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The 1998 tobacco settlement ended years of litigation over whether companies had knowingly misled smokers about the dangers of cigarettes, resulting in tobacco-related health care costs for state-run Medicaid programs

The first time I really noticed it was last winter, when after a day of not smoking I drank a soda and nearly spat it out

I soon started to wake up with this ugly, heavy feeling in my chest, like there was a weight placed on top of it that I had to struggle against with each breath

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Still, she consciously opted for discomfort, signifying personal responsibility's power in the face of adversity