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Transplants people. It is more difficult to get a lung transplant if you are a smoker, or you have a heart disease (I suppose they want some assurance you won't die anytime soon and waste that lung).
Alcar...
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I'm not sure that this is exactly what he meant as he was talking about his tax money being wasted. Anyhow, yes. Smokers would be put much further back on the waiting list to get a new lung. They would still be on the list, though.