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[9] The Evidence for Raising the Age to 21 In 2018, 4.9 million middle and high school students used some form of tobacco

In addition to the well-documented health effects (e.g., cardiovascular disease, lung cancer, stroke), smoking also speeds up egg-loss rate and reduces the chances of conception each cycle

So we may see people early in the course and its an opportunity to tell people that cancer is important, but there is a lot of other conditions as well they might get and [we need to educate them about] the importance of cigarette cessation.

Thus, what might initially appear to be a sign of dramatic recent progress merely signals only slight reductions in smoking initiation rates among youth over the past decade

It seeks to relieve us of responsibility for personal decisions and deny us freedom of choice