To the Editor.
—In the editorial by Dr C. Everett Koop1 in the September 1985 issue of the Archives, he proposed a goal of attaining a "smokeless society" in the United States by the year 2000. The five points that he mentioned for physicians to work toward achieving this goal failed to include dealing with the most important group—the parents whose teenage children who commonly start smoking at an early age, such as 13 years. This fact is well demonstrated just by simple observation of the students waiting for school buses at intersections or those walking to school: many (far too many) are smoking cigarettes.In less than 15 years, these teenagers may well have developed a habit of smoking 20 to 40 cigarettes each day. And, in my practice of medicine, the toughest person to convince that cessation of smoking is mandatory is the patient who has just
Elder MJ. 'Smokeless Society by 2000' Debated. Arch Intern Med. 1986;146(1):208. doi:10.1001/archinte.1986.00360130250048