The tobacco industry also shifted to the most deadly form, cigarettes. Casual low use cigar smokers that don't inhale ( proper way to smoke cigar ) iirc have lower lung cancer and higher life expectancy than non smokers. Pipes and cigar were generally better especially when used in moderation even against moderate cigarette smoking.

Although generally the US just has bad tobacco habits. 'European' style smoking of a cigarette with coffee a couple times a week likely will kill you slower than whatever was going to get you like cooking and eating smoky grilled meats.