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Legal cigarette sales in the state accounted for almost 96 percent of the total tobacco revenue generated to the state in August 2008.[] [32] Michigan Department of Treasury, Michigan Taxes: Tobacco Tax Information [33] Michigan Department of Treasury, Michigan Tobacco Enforcement , (State of Michigan Department of Treasury, November 6, 2006), 3, [34] Mark Stehr, "Cigarette tax avoidance and evasion," Journal of Health Economics 24 (2004): 277

Researchers dont fully understand the link between smoking and hypertension

Tobacco use should be added to a patients problem list along with hypertension, diabetes, and heart disease