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Peter W. Rufleth, MD
Hyannis, Mass

JAMA. 1989;262(7):901.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To The Editor. —

The article by Manning et al¹ did not consider the external costs incurred when a pregnant woman smokes. I believe the sampling techniques of the authors would not have included the expenses incurred in the care of premature infants. I suspect the cost of neonatal intensive care and the future extra educational and medical costs would make "the taxes of sin" paid by smokers inadequate. . . . [Full Text PDF of this Article]

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