Despite public health efforts, tobacco use continues to threaten global health, contributing to 8 million annual deaths. The tobacco industry, worth over $850 billion, supports economies and jobs but has devastating healthcare costs. While governments earn from tobacco taxes, they spend more on treating tobacco-related diseases. Cultural embedding and the rise of e-cigarettes complicate anti-tobacco efforts. Success in Bhutan, Uruguay, and Australia proves progress is possible. The question we must ask is: are we financing cancer or fighting it?

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