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2014: Doctors now know that smoking impacts nearly every organ of the body, and Friday's report says medical care for smoking-caused illnesses is costing the country more than $130 billion a year. Add to that lost productivity of more than $150 billion a year.
1964: Cigarettes were the major concern. "The habitual use of tobacco is related primarily to psychological and social drives, reinforced and perpetuated by pharmacological (drug) actions of nicotine."
2014: "The tobacco industry continues to introduce and market new products that establish and maintain nicotine addiction," Friday's report says. The percentage of middle and high school students who use electronic or e-cigarettes more than doubled between 2011 and 2012.