I think of it like this
Imagine someone spend their entire teens, 20s and 30s being a heroin junky coal minor. But they are totally clean and working in an office by their mid 40s.
Then, at 56 they die, due to a build up of wear and tear caused by their unhealthy youth.
That would be natural causes to me. Because nothing specific caused it. It wasn’t OD, it wasn’t black lung or a cave collapse. It was natural causes.
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