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Of the economic costs, around $400 billion is in direct medical care costs and nearly $1 trillion is in indirect costs, representing the value of lost productivity due to premature death and morbidity from exposure to second-hand smoke, the study estimated

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MICHAEL OUTRAM: We could end up in a situation where we have incredibly cheap nicotine products in Australia and we're going to create a massive health problem for the future that's going to cost billions to sort out in terms of our health services