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IHME does not report recipient countries for recent years, but in 2018 all of the listed recipients were in LMICs

Complementary implementing roles were assigned to the Department of Health (DOH), Food and Drug Administration (FDA), Department of Social Welfare and Development (DSWD), Department of Education (DepEd), Bureau of Internal Revenue (BIR), and Local Government Units (LGUs)

Its likely due to a number of social factorsincluding quality of health care received, late diagnoses, apathetic health care providers, medical racism, and differential smoking behaviors

Im not criticizing a record that sells ten million copies