The funny thing is that Germany and the USA have about the same smoking rate (https://worldpopulationreview.com/country-rankings/smoking-r...) but in the USA, it is culturally prohibited in almost every single state or city to smoke around children, in restaurants, in hotels, near primary entrances, or on sidewalks because people feel ashamed for doing it (and in many cases are punished criminally for smoking in those places). So yeah, the attitude is very, very different. Over here, smokers know it is bad for them and do it anyways. In Germany and Austria, many people consider it their way of life and that it isn't actually bad for them.