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In floor debate, one of the no-voters, Dauphin County Republican John DiSanto, argued 18-year-olds are legally considered adults, and should be allowed to smoke if they want to

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The long-term effects of smoking include: Cancer Heart disease Stroke Lung disease Diabetes Chronic obstructive pulmonary disease (COPD) Emphysema Chronic bronchitis Tuberculosis Eye disease Rheumatoid arthritis Immunocompromised How Smoking Affects Your Heart and Blood Vessels Risks of smoking also include cardiovascular complications