Smoking, a once cool-seeming activity enjoyed by movie stars and blue collar alike, has long-since been exposed for the massive public health risk that it really is. However, besides being especially rad and hip looking, tobacco smoke is also extremely addicting. That would explain why, despite the known risks, an estimated 42.1 million smokers still light up on a regular basis. The CDC, acknowledging the great potential public costs, has ramped up it’s graphic  Tips from Former Smokers campaign.

So far, it’s working (a little): The CDC says some 1.6 million people attempted quitting on the back of the 2012 2013 campaigns, and 100,000 of them are expected to remain quit. Those seemingly insignificant numbers are a testament to not only the addictive quality of the nicotine found in cigarettes, but to the power of the tobacco industry. According to the CDC’s website, tobacco companies spend more than $23 per day on cigarette advertising, though it’s not clear if that figure is for the U.S. alone, where television advertising has been banned for over 20 years. The 2012 Tips campaign cost taxpayers less than $70 million total, and the CDC believes it’s an efficient, scientifically-proven way to curb smoking.

Time Magazine got advance access to the candidly graphic ads, and they feature what the CDC says are the following real American smokers who experienced adverse health effects:

• Amanda, a 30-year-old who smoked while pregnant. Her 3 lb daughter spent weeks in an incubator.
• Brett, 49, who lost most of his teeth to gum disease by age 42. He takes out most of his teeth on camera.
• Rose, 59, whose lung cancer resulted in surgery, chemotherapy and radiation.
• Shawn, 50, who breathes through the opening in his throat due to smoking-related throat cancer.
• Brian, 45, whose smoking and HIV led to clogged blood vessels and resulted in a stroke.
• Felicita, 54, who lost all of her teeth to gum disease by age 50.

Those who remember the original Tips campaign might remember its star Terrie, who also breathed through a hole in her throat and whose daily routine included false teeth, a wig and accoutrements to cover her breathing/speaking mechanism. Terrie will appear in the 2014 campaign, but posthumously: Unfortunately, she succumbed to cancer last year at the age of 53.

The conditions showcased in the 2014 campaign have not been featured so extensively in earlier campaign. The 2014 plan will also focus on reaching low socioeconomic groups, which have high smoking rates, according to the CDC. They hope to further drive traffic to their free resource 1-800-QUIT-NOW, which experienced a 75% increase in call volume in 2013.