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Indias GDP is negatively impacted by tobacco use, and the direct medical expenses incurred in treating tobacco-related illnesses account for 5.3% of the nations yearly spending on both public and private health care 5

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The influence of American Spirit descriptors is further shown in a study that surveyed 176 youth who either viewed an American Spirit ad with the old descriptors natural and additive-free or an ad for another cigarette brand to see what they found most memorable

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