cigarette smoking rates by state Tobacco Use | VitalSigns Figure 10: State Cigarette Excise

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As of spring 2026, 24 states and Washington, D.C., have legalized weed for adult recreational use, while 40 states allow it for medical purposes

As defiant and skeptical as President Trump may be of the preventive behavioral measures that all health agencies agree are the first step to contain the spread of the virus, his magical-thinking approach mirrors the playbook of previous presidents to ending the cigarette pandemic, even decades after it was recognized as the nations leading avoidable cause of death and disease