title: Political impediments to a tobacco endgame.
abstract: Any serious consideration of exploring a tobacco endgame in the USA must build upon the enviable track record of reducing tobacco use through a mixture of federal and state policies. This foundation may pose particular challenges in approaching an endgame, including questions of national political feasibility, public support, limitations of sub-federal experimentation and recruitment of future political champions. Advocates must demonstrate a compelling need for a dramatic expansion beyond existing efforts, amid competition from alternative issues and little apparent public appetite for such an initiative.
authors.affiliation: Gerald R. Ford School of Public Policy, University of Michigan, 735 S. State Street, Ann Arbor, MI 48109, USA. brabe@umich.edu
authors.forename: Barry George
authors.initials: BG
authors.lastname: Rabe
mesh_terms: D035082:Federal Government; D006291:Health Policy; D006801:Humans; D011057:Politics; D011639:Public Opinion; D012907:Smoking / Q000331:legislation & jurisprudence; D016540:Smoking Cessation / Q000379:methods; D000074606:Smoking Prevention; D013219:State Government; D019460:Tobacco Industry / Q000331:legislation & jurisprudence; D014481:United States