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Government mandated health care. The government owns your body now and it won't stop with tobacco either.
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Even without government mandated healthcare governments gouge people on tobacco price, and if there wasn't any government healthcare private insurance would seriously screw smokers by loading their premiums just like they already do.
It doesn't stop with tobacco anyway it goes across a wide range of goods just like it always has so "government mandated healthcare" is a bit of a kipper.