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No air vents, so heat pumps would be a very expensive upgrade.
On the other side, we also have no air conditioning. So we don't burn in hell later by cooling our house now. 
In New England, it is very common to have either forced hot water or steam heat. With either system, you don't have air ducts throughout your house.
If you have added a/c, it was via window units or half splits. A half split could use a heat pump, but I don't know of anyone heating their homes up here with one.
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