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Despite the states F grade, Bowler acknowledged the state Department of Health does good work with what is really a shoestring budget. In fiscal 2024, that shoestring is $429,205 worth of funds for the states Tobacco Control Program, confirmed Rhode Island Department of Health spokesperson Joseph Wendelken

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The widening gap suggests that the tobacco control programs impact compounded over time, consistent with cumulative behavioral change and declining social acceptability of smoking