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Health Implications of Cigarette Pack Sizes 4.1 The health risks associated with smoking and how pack size can influence smoking behavior Smoking is a major risk factor for a range of health problems, including lung cancer, heart disease, stroke, and respiratory illnesses such as chronic obstructive pulmonary disease (COPD)

Smokers themselves can and should cover their own increased medical costs of lung cancer, bronchitis, emphysema, etc