The point of view that human behavior is solely the result of and that one can be anything she wants to be appears to be a very Western, very North American idea.

exposure to hazardous carcinogens and toxic substances can cause breathing problems, such as copd and various types of cancer. it also increases the risk of heart attacks and strokes and has serious (but no less unattractive) side effects, such as aging, yellow teeth, a terrible smell and damage to the vocal cords.