Nice illustration, although a bigger skull (even going beyond the borders of the image) might be more dramatic. The text has too many different fonts which confuses the message. I would put "Lung Cancer" all on the same line. A punchier message might be: "Stinking is cool. Lung cancer is cooler. Dying is coolest."

For your information, Dan, this is actually a recognized STYLE of typography, it's called 'grunge'. Nice job with this, author - a great sarcastic piece! And Dan, you 'would put' - this is not your chop, if it was your chop, you do it that way. Why is it that you are always putting others down for their effort? It's old - find something decent to say for once, or go back to your corner.

I hate anti smoking ads.....

I like it

nice .............

Best of luck