Julie Billian has heard it all before. Smoking is bad for her. It stinks up her clothes, her hair. It’s expensive.
“I’ve been smoking since I was 13 years old,” said Billian, a 59-year-old nurse from Baltimore. “I understand. It’s not a question of intelligence.”
Billian understands she’s addicted and like other longtime smokers, she has had a hard time quitting despite multiple attempts.
New efforts are underway that doctors and policymakers hope will help more smokers end their dependence on nicotine, the highly addictive stimulant additive found in cigarettes and other tobacco products. The U.S. Food and Drug Administration has proposed cutting the amount of...