Health Care for All! is a Maryland health care consumer coalition established in 1999 that emphasizes guidance for state and local lawmakers as well as the education of Marylanders on effective ways to expand access to affordable health care. Since its inception, the coalition has supported multiple state tax increases on cigarettes and their efforts have contributed to a total per-pack tax increase of $1.64 since 1999. From 1998 to 2010, Maryland adult smoking rates decreased by 32 percent. Vincent DeMarco, president of Health Care for All!, is now supporting a $1 per-pack tax increase in the face of increasing cigar and tobacco use by Maryland children.