1) A study by the Centers for Disease Control and Prevention found that smokers in the United States spend $50 billion per year on medical costs related to smoking, which is about $2 per pack of cigarettes. 2) This cost is nearly double the amount found in previous studies and shows that smoking is as harmful to the economy as it is to health. 3) Taxpayers pay 43% of the total medical costs from smoking, which was $21.6 billion in 1993.