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5 Add in the more than $11 billion in costs to the healthcare system for drug intervention and treatment and an estimated $120 billion hit on workplace productivity, and the impact becomes painfully evident

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The Keys to Success: Ideas, Power, and Leadership Health policy entrepreneurs are most likely to be successful when they are solving a problem that the legislative leadership recognizes as important.19 Unfortunately for tobacco control advocates in California in 1988, tobacco was not on the Legislature's agenda prior to Proposition 99

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