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I think it isn't a case of "nobody knew" so much as "everybody was in deep denial". Black lung was long known along with the effects of poor air as not good for your health.

I have noticed a chain of rationalization cropping up a lot with preventable human health crises - often on a generational time scale. The sequence seems to be similiar to an ironic reshuffled subsection of stages of grief.

1. Bargining: "Yeah it is bad but is better than the alternative." (It makes money/keeps us from freezing to death.) 2. Acceptance: "It is a neccessity now." (Most of our industrial and personal exonomy is dependent on it.) 3. Denial: "It can't be harmful!" 4. Anger: "How could we know that it was bad?"



Reminds me of: climate change, American government, inequality & the flaws in capitalist systems, using free internet services (fb, google), sedentary lifestyle and poor (processed food and excessive refined sugar) diet.




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