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Nah, he knew exactly what he was doing when he made those comments. Do you know how bad it would look for a coal titan to say coal is unhealthy and it's killing me? He lied to make coal seem safer than it is, he has blood on his hands. Either that or he is lying right now to financially profit from federal benefits. Either way, it's trashy. So let's go see what multiple medical websites, including Johns Hopkins - I'm sure you've heard of it -have to say about black lung disease: it's a type of "pneumoconiosis" in which coal dust inhaled into the lungs causes scarring.

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