Many smokers do not choose to harm themselves, they simply can't help it. The 1988 US Surgeon General's report on the addictive nature of cigarette smoking provides proof of what is now widely accepted – smoking cigarettes is highly addictive. Moreover, there are high correlations between people smoking and being under stress or having parents that smoke. All of this suggests that people do not necessarily choose to smoke and may not be able to choose to give up. Given that smokers can therefore be portrayed as suffering from involuntary addiction, it would seem sensible to tackle this addiction alongside physical health issues, as oppose to dismissing smokers altogether.