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Supporters of the 21 smoking age say that the savings in health care costs, especially through Medicaid, the federal-state health insurance program for the poor and disabled, will far outweigh any loss in tax revenue for states

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But aesthetic realism may also be masking a deeper trend

There is also a derogatory term for people who smoke this, called 'Pubble Chung', and most of those who are called this are middle and high school students

And they note the devastation caused by tobacco use: The risk of lung cancer is 25 times as high and the risk of coronary heart disease or stroke is 2 to 4 times as high among smokers as among nonsmokers. We summarize the paper and mull its clinical implications

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