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When assessing the impact of a technology, the appropriate comparison is with a counterfactual (what happens without the technologys introduction), not with a hypothetical idealized world in which there is no nicotine use or smoking

whilst it's hard to estimate the cost of rolled cigarettes as everyone is made differently, an estimate is that the cost is somewhere around the 70p-1 per smoke mark so in a cost conscious world, by rolling your own you can make big savings

Smoking and secondhand smoke exposure increases the risk of infertility, placental problems, and premature rupture of membranes which can be fatal to baby

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