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Although it too is a kind of social lubricant, you cannot say quite the same thing for alcohol, if only because you can smoke like a chimney and remain relatively dignified a feat beyond most heavy drinkers, whose use of alcohol foments at best boorishness and at worst brutality

According to the Centers for Disease Control and Prevention, it causes more than 480,000 deaths each year more than HIV, illegal drug use, alcohol use, motor vehicle injuries and firearm-related incidents combined

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In most cases, it is a deliberate choice made after moving away from heavier or more aggressive cigarettes