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For Medicaid, the smoking cost differentials are smaller, and it is more difficult to interpret what they mean since Medicaid provides both acute care coverage in addition to being the primary payer of nursing home care services for the elderly

Cigarette smoke literally gets everywhere

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Hunter 1995)

The mouth cancer happens to people who keep betel quids in their mouth all night while they sleep. But Doctor Than Sein says the risks are clearly there for all betel quid chewers especially anyone who chews it regularly for more than a decade