Author Key Points Executive Summary The perils of smoking combustible cigarettes are well documented. Although smoking rates in the United States have dropped from 40 percent at the time of the U.S. Surgeon General’s Report in 1964 to 12.5 percent in 2020, the practice is now more concentrated in communities suffering from the greatest economic, … Continue reading Barriers to Tobacco Harm Reduction as a Viable Public Health Strategy: Stakeholder Voices