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Description
The average West Virginian smoker buys 113 packs a year, compared to just 23 packs per person sold in Washington, D.C

Schachtman offers several possible explanations for this the desire to marry an Amish spouse, the familiarity and simplicity of the lifestyle, a wish to remain connected to their families of origin, a sense of purpose, etc
Other times, a friend or family member or corrections officer may provide them with the prohibited substance

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