PT - JOURNAL ARTICLE AU - Barry George Rabe TI - Political impediments to a tobacco endgame AID - 10.1136/tobaccocontrol-2012-050799 DP - 2013 May 01 TA - Tobacco Control PG - i52--i54 VI - 22 IP - suppl 1 4099 - http://tobaccocontrol.bmj.com/content/22/suppl_1/i52.short 4100 - http://tobaccocontrol.bmj.com/content/22/suppl_1/i52.full SO - Tob Control2013 May 01; 22 AB - 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.