The US is pegged as an ‘exciting’ market, but this growth disproportionately affects the poor – including the industry’s growers and laborers

Wheeling his oxygen tank in behind him, Leslie E Adams shuffled into the lung doctor’s exam room, and let out a long string of rattling coughs. He tried to catch his breath, and coughed some more. He is 63, but looks a decade older.

“I got stage three black lung. There ain’t no stage four. I’m on my way out,” said Adams. “Now, I am slowly going down the mountain.”

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