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We can decide that the presence of cancer-causing substances in our air, water, and food is too expensive. A 2009 study, for example, has found that coal miners in Appalachia costs the region five times more in premature deaths, including from cancer, than it provides to the region in jobs, taxes, and economic benefits. In California, the production and use of hazardous chemicals cost the state $2.6 billion in 2004 alone in lost wages and health-care expenses to treat workers and children with pollution-linked diseases.