Participants assigned to the minimal intervention group will receive physician advice and a standard self-help manual, either an English version of "Freedom From Smoking" from the American Lung Association (ALA), or a Chinese version "Victory over Smoking," (see attached). The physician advice consists of a strong message urging the patient to quit smoking (see attached). Physicians will be prompted to deliver a 1- to 2-minute unequivocal scripted message about the necessity to quit smoking. For the inpatients, a 1-page prototype Physician Advice Statement will be placed in the progress notes section of the patient's medical record to serve as a physician reminder. For the outpatients, if the first counseling session is done outside of the physician's office setting, the 1-page prototype will be faxed to the physician's office to notify the physician and to remind them to counsel the study subjects. If the counseling is done in the physician's office, the 1-page prototype will be given directly to the patients physician or be placed inside the office chart in his absence.