The existence of individuals who smoke without developing lung cancer or have high cholesterol and live long lives does not negate the causal link between these factors and disease risk.

“just because something is causal doesn't mean it's you're guaranteed to get it there are smokers who don't get lung cancer so you know there's going to be somebody listening to this who says my my grandmother's 95 years old she's as her cholesterol is Skyhigh and she's alive and well and I will say absolutely there are a lot of people walking around that way just as there are a lot of smokers walking around who don't get lung cancer”