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For example, the Washington State Quitline provides free telephone counseling, follow-up support, and nicotine replacement therapy to uninsured and underinsured residents, with evaluations showing that nearly 35% of participants were tobacco-free seven months after enrollment and that the program saves about $5 in health care and productivity costs for every $1 spent

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While there is a general trend across the cost differences are the result of public policy choices, taxation and healthcare strategies