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From:
South Dakota News Watch
(Uncensored)
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Alcohol's impact: 35, dry and dying while waiting for a transplant
https://www.sdnewswatch.org/chronic-liver-disease-cirrhosis-killing-south-dakota-30-year-olds/
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Chronic liver disease is now the leading cause of death of South Dakotans in their 30s. “Alcohol is particularly challenging because it's prevalent. It's relatively cheap, and it's not in any way illegal."