Ann Marie,

As I recall, the anti-smoking movement in California started in the early to
mid 1970's when restaurants were required to provide designated smoking and
non-smoking sections.  Smoking is now banned in most public places except
open air facilities, and in many instances even open air facilities like
stadiums ban smoking or have designated smoking areas.  While some of these
policies and laws were initially met with resistance or defiance, most
people have adapted well to them and most smokers tend to be considerate
about not smoking in the presence of non-smokers.  Attitudes about smoking
have changed but it didn't happen over night.

It would be interesting to know what percentage of podiatric patients have
foot problems that are lifestyle related (alcohol, diet and obesity related,
etc.) but I'm sure the patient population would be significantly less if
people made better lifestyle choices.

Last week we were vacationing in Yosemite National Park and we took some
fairly physically demanding hikes.  I have to say, I was impressed by the
number of people who appeared to be in below average to poor physical health
but who still managed to hike up some very steep, high altitude canyons in
order to take advantage of some of the worlds most beautiful scenery.  I was
struck by the contrast in their motivation to make these hikes and their
apparent lack of motivation to take better care of themselves in their day
to day living.

Respectfully,
Jeff Root

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