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As Secretary of Health, Education, and Welfare Joseph Califano, Jr., ruefully noted in the late-1970s when he stepped up the federal governments campaign against smoking, Women who smoke like men, die like men. By 1985, lung cancer had surpassed breast cancer as the leading cause of cancer deaths among women

Rather than dramatizing the breakup, the song sits in quiet resignation, portraying love as something that was real but unsustainable, and marking a moment of self-awareness where longing gives way to accountability

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In 2019, the United States raised its federal minimum age to 21 for buying tobacco products, including e-cigarettes