Things are a bit different here in the US. Our government does not provide universal healthcare for all of us so I would wager a very low % of tobacco tax dollars go to paying for the health effects here.
Yeah, although still could be said to be social costs incurred (police needed for drunk fighting, cleaning for ciggie-.... litter, etc.). Reasonably, anything apart from standard tax must be *for* something, like car tax is (theoretically) for road maintenance and repairs required by more wear. Otherwise it's just picking something at random and going "you users of [insert item/service here] get to fund our inability to budget!". In essence, why penalise smokers and not coffee drinkers or people who use 3ply toilet roll or those who prefer black socks over white (alright that last one could be dodgy, hosiery-racism is a serious problem!).
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