I am writing this letter on Nov. 21 because it is the Great American Smoke Out Day sponsored by the American Cancer Society. The goal for this day each year is to convince smokers/tobacco users to quit for one day, but the hope is that they will quit forever. The Smoke Out has been around for 38 years now, but tobacco use is still the leading cause of preventable disease and death. Around 25,000 people in New York State die each year from tobacco related diseases. According to the ACS, 60 percent of cancers could be avoided if people stopped using tobacco. According to the Campaign for Tobacco-Free Kids, about 20,000 youth in New York become new daily smokers each year.