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Cigarette smoking increases the likelihood of: Heart attack Stroke High cholesterol levels Hardening of the arteries (atherosclerosis) Nicotine, the addictive chemical found in combustible cigarettes and other tobacco products, has been found to immediately raise blood pressure through its short-term effects on the sympathetic nervous system

One side suggests that while smokers incurred larger medical expenses (while they were alive), these expenses were partially offset by taxes generated by the sale of tobacco, and the fact the smokers would likely die sooner, which would effectively eliminate the costs in pension payouts or nursing homes