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Additionally, smoking imposes substantial economic costs on healthcare systems, costing the US around $170 billion in direct cost for medical care and over $156 billion in indirect costs due to productivity loss, including $5.6 billion in lost productivity among nonsmokers who suffer from smoking-attributable conditions because of involuntary exposure to secondhand smoking (Department of Health and Human Services, 2014

Hyperpigmentation of the lips and gums is usually seen in chronic smokers

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"There is also the small problem of a plain packaging ban being illegal, according to international treaties the UK and others have signed." Anti-smoking organisations, however, said that citing the illegality of plain packaging is a standard tobacco industry line and is disputed by independent legal experts