Medical services for U.S. smokers are estimated to cost $75.5 billion a year. Smoking cessation interventions are among the most cost-effective prevention services. To determine the extent to which veterans with mental disorders who smoke receive cessation services, Sonia Duffy, Ph.D., R.N., and colleagues analyzed data from a large (N=224,193) Veterans Health Administration survey of outpatient care. From 60% to 80% of those with various mental disorders reported receiving at least one cessation service, but smoking rates remained high, and some subgroups were significantly less likely to receive these services (page 325). In a Taking Issue commentary, Seth Himelhoch, M.D., M.P.H., notes that “mental health care providers must come to terms with the fact that smoking has reached epidemic proportions among their patients” and overcome their historical reluctance to provide interventions (page 303).