Smokers have been banned to the outdoors for so long, it's hard to imagine anyone lighting a cigarette inside anywhere, much less a doctors office.
You can still smoke in the casinos in my state but it always looks wrong after so many years of no smoking indoors everywhere else
I remember the ashtrays in the armrests of airplane seats.
My way long ago '66 Lincoln had five ashtrays (two up front and three in the back seat) and four cigarette lighters (one in each armrest).
What we now call a charge port, my Traverse has five plus two USB outlets for charging mobiles. I think that beats the Lincoln, but there is no ashtray built in anywhere. I bought one for a couple of bucks that lives in my door's cup holder.
I carry a Zippo in my pocket and I keep several Bic lighters in my car or my mini go bag that is mainly loaded with "emergency" picnic gear.
I smoke my pipes while driving, almost always.