Chronic obstructive pulmonary disease (COPD) is being identified as the third leading killer in the U.S. and is on the rise. Some of this increase can possibly be attributed to increased awareness and reporting, indicating the disease has been more prevalent than it appears. On the other hand, according to a Centers for Disease Control and Prevention report, cigarette smoking has declined by an estimated three million people from 2005 to 2010. Even though the CDC report laments that the trend is not extensive enough to meet stated goals, the plain fact remains that smoking is a leading indicator of future COPD statistics. While COPD will likely always be around at some level due to environmental factors, genetic predisposition and the freedom to choose, I find this to be a very encouraging juxtaposition of facts. Essentially they say; “As goes smoking, so goes COPD!” Working tirelessly behind the mathematical demographics are countless respiratory therapists and others committed to the health and well-being of the individuals and communities they serve. Rock on!