The document discusses smoking statistics in the United States and efforts to reduce smoking. It notes that nearly 20% of US adults smoke, cigarettes make up most tobacco sales, and smoking has killed over 12 million Americans in the last 40 years. While the government runs anti-smoking ads and programs, states collect over $25 billion annually in cigarette taxes but spend little on tobacco control. New more impactful anti-smoking campaigns and policies may be needed to further reduce US smoking rates.