Not only that, it caused people to die. Diesel emissions are one of the most dangerous kinds of emissions from a public health perspective, especially in populated areas. Because of this emissions testing fraud diesel emissions pollution was worse in many major cities than it would have otherwise been, and the result has been unquestionably a vast loss of life (DALYs, if you prefer), no different than if someone had poisoned a water supply or sold tainted food. But because it has been so diffuse that aspect hasn't gotten quite the attention it deserves.
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