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While the $3.1 billion in total costs to employers is alarming, whats even more disturbing is the actual number is likely far higher than estimated, as this study does not account for items such as higher health insurance premiums for employers who purchase private insurance, higher workers compensation costs for smokers, higher life insurance premiums for smoking employees, and the cost of secondhand smoke on non-smokers in workplaces where smoking is permitted, the report notes

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Cigarette smoke is another environmental factor well known for causing premature skin aging, as showed by the accentuated appearance of wrinkles in smokers 8,9

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