The price is still being paid for black lung disease, including taxpayers who fund healthcare costs and pay pensions to the widows of coal miners.  The short-sightedness of this boggles the mind.  One just has to look to China (who is seeing the error or its ways) to see the problems of un-breathable air, where children are often forced to stay indoors and restrictions on cars (based I believe on license plate numbers?)  One expects these kind of policies from so-called third world countries, and even then they are recognising the health problems of coal burning (used for cooking indoors) and making local community attempts to move away it.  What is also confusing is while he increases the population health risks he and his congress present a healthcare bill at take away care from millions.