This talk will present data from our group’s survey of the provision of cessation support in 142 countries. The survey results suggest that implementation of FCTC Article 14 remains slow and may even be getting worse in low and middle-income countries. It is important to try to understand why offering cessation support to smokers is so slow, in order to improve it. A number of possible reasons will be considered, including the perception that cessation support is expensive, and an emphasis on articles 6, 8, 11, 12, 13 and accompanying reluctance to acknowledge that many smokers need help to stop. This reluctance is reflected in a lack of funding for work on cessation. Is it time to consider new perspectives: that it should be considered unethical to motivate smokers to try to stop without offering help to those that need it, that such help should be considered a human right, and that new disruptive technology may offer dramatically more effective help for people to stop.