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While smoking rates have dropped in the past several years as policymakers have enacted tougher restrictions on tobacco, the death rate from smoking is still very high: By the latest estimates, tobacco still kills 480,000 to 540,000 people in the US every year far more than all other drug-related deaths, murders, and car crashes combined

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The industry had started to enlist other powerful players interested in changing the way California government was financed, including the CMA, the Western Center for Law and Poverty, and other medical interests that the voluntary health agencies hoped would work with them