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Apart from the fact that you just mentioned the two top non-acute causes of death, that’s not even close to true.
I’m saying it’s not like some weird esoteric thing that we don’t see anywhere else in the medical industry. Heart disease from smoking isn’t more expensive to treat than heart disease without smoking.
Smoking is the number one cause of preventable death bar none, and it causes a shitload of nonfatal diseases and complications too, all in all making it EXTREMELY expensive for any society to deal with on a large scale.