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It’s money.
Everytime I see shit like this it just reminds me that the population doesn’t understand survival bias.
It could work against you, someone with that kind of health might have had the luxury of being resilient against shit that can totally harm you.
Good genes. That seems to play the biggest role.
And having a shit load of money. That helps tremendously
Without surgery. And there’s also a superhealer gene that allows some people to chain smoke without dying early.