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Tobacco is still one of the world’s top killers – here are the key obstacles to enacting generational smoking bans

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Smoking is really bad for you. Most people know that. Even smokers think smoking is bad for one’s health. But most people don’t know just how bad it is.
Cigarette display at a 7-Eleven convenience store in Miami, Fla., in July 2025. Jeffrey Greenberg/Universal Images Group via Getty Images

Marie Helweg-Larsen, Dickinson College

Smoking is really bad for you. Most people know that. Even smokers think smoking is bad for one’s health. But most people don’t know just how bad it is.

More people in the United States die every year from smoking than from alcohol, illegal drug use, car accidents, suicides and murders combined. Cigarette smoking costs an estimated US$240 billion annually in health care costs, which harm not only smokers but also nonsmokers, communities and the economy. Smoking is the top preventable cause of death and disease in the U.S. and worldwide.

The number of smokers in the U.S. has declined from 41% in 1944 to 11% in 2024. However, over 25 million Americans still smoke.

This drop is partly the result of many smoking laws enacted in the past 50 years. They include national bans on cigarette advertising on television and radio (1971), smoking on commercial flights (2000), sale of fruit- or candy-flavored cigarettes (2009), and sale of cigarettes to people ages 18 to 20 (2019). New policies might seem as strange or unfamiliar as these measures did at the time.

One potentially transformative idea – creating a tobacco-free generation – would build on these past laws. It would phase out smoking by banning it permanently for anyone born after a specific date. For example, a law could make it illegal for anyone under 21 to ever buy cigarettes, whereas people age 21 or older at the time would not be affected. The focus would be on tobacco sales, which already require age verification in the U.S., not on criminalizing tobacco use.

As a psychological scientist, I have studied for decades how people think about smoking. In my view, the key obstacle to creating future generations of nonsmokers is that people do not fully understand how dangerous smoking is and do not realize the formidable influence of the tobacco industry.

Creating a tobacco-free generation

The idea of creating a tobacco-free generation was first proposed by health researchers in 2010. In 2021 the town of Brookline, Massachusetts, became the first U.S. community to adopt it. Brookline’s ordinance prohibits tobacco and vape sales to anyone born on or after Jan. 1, 2000. It has survived a legal challenge and has been emulated in 22 more Massachusetts towns.

As of early 2026, Hawaii and Massachusetts are considering statewide tobacco-free generation bills. Abroad, the Maldives enacted the first countrywide ban in 2025.

Similar proposals have faced pushback elsewhere. In New Zealand, a ban was adopted in 2022 but repealed in 2024. The United Kingdom is considering a similar bill after an earlier version was scrapped due to a snap election.

Why people underestimate harm from cigarettes

It is hard to visualize what exactly it means that 480,000 people in the U.S. die from smoking every year or that each cigarette that you smoke shortens your life by 20 minutes. It is also easy to feel optimistically biased about one’s personal risk as a smoker and believe that others are more likely to become addicted or die prematurely.

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Studies show that nonsmokers, former smokers and current smokers underestimate smoking risks. One likely reason is messaging by the tobacco industry, which claimed for decades that cigarettes were safe, even though tobacco industry scientists knew as early as 1953 that smoking caused lung cancer.

Another factor is glamorization of cigarettes in movies. Fully half of the top films released in 2024 showed tobacco imagery, typically of cigarettes. Research shows that adolescents and young adults who watch smoking in movies are more interested in taking up smoking.

Finally, smoking deaths may seem to be unremarkable because some of the illnesses that cigarette smoking causes, such as heart disease or cancer, are commonplace. And unlike deaths from drug overdoses, we do not always see the consequences of a lifetime of smoking. https://www.youtube.com/embed/2mKyosQbFNY?wmode=transparent&start=0 Smoking imagery is widespread in popular culture and may be one driver of tobacco use, especially among young Americans.

What about freedom of choice?

A common argument against laws that regulate personal choices, such as whether to smoke or wear seat belts, is that people prize their autonomy and don’t like governments telling them how to live. This isn’t a new challenge for public health policies, which often restrict private citizens’ freedom to do as they wish.

People can be persuaded that community action should trump individual choice if a behavior, such as smoking cigarettes or driving while drunk, harms others who don’t engage in it. Many public health laws are designed to protect people who are innocent or vulnerable. For example, current smoking laws have been enacted in part to protect nonsmokers who are exposed to secondhand smoke, especially children. And smoking increases health care costs for everyone, not just smokers.

By preventing people in the U.S. who cannot legally buy cigarettes now from ever doing so, generational smoking bans balance the rights of current adult smokers against the major public health benefits of a phased smoking ban that will eventually end the smoking epidemic.

Arguments against generational smoking laws

The tobacco industry’s attempts to undermine tobacco health policies are well documented and follow a predictable pattern. For example, when the U.K. government considered a generational smoking policy in 2023, tobacco companies and their supporters argued that smoking was a minor problem, that individuals should be responsible for their own choices, and that a nationwide ban would lead to illegal behavior or hurt business profits.

In a 2025 study assessing how Belgian politicians viewed generational smoking bans, researchers heard similar arguments. Respondents across the political spectrum valued personal freedom and informed individual choice more highly than protecting children. The politicians also believed that young people could understand how smoking affected their health, and that raising awareness was more important than bans. These arguments aligned with tobacco industry positions.

However, research shows that young people hold many optimistic beliefs about smoking, especially with respect to the addictiveness of nicotine and the likelihood that they will avoid becoming lifelong smokers. Studies have also found that adolescents don’t know enough to make an informed choice to smoke. These findings matter because the tobacco industry routinely targets young people in an effort to create lifelong smokers.

The tobacco industry’s harm reduction approach frames e-cigarettes, also known as vapes, as a way to create a smoke-free future by transitioning smokers to other nicotine products. But research shows that the tobacco industry actively markets nicotine products such as vapes to young people to create a new generation of nicotine users.

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Not a silver bullet

Curbing the use of an addictive product is challenging, and there are ways for young people to obtain cigarettes illegally, as they do now in places where cigarette buyers must be at least 21. Tactics include shopping at stores that don’t check IDs, having older friends buy cigarettes and purchasing cigarettes illegally online.

Tobacco-free generation policies aren’t a silver bullet. They work most effectively in conjunction with other measures, such as plain packaging; high prices; bans on displays, advertising and flavored products; smoking cessation support; and public health messages making clear that cigarettes are unsafe at any age.

Still, health experts and groups including the American Heart Association and the American College of Cardiology argue that creating a tobacco-free generation could dramatically reduce preventable deaths and secure a healthier future for today’s children and future generations. In my view, understanding the obstacles to change is a critical step toward achieving this goal.

Marie Helweg-Larsen, Professor of Psychology, Dickinson College

This article is republished from The Conversation under a Creative Commons license. Read the original article.

STM Daily News is a vibrant news blog dedicated to sharing the brighter side of human experiences. Emphasizing positive, uplifting stories, the site focuses on delivering inspiring, informative, and well-researched content. With a commitment to accurate, fair, and responsible journalism, STM Daily News aims to foster a community of readers passionate about positive change and engaged in meaningful conversations. Join the movement and explore stories that celebrate the positive impacts shaping our world. 

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Food and Beverage

Reducing Food Insecurity in Infants and Toddlers

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Fighting food insecurity

(Family Features) Food insecurity isn’t a new problem in the United States, but the economic upheaval created by the COVID-19 pandemic accelerated the problem.

During the pandemic, households in the United States with children experienced an increase in food insecurity, despite overall rates of food insecurity staying the same. In 2019, 13.6% of households with children were food insecure, but by 2020, that number increased to 14.8%, according to data from the U.S. Department of Agriculture.

In general, child food insecurity rates are higher than overall food insecurity rates, according to the annual Map the Meal Gap study conducted by Feeding America, a nationwide nonprofit network of food banks. According to data from the Children’s Defense Fund, this is particularly prevalent among low-income families, single mother households and Black and Hispanic households.

What Food Insecurity Means for Children
Food insecurity and hunger are closely related but not quite the same. People who are food insecure don’t have reliable, ongoing access to an adequate supply of affordable, nutritious food. Hunger is a physical condition; food insecurity reflects barriers to obtaining food such as finances, physical location and transportation.

Infants and toddlers are particularly vulnerable to nutrient deficiencies because their nutrient needs are high, especially in relation to the size of their stomachs and appetites. Caregivers in food-insecure households may have little choice but to settle for cheaper, energy-dense but nutrient-poor foods. As a result, food-insecure infants and toddlers are not receiving adequate nutrition even when they may be receiving enough calories to satisfy hunger.

Even if a child isn’t physically starving, inadequate nutrition can negatively affect health in numerous ways, including immune system function, low weight, learning and developmental delays, vitamin deficiencies and more.

Ways to Help Promote Better Nutrition
Support good nutrition during infancy and toddlerhood for your own children and others in the community with these practical tips:

  • Participate in (or introduce those in need to) aid programs. Government nutrition assistance programs help provide essential nutrition needs during infant and toddler years. One example is the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), which provides a variety of resources including food and health care referrals to support mothers and young children at nutritional risk, including pregnant, breastfeeding and post-partum women, as well as infants and children up to age 5.

    Another example is the Supplemental Nutrition Assistance Program (SNAP), which provides benefits low-income families can use to purchase nutritious foods. For children and adults who are enrolled in certain care programs, the Child and Adult Care Food Program (CACFP) helps ensure they have access to nutritious meals and snacks.
  • Make purchases that work extra hard. In addition to producing foods that encourage better nutrition for children, some brands also make contributions that help offset food insecurity. For example, for every box of Plum Organics Super Smoothies purchased, the company donates a pouch to a child in need through its “The Full Effect” program. The smoothie is a specially formulated blend of fruits, vegetables, legumes and grains with no added sugars designed to fight malnutrition and help fortify the diets of children who don’t have access to regular, healthy meals.
  • Act as a role model for healthy choices. Children learn by example, so be sure your little ones see you enjoying nutritious snacks, filling your plate with appropriate portions and preparing well-rounded meals. When kids are exposed to a wide range of healthy options early in life, those food choices become the norm as they grow older.
  • Volunteer at a food bank. Getting hands-on by donating your time at a local food bank can help you understand the complexity of food insecurity. Many nutritious selections are perishable, and transporting and storing perishable goods is costly. Volunteers help offset a food bank’s operational expenses by contributing labor to sort donated items, prepare deliveries and more.

To find more information about foods that provide infants and toddlers the nutrients they need, visit plumorganics.com. Photos courtesy of Getty Images

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Lifestyle

How Women Experience Heart Disease Differently

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Last Updated on July 17, 2026 by Daily News Staff

Heart Disease

(Family Features) Most people think of heart attacks as debilitating pain in the chest. However, that’s not always the case, especially for women, and missing the signs can be a matter of life and death.

Although heart disease is the leading cause of death among American women, according to the American Heart Association, symptoms are often overlooked or explained away as less worrisome conditions.
“Men and women experience many aspects of life differently, and heart disease is no exception,” said LeAnne Bloedon, MS, RD, vice president of clinical development, Esperion Therapeutics. “Symptoms of a heart attack aren’t as obvious as many women think, and failing to recognize the danger and get help can have catastrophic results.”

One heart disease risk factor, for example, is high LDL cholesterol. Often referred to as a “silent killer,” it doesn’t always present noticeable symptoms. In fact, data suggests women with high LDL cholesterol are not diagnosed or treated as early or aggressively as men, which can put women at an increased risk for cardiovascular events. Understanding how men’s and women’s risk and symptoms differ may help identify and treat a serious heart health problem before it causes lasting damage.

Anatomy Differences
Some differences between men and women are present in the body’s internal systems, including the cardiovascular system. Women generally have smaller hearts and narrower blood vessels.

This can affect heart health in numerous ways, including less efficient stress responses and greater risk of widespread plaque buildup, especially in smaller vessels, called microvasculature, which can pose treatment challenges.

Cholesterol Buildup
Hormones influence aspects of the body’s function, including cholesterol levels. Estrogen, a female sex hormone, raises HDL (good) cholesterol levels. This may be why women tend to have more HDL cholesterol and lower LDL (bad) cholesterol than men, especially before they reach menopause, though inherited high cholesterol can affect women of all ages.

“It’s critical to raise awareness about the importance of measuring LDL cholesterol, diagnosing high cholesterol and treating elevated LDL cholesterol per guidelines and individual patient needs,” Bloedon said.

Risk Factors
While there are shared risk factors for heart disease among men and women (such as obesity, high blood pressure and diabetes), some risk factors disproportionately affect women. For example, uncontrolled cholesterol in women, particularly after menopause, can increase the risk of heart disease and stroke.

Care and Treatment
“While you may not be able to fully prevent heart disease, you can understand the risks and take proactive steps,” Bloedon said. “Commit to a healthy, smoke-free lifestyle. Exercise regularly and eat a well-balanced diet with limits on processed foods, sugar, sodium and alcohol. Take any medications as directed by your health care provider.”

Statins, which reduce the production of cholesterol in the liver and lower cholesterol levels in the bloodstream, are the medications most often prescribed to help manage high LDL cholesterol. While generally well-tolerated, statin intolerance (the inability to take a statin at any dose or the recommended dose) does occur in some patients and is more common in women.

Talk with your doctor about other steps you can take to manage elevated LDL cholesterol levels and learn more about women’s heart health at goredforwomen.org.

Symptoms of Heart Attacks in Women
Women’s experiences with heart disease may be quite different from men.

For example, according to the Heart Disease Foundation, women are likely to be older when they experience a heart attack. They may also attribute symptoms to other conditions, such as diabetes or arthritis.

Further complicating matters, several diseases mimic heart attacks so getting to the root of the problem can be tricky. Women are more apt than men to experience a coronary spasm, coronary dissection or broken heart syndrome.

What to Watch For:

  • Like men, women experiencing a heart attack may notice prolonged or reoccurring chest pain or pressure.
  • In women, that pain may extend to the arms, back, neck, jaw and stomach.
  • Some women experience shortness of breath with no chest pain at all.
  • Other symptoms women are more likely to report can be easily mistaken for other conditions. Some of these signs include unexplained fatigue, disruptions to normal sleep patterns, lightheadedness, nausea and cold sweats.

 

Photo courtesy of Shutterstock

 

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Ghost Jobs: The Hidden Hiring Trend Affecting Millions of Job Seekers

Ghost jobs are becoming a growing concern for job seekers. Learn what they are, why companies post them, and how they affect hiring, the economy, and your job search.

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Why You Keep Applying—But Never Hear Back

If you’ve ever spent hours tailoring your résumé for a position only to hear nothing in return, you may have encountered what’s known as a ghost job.

concentrated young black guy sitting at table and working remotely on netbook. Ghost Jobs.
Photo by Andres Ayrton on Pexels.com

A ghost job is a job posting that appears active but isn’t currently being filled. While not every old or inactive listing is intentionally misleading, many remain online long after hiring has paused—or even after the position has already been filled.

The result is growing frustration among job seekers and increasing questions about the accuracy of employment data.


What Exactly Is a Ghost Job?

A ghost job is an advertised position where an employer has little or no immediate intention of hiring someone.

This doesn’t necessarily mean the company is acting maliciously. There are several reasons these listings exist.

Companies may:

  • Build a database of future candidates
  • Test salary expectations and available talent
  • Comply with internal hiring policies
  • Maintain the appearance of growth
  • Delay removing listings after a hiring freeze or filled position

For applicants, however, the experience is often the same: applications disappear into a black hole.


Why Companies Post Ghost Jobs

Some employers say maintaining job listings helps them prepare for future growth.

Others keep positions open because budgets haven’t been finalized or executive approval hasn’t been granted.

Recruiters may also continue collecting résumés so they’re ready when a position eventually opens.

While these reasons may make business sense, they can create unrealistic expectations for applicants actively searching for work.


The Impact on Job Seekers

Ghost jobs can have real consequences.

Many applicants spend dozens of hours:

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  • Researching companies
  • Customizing résumés
  • Writing cover letters
  • Completing assessments
  • Participating in interviews that never lead anywhere

The emotional toll can be significant.

Repeated silence often leaves qualified workers questioning their experience or abilities when the issue may simply be that the position was never actively available.


How Ghost Jobs Affect the Economy

The effects extend beyond individual applicants.

Employment Data Can Be Misleading

Job openings are often viewed as a sign of economic strength.

If a significant share of posted openings aren’t being actively filled, the labor market may appear stronger than it actually is.

That can influence:

  • Business confidence
  • Consumer confidence
  • Economic forecasts
  • Public policy discussions

Productivity Suffers

Job seekers spend valuable time applying for positions that may never result in interviews.

Recruiters also spend time managing applications for jobs that aren’t immediately available.

Those inefficiencies create costs for both workers and employers.


Hiring Becomes Less Efficient

When applicants lose trust in job boards, they’re less likely to apply broadly.

Companies with legitimate openings may receive fewer qualified applicants because candidates become skeptical of online listings.


Are Ghost Jobs Illegal?

Generally, no.

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In most cases, employers are legally allowed to advertise positions even if they’re not hiring immediately.

However, critics argue that intentionally leaving inactive jobs online without updating their status reduces transparency and wastes applicants’ time.

Some employment experts have called for greater accountability and clearer labeling of inactive or future hiring opportunities.


How to Spot a Ghost Job

While there’s no foolproof method, these warning signs may indicate a listing isn’t actively being filled:

  • The same position has been reposted for months.
  • The posting never disappears.
  • Employees report hiring freezes.
  • The company rarely responds to applicants.
  • The job description is vague or unusually generic.

Tips for Job Seekers

Instead of applying blindly:

  • Focus on recently posted openings.
  • Connect with recruiters or current employees.
  • Research whether the company is actually expanding.
  • Use networking alongside online applications.
  • Follow up professionally when possible.

Quality applications often produce better results than sending hundreds of résumés.


Looking Ahead

Artificial intelligence has made it easier than ever for applicants to submit hundreds of applications—and for employers to post and manage thousands of job listings.

As hiring becomes increasingly automated, transparency may become one of the most valuable qualities in the recruiting process.

For both employers and job seekers, trust remains the foundation of a healthy labor market.

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