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PITTSBURGH — A man who kept driving despite a history of blackouts was sentenced to three to six years in prison Tuesday for a crash that killed a pregnant woman and her mother.

Jack Monroe Smith, 51, also received 10 years' probation for the 2000 crash and for another accident last year in which four women were injured. He will not be able to drive while on probation.

Prosecutors contend Smith misled his doctors and state officials about his seizure disorder so he could keep driving despite a history of blackout-related crashes.

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The sentence was the maximum.

"In a sense, he is worse than the drunk driver who has at least some control over his faculties and some ability to pull over and stop," Judge Jeffrey Manning said.

At trial, defense attorney William Bishop Jr. argued that Smith did not hide his medical condition. On Tuesday, however, Bishop read a letter from Smith's cousin claiming that his parents had taught him to hide his disorder.

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