The Tobacco Settlement, 10 Years Later A decade after the landmark agreement between tobacco companies and the states, adult smoking rates are below 20 percent for the first time. Still, despite ad restrictions and $246 billion paid by Big Tobacco, smoking remains the No. 1 preventable cause of death in the country.

What Has Changed Since The Tobacco Settlement?

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States' Use Of Tobacco Money Varies Widely

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After Bans, Tobacco Tries Direct Marketing

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Big Tobacco Seeks Safer Cigarettes

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