The last article about whether booze is good for you that you’ll ever need to read.
on alcohol and breast cancer. But it was Klatsky’s work on the cardioprotective effect that got the most attention from beverage companies, who would package up studies like his into talking points for policymakers. The industry didn’t needstudies to tilt in its favor—it had only to emphasize the positive ones to paint a skewed picture of the science . The reality is, a small cardiovascular effect is more a biological curiosity than a basis for policy.
At the same time, a new perspective emerged that the problem with alcohol lay in alcoholism, a condition afflicting only a small number of people. This perspective suggested that the solution wasn’t to impose broad alcohol regulation—which would, in this view, hardly affect alcoholics—but to offer specialized assistance to the unfortunate few battling the disease.
Over the next few decades, the alcoholism viewpoint dominated. In 1970 it was enshrined in the National Institute on Alcohol Abuse and Alcoholism, whose mission is to investigate alcoholism as a disease, not alcohol as a public health problem. The industry didn’t have to keep shelling out money to further this viewpoint—it had baked it into the way the field had evolved. “The senior NIAAA people are not trained in public health.
The industry triumphed in reframing the debate because it tapped into an even deeper cultural tension than an argument over alcohol’s health risks and benefits. Banning alcohol was part of an ongoing ideological battle between limiting personal freedoms for the sake of public health and championing personal responsibility. This debate echoes across many public health issues . And scientists are not immune to taking sides.
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