FILE - In this Saturday, March 2, 2013 file photo, a woman smokes a cigarette while sitting in her truck in Hayneville, Ala. Anti-smoking measures have saved roughly 8 million U.S. lives since a landmark 1964 report linking smoking and disease, a study estimates, yet the nation's top disease detective says dozens of other countries have surpassed U.S. efforts to stop many tobacco-related harms. The study and comments were published online Tuesday, Jan. 7, 2014 in the Journal of the American Medical Association. This week’s journal commemorates the 50th anniversary of the surgeon general report credited with raising alarms about the dangers of smoking. (AP Photo/Dave Martin, File)