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If they have to drive further or go somewhere they wouldn't normally go to buy a pack of cigarettes, is it worth the trouble

The result was a dramatic increase in highway crashes, injuries and deaths caused by intoxicated drivers in the 16-20 age group. Data from the National Highway Traffic Safety Administration reveals that in 1988 there were 10,200 drivers age 16-20 years involved in a fatal accident, and 25% of them had a blood alcohol concentration (BAC) of 0.08% or higher (here)

They note, however: Nicotine exerts pharmacologic effects that could contribute to acute cardiovascular events and accelerated atherogenesis experienced by cigarette smokers

Stress, advertising, media, family history? "The CDC designates smoking as the leading cause of preventable death in the United States, killing more than 400,000 people annually nearly one in five Americans