid, health insurance, and hospitals

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