Tobacco use is the single most preventable cause of death and disease in the United States.^[1]  Each year, approximately 443,000 Americans die from tobacco-related illnesses.  On average, smokers die 13 to 14 years earlier than nonsmokers.1  For every person who dies from tobacco use, 20 more people suffer with at least one serious tobacco-related illness.^[2]  Coupled with this enormous health toll is the significant economic burden of tobacco use – more than $96 billion a year in medical costs and another $97 billion a year from lost productivity.^[3]