This report analyzes the Healthy People 2020 initiative, specifically focusing on chronic obstructive pulmonary disease (COPD). It begins with an overview of the initiative and defines COPD, highlighting its classification, prevalence, and impact as the third leading cause of death in the United States. The discussion explores the risk factors, including environmental factors like smoke exposure and genetic predispositions, and examines the disease's symptoms, such as excessive mucus production and shortness of breath. The report contrasts COPD with asthma and delves into the challenges of readmission rates within the healthcare system. It presents epidemiological data on COPD, including mortality rates, diagnosis numbers, and associated healthcare costs, as well as the objectives of Healthy People 2020 for respiratory diseases and the methods used for target setting. The report also examines trends in COPD management, such as the use of combination inhalers and alterations in inhaler delivery methods. It further addresses complications associated with COPD and highlights solutions like smoking cessation, vaccination, and patient education. The report concludes by emphasizing the need to address the root causes of risk factors like tobacco and pollutants, advocating for reduced tobacco production and consumption, and proposing restrictions on tobacco purchase and emissions from automobiles. The report references several sources to support the discussion of the topic.