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... Director for Massachusetts.  “The tobacco tax increases included in the transportation finance bill will save lives and reduce long-term health care costs for the Commonwealth.” Tobacco use is the leading cause of preventable death in Massachusetts, killing more than 9,000 residents each year while hundreds of thousands more suffer from its health consequences.  Tobacco-related health care expenses annually costs Massachusetts $4.3 billion – 10 percent of all our health care costs. ...