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Why Are So Many People Still Smoking?

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portrait of a young woman smoking a cigarette

Health officials reported this week that U.S. smoking rates are not going down, and that one if five adults are still smoking regularly.  I find this news so disappointing, especially considering that smoking is the number one cause of "preventable" deaths in this country.  What are people thinking?

U.S. smoking rates continue to hold steady:

"It's tragic," said CDC director Dr. Thomas Frieden, who calls smoking the No. 1 preventable cause of death in the United States. He estimates that smoking kills 1,000 Americans a day.

Some experts were particularly disheartened by a CDC finding in a second report that nearly all children who live with a smoker — 98 percent — have measurable tobacco toxins in their body.

The first thing I thought about when I read these latest statistics was -- In such a bad economy, why are people still wasting their money on a product that can actually kill them?  I know it's an addiction and it's not easy to quit, but there are so many products out there to help make quitting easier. Why aren't more smokers trying to quit?

Here is a tool that can show you how much smoking is costing you:

Calculate the Cost of Smoking

It's not just the cost of cigarettes that burden the wallets of smokers.

From MSN - The High Cost of Smoking:

If the threat of cancer can't persuade you to quit smoking, maybe the prospect of poverty will.

The financial consequences of lighting up stretch far beyond the cost of a pack of cigarettes. Smokers pay more for insurance. They lose money on the resale value of their cars and homes. They spend extra on dry cleaning and teeth cleaning. Long term, they earn less and receive less in pension and Social Security benefits.

I'm wondering if the healthcare crisis could be affecting the ability for uninsured and under-insured smokers to access quality methods for quitting?

From Kaiser Health News -- Medicare smoking prevention program:

A Medicare program that has agreed to pay for counseling for seniors who smoke but are not yet sick could help the program, and America's health system, lower costs. "Smoking costs the U.S. economy $97 billion annually in lost productivity, in addition to the $96 billion a year in direct health care costs, according to [the Center for Medicare and Medicaid Services]. Counseling coupled with smoking prevention drugs and devices are among the most cost-effective interventions in the disease prevention arsenal."

Meanwhile, guess who's raking in billions at the expense of the health and lives of the American people?  Yes, the tobacco industry.

From The American Cancer Society - How does tobacco use affect the economy?

The tobacco industry is one of the most profitable businesses in the country, making billions of dollars every year. But the costs of smoking are far higher than the income from cigarette sales.

From 10 Things You Don't Know About Smoking:

Tobacco smoke is a poisonous cocktail of over 4,000 chemicals. 50 of which are known to be cancer causing.  Here is a list of just some of the chemicals contained in a cigarette that you may recognize.

Are you a smoker who wants to quit?  The American Cancer Society's Choose You campaign has some great resources that can help you quit smoking:

We all know why it's so important to quit smoking: it causes one in 5 deaths in the United States, and myriad health problems. But knowing that doesn't make it any easier to stop. If you're like a lot of smokers, you've even experienced several false starts—leaving you demoralized.

Make a Choose You commitment now—and we'll help you stop smoking for good. We'll get you started with informative articles and useful tools like our Quit for Life program. Then we'll provide the support you need to stick to your goals, and finally kick that habit.

What do you think about the latest statistics on smoking?  Are you surprised that more people aren't quitting? 

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Pheisty 5 pts

I, like many people, started when I was young, thought I was invincible, and believed I couldn't get addicted. I don't know the exact statistics, but I would venture to guess that upwards of 75% of smokers started when they were young. Kids do stupid things.

Unfortunately, you DO get addicted, and all of the "it's so bad for you" and "don't you care about your family" garbage doesn't matter when you're addicted. People who make statements like that don't understand addiction, and they shouldn't even say anything about it because they aren't even attempting to understand that addiction transcends logical thought and emotional processes.

It is a proven fact that quitting smoking is just as--if not more--difficult than quitting heroine. Ever done any research on heroine addiction? Look it up. The difference is that smokers are able to live a semi-normal and productive existence, and therefore find it more difficult to quit because they aren't dying quickly, and because their lives become relatively unaffected by the habit...until it's too late.

We smokers (I actually don't smoke anymore...I 'vape'. I use the electronic cigarette and quit smoking the same day I got my kit in the mail) don't expect you never-smokers to understand our addiction. What we do expect is for you to understand that it's an incredibly powerful addiction, and that most of us HATE with ever fiber of our being that we can't quit. Then we beat ourselves up for not quitting. The guilt is tremendous, so don't add to it because it doesn't help anyone quit for you to point out how horrible it is. Trust us, we already know.

So please stop with the "I can't believe you can see how harmful this is and can't quit" talk. It may make you feel better about yourself that you never started, but it's certainly not doing anything productive for the smokers out there.

midnightbliss 5 pts

i have some friends who smoke and they never planned to smoke in the first place. most of them started to smoke out of peer pressure and soon they just realized that they can't stop even they know all the statistics.

sarahp007 5 pts

great post!!
I too did smoke and still can't believe that with all the bad publicity etc that I started! Fortunately I managed to quit and am now a serious anti-smoker.
I am amazed that given the serious health consequences of smoking, that tobacco companies are still in business!

http://www.singlemothersfinancialhelp.com ( http://www.singlemothersfinancialhelp.com )

nbrashear 5 pts

If you want some help. Below is a start:
You'll have the best chance of stopping if you do the following:

Get ready.
Get support and encouragement.
Learn how to handle stress and the urge to smoke.
Get medication and use it correctly.
Be prepared for relapse.
Keep trying.

I found a great website to check out that helps with this also.
www.doctorsoffice.net ( http://www.doctorsoffice.net )

two girls take on love 5 pts

My question is, why do people feel the need to try to tell others how to live their lives? Try as we might, we can't legislate morality or good sense, or just plain being nice. Well, we can try, but that doesn't really work now, does it? The only person we have any control over is our self. Let's just start with loving ourselves anyway, no matter what.

ChritieP 5 pts

Excellent post. And i completely agree with your perspective. Trying out the smoking calculator was also really enlightening, Even though i'm not a big smoker, every little cigarette adds up.

avflox 5 pts

The first thing I thought about when I read these latest statistics was -- In such a bad economy, why are people still wasting their money on a product that can actually kill them?

Addiction isn't a logical thing. You call it a waste, I call it an expense. As far as something that can kill me, I think about death every time I get in a car in Los Angeles. It doesn't stop me either.

AV Flox is the editor of Sex and the 405 ( http://sexandthe405.com ) -- what your newspaper would look like if it had a sex section.

anglocelta 5 pts

I have heard/read that behaviors and habits including smoking, alcohol consumption and gambling increase during recessions and downturns - which, yes, I can certainly understand! A loooootttt of people out there are under a loooottttt of pressure, and while smoking may be the most unhealthy way to cope with that, I personally know those who consider it one of their last links to sanity.

That being said, and I am also a former regular smoker, smoking doesn't offer anything other than a few minutes' worth of "break" from blocking out everything else. What actually got me to quit was someone who told me that he was only able to quit when he realized smoking was the ONLY way he was willing to give himself permission to just take a break/grab a few alone moments/relax. And when that realization sunk in and he understood how that meant he was treating himself, he was able to quit. He passed this on to me (while I was smoking, LOL! We were at a photo shoot on location) and I kind of shrugged like, "whatever," but the conversation kept coming back to me days, weeks, months later. It bothered me more and more, the idea of what I was doing (or not doing) and it got to me in a way that nothing else had. And I'd been lighting up for 14 years so it was no passing habit for me. But a little more than a year later (ironically, right around 9/11/2001) I quit for good and have become quite a different person since then in many subtle but incredibly rewarding-to-me ways. End of story!

CrystalsCozyKitchen 5 pts

It actually astounds me how many people smoke - I've never done it but have had family members who have (mostly aunt/uncles and my grandparents.) They never smoked in our house because of my younger siblings who had medical problems - especially my youngest brother who had pneumonia about 6 times per year. It still bothers me when people smoke near entrances to buildings - this can seriously affect others health and can make some people have to avoid going into that building until the smoke dissipates. People with bad cases of asthma can have life threatening attacks when around second hand smoke. Plus don't get me started on people smoking around babies!

I understand that smoking is an addiction and the desire to smoke is very hard to overcome. I also get upset at the tobacco companies and their marketing as well as their lack of concern for people's health.
For those that quit - good job. For those that are trying - you can do it! ;)

GeekMommy 5 pts

How I wish I were one of those people who could "have a cigarette once in awhile and never really get hooked."
I smoked for 20 years. From the age of 15 to the age of 35. 2 1/2 packs a day.
And I "quit" more times than I can count. I tried everything: hypnosis, aversion therapy, Wellbutrin, patches, gum... you name it? I tried it. Some more than once.

But I still get the urge 9+ years later. So does my husband who quit the same time I did. We just don't start again.

Why? Because we have a child. Because we know that even one drag turns into 'right back there' again. Because 9+ years later we know the same thing we knew the whole time: it will kill you.

But I get it. I get why people do it. I miss it. Some people drink alcohol and can have no problem with it. Some are alcoholics. Why? It's probably something genetic and also psychological - but in the end? It's how it is.

Should the government do more? No. Not unless they're willing to address the source. The users aren't the problem - the growers and distributors are. If you're going to address it? Make it illegal to produce it.

Lucretia (aka GeekMommy) Raising a child in a digital world, still a digital girl

GeekMommy 5 pts

Exactly my position.

I smoked for 20 yrs. 2.5 pack/day habit when I quit cold turkey.
That was 9 1/2 yrs ago... and there are times... But I know every single time that if I had even *one* drag? I'd be back to 2 1/2 packs a day within a week.

Lucretia (aka GeekMommy) Raising a child in a digital world, still a digital girl

Laura@OurHouseOfJoyfulNoise 5 pts

I am so shocked to read that the number of smokers is not going down. It seems to me, that there are less all of the time. (Which I'm glad for. But I wish it were the truth!)

I am a former smoker from many years ago. I can't even believe I ever did today, because I despise smoke SO much now. It's a nasty, disgusting and devastatingly unhealthy habit to have. I grew up in a household, with 2 'household' smokers. My parents. I cannot even fathom now, that I grew up in a house, that was filled with smoke! I don't think my parents or their generation, were aware of the damage they were doing to their children, not to mention themselves. But I can tell you, that I began to smoke, because of they did around me all of the time. It was curiosity, that so unfortunately, developed into a many years habit. They spent so much time puffing on these things, and I just had to know what the big deal it was. I can say I must have been quite immune to the smoke, living in it then, because since I have quit (many, many years ago), I can pick up on cigarette smoke from across a street, and I cannot STAND it.

Today, when I see teenagers (or even younger now) smoking, I am almost embarrassed for them. Because honestly, they look like 'a kid smoking'. Some think they are so cool. And I wonder if I looked quite that foolish. I know I did, and I feel like an idiot now.

I also know in an instant, if anyone near me is a smoker, even though they are not smoking at the time. That's something smoker's are truly immune to. They have no idea how much they reek. They cannot smell with their noses, like non-smokers can. Most who quite, experience that their senses suddenly come alive again. But a smoker usually thinks they have all of their senses 100%, and what they can't smell, neither can anyone else. They just don't know the difference.

As I said, for years, but quit in my mid to later 20's. My mother, went on to have major health issue, much due to her smoking. We went through many years of hell, with her. Heart disease ran in her family, yet she smoked, and ate unhealthily, and never exercised. First, she had a quadruple by-pass, and then went back to smoking. About 5 years later, she had an aneurysm under her heart, was in a live-in rehab for 5 months, and while THERE, went back to smoking. (The smoking nurses were giving to them, and they rolled her outside!
The number of medical professionals smoking still baffles me too.) My mother eventually got home, but kept smoking. A year later, she had a stroke, and eventually recovered from that. but kept smoking. A few years later, she died of a heart attack when no one was home.

Through the years, my mother and I got in many vicious fights, about her smoking, and all we were put through with her health. For ever surgery they had, the doctors did not expect her to make it. Recoveries were so long. For the last many years of her life, she was in a wheelchair, and needed a lot of help with her care. But she kept on smoking, and I thought it was incredibly selfish, to put her family through so much. I had no qualms about telling her all of the time too. Nothing could get her to quit. Not even guilt, or love for her family. As she said, she 'didn't want to, enough', and until she did want to, she wasn't going to.

I can't understand either, how anyone can afford to smoke, with the cost of a pack, today. Where do teens get the money for cigarettes? Some are middle schoolers, with no job. No matter the age, it is such a waste of money, and life. I know the addiction, when you are a smoker. But if I could quit, anyone can. If they just don't want to, they should do it for those who love them. Once they are out of it, they will realize the quality of life they were missing all along.

I wish I knew, how we can get the decline of smokers in gear again. With the expense, and the ban in most public places now, I can't understand how people take the time and money, to keep smoking. Every single time I see anyone smoking, all I can think is, "How sad." It is indeed, wicked sad.

~ Laura (a.k.a. LLR) www.ourhouseofjoyfulnoise.com ( http://www.ourhouseofjoyfulnoise.com )

meanmommyclub 5 pts

I know how hard it is to quit smoking. I smoked from the time I was 11 until I was 35. I have been a non-smoker for 10 years now and it took several times before it "took". The only reason I think it "took" was because I took the mentality of an addict. I told myself that I am addicted and can NEVER have another again.

Are there times I would love to smoke? Absolutely! But I know, if I have just one, or just a drag, I would want more and more. I would justify start that thinking that if I could have a drag I could handle two and then three and it would just continue on and on until I would be back to smoking a pack a day again.

I have to remind myself with that manta, I can't just have one!

NotJustAnotherJennifer 5 pts

that the people who already do smoke haven't quit. I'm surprised that so many people start in the first place.

Both of my parents smoked. My dad quit briefly after his first heart attack at 40, and for good after his triple bypass 2 years later - I was 16. My mom still smokes, though at least outside. They say that kids of smokers are more likely to smoke and that makes absolutely no sense to me. Nothing grosses me out more because I lived with it my whole childhood.

I know there are a few "rebel" kids who start smoking to be badass, but really, you can't smoke anywhere anymore anyway. I don't understand the allure.

Jennifer Barr is a wife and working mom of two beautiful girls, 3 going on 13 and 9 months, which means she's sleep deprived but constantly kept on her toes! Most of those experiences are chronicled on her blog, http://midwestmomments.blogspot.com.

Catherine Morgan 5 pts

I'm sorry for your loss. As a nurse I had many patients with emphysema, it's a very slow and very agonizing way to die...And it is just as agonizing for loved ones to witness.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Erin Cox 5 pts

I smoked for, lordy, almost 10 years. Off and on, but I still *cringe* thinking about it.

The day before my 27th birthday I became incredibly ill with Labrynthitis. The vertigo was horrible and I was out of commission for several months. Laid up on a futon in a dark living room. Unable to move, eat, or drink. Light and noise sensitivities alone would throw me into a spin. Let alone the smell of smoke!

There are times I still get the tightness in my throat, the slight urge to smoke - even after I haven't smoked for years. But I find something to do.

I know each person is different. Some can drop smoking without a second thought. They should consider themselves lucky because for most it is not that easy.

My husband still struggles with it - out of nowhere he is hit with an urge to smoke! Even when he was on prescribed medication to help him quit, it didn't work. Though, I'm quite proud to say he hasn't smoked in over a year - on his own.

My grandmother passed from lung cancer when I was 18, I remember what she went through. I never want my daughter or future kids to see me in that light. While dealing with an illness isn't an ideal way to quit smoking, I took it and went with it. That was my out and I was not going back.

everydaytips 5 pts

It breaks my heart to see so many young people smoking, I just do not get how someone even starts smoking.

I am the product of two smokers, I can't imagine the amount of toxins my poor body was exposed to. I just watched my dad suffer a horrible death from emphysema that I don't know if I will ever get over. If you can't quit for yourself, spare your family and quit for them. It truly is a nightmare.

Kris at Everyday Tips and Thoughts ( http://everydaytipsandthoughts.com )

Just_Margaret 5 pts

Why are so many people still smoking?

*huge sigh*

The answer to that, for me anyway, is very complicated. I smoke. I like smoking in many ways and I hate smoking in just as many. What that means for me--at this point in time--is that the addiction companent of smoking is tipping the scale to my currently smoking.

I am an otherwise healthy, active and fit woman. I know the stats, I read everything about smoking. I know what crap I'm inhaling, which is why I smoke outdoors, so as not to share those toxins within the household. I'm aware of the resources available to me to help me quit.

And I've done it--I've quit before. I quit for two years, once. But I couldn't begin to say why others don't quit, or why so many people still smoke. I can only tell you that I enjoy smoking, and well...this just isn't my week to quit.

~Margaret

Just Margaret ( http://maurhoffbarney.blogspot.com )