Despite lung cancer screening guidelines for smokers being issued in 2013, the rate of lung cancer screening is abysmally low with only about 3% of eligible smokers undergoing low-dose CT lung cancer screening. The USPTFS guidelines are for long term smokers with a 30-pack year history or more of smoking who are between 55 and 80 years of age. Many early lung cancers detected on screening exams can be treated with an 85% cure rate, yet most cancers today are still diagnosed at a late stage with minimal survival. There are approximately 7 million smokers eligible for screening, but only 210,000 are being screened annually as recommended. Under the USPFS guidelines, 12,000 deaths could be avoided each year with screening. With expanded risk-based guidelines, another 5,000 lung cancer deaths could be avoided. Unfortunately, most long-term smokers are not made aware of and do not receive life-saving screening.