Helping patients help themselves

By Patrick Mangonon January 17, 2026
STOP SMOKING NOW As we welcome a brand‑new year, many people set goals to improve their health and well‑being. Weight loss, better sleep, reduced alcohol intake, and increased physical activity are all meaningful resolutions. But in 2026, one habit still stands out as the single most harmful to your health: cigarette smoking . And let’s be honest about what it is — an addiction to nicotine , a highly addictive drug that affects nearly every organ system in the body. Cigarette smoking remains one of the leading preventable causes of death in the United States. Despite decades of public health efforts, millions still struggle with nicotine dependence. Understanding why smoking is so dangerous is the first step toward breaking free. 🚫 How Smoking Damages Your Heart and Blood Vessels Nicotine and the chemicals in cigarette smoke have well‑documented, harmful effects on the cardiovascular system: Coronary artery vasoconstriction (spasm): Nicotine causes the coronary arteries to tighten, reducing blood flow to the heart muscle. Accelerated plaque buildup: Smoking speeds the formation of cholesterol plaque inside artery walls, narrowing the vessels and increasing the risk of heart attack. System‑wide arterial damage: The same process occurs in arteries throughout the body — not just the heart. This means: Carotid artery narrowing can reduce blood flow to the brain, increasing the risk of stroke. Peripheral artery disease (PAD) can develop in the legs, causing pain with walking (claudication), poor wound healing, and in severe cases, tissue loss or gangrene. These are not rare complications — they are common, preventable consequences of long‑term nicotine exposure. 🫁 The Devastating Effects on Lung Health The smoke, tar, and thousands of chemicals inhaled from cigarettes directly injure lung tissue. Smoking is a major cause of: Chronic bronchitis Emphysema Chronic Obstructive Pulmonary Disease (COPD) Lung cancer Oral, throat, and esophageal cancers Even in 2025, smoking remains responsible for the majority of lung cancer deaths. No amount of smoking is safe — and switching to cigars or “light” cigarettes does not reduce the risk. 💸 The Financial Toll in 2026 The cost of smoking has risen dramatically over the past decade. As of 2025: The average pack of cigarettes in the U.S. ranges from $7 to over $14 , depending on the state. A pack‑a‑day smoker now spends $3,000–$5,000 per year on cigarettes alone. This does not include the indirect costs: Higher insurance premiums Lost workdays Medical bills for smoking‑related illness It is heartbreaking to see patients forced to choose between essential medications and cigarettes — a stark reminder of how powerful nicotine addiction can be. 🌱 2026: A Year to Break Free Quitting smoking is one of the most challenging — and most rewarding — steps a person can take. The good news is that more tools exist today than ever before , including: FDA‑approved nicotine replacement therapies Prescription medications Behavioral counseling Smartphone apps Peer support groups Text‑based quit programs Mindfulness and stress‑reduction strategies Most successful quitters use a combination of these approaches. There is no single “right way” — only the way that works for you. If you know someone struggling with nicotine addiction, encourage them with compassion. If you smoke, I urge you to take the first step toward reclaiming your health. The benefits begin almost immediately — within minutes, hours, and days of quitting. 🎉 Wishing You a Healthy, Smoke‑Free 2026 My hope for this year is that more people find the strength, support, and resources they need to break free from nicotine addiction. Your heart, lungs, and future self will thank you. For trusted, evidence‑based help, visit: https://smokefree.gov