By any conventional definition, gambling is not a public-health issue. It is not an infectious disease. It is not an environmental hazard. And its association with poor health is tenuous and indirect. Losing a lot of money might be bad for your health in some way. But if that is the argument, you might as well redefine compulsive shopping or stock trading as public-health issues, too.
Nevertheless, the public-health lobby is keen to take over this area of policy and PHE ended its days with the following conclusion: “The evidence suggests that harmful gambling should be considered a public-health issue because it is associated with harms to individuals, their families, close associates and wider society.”
By this definition, anything that can cause harm to individuals and / or other people is a public-health issue. This would make every health problem and most social problems public-health issues. It spreads the net across such a vast expanse of human behaviour that it renders the term “public health” totally meaningless. Still, this is very much in keeping with the mission creep of a sector that claims everything from poverty and war to housing and climate change can be public-health issues.
It can be argued that almost everything has an effect on health, but what is the point of making everything a public-health issue? What expertise do people with a masters in public health have that makes them better at solving complex social and economic problems than anyone else? And as we saw during the pandemic, when the public-health lobby spreads itself too thinly, it becomes incapable of doing its day job. The World Health Organisation and Public Health England, for instance, were both far more interested in pushing for nanny-state interventions than in preparing for pandemics.
But if we see the modern public-health movement for what it really is – a paternalistic, bourgeois crusade for moral reform – it becomes obvious why gambling is in the crosshairs. A classic target of puritans, gambling will fit in well alongside the other supposed public-health “epidemics” of our age: gluttony, sloth, smoking and the demon drink. It wouldn’t surprise me if usury and lust were its next targets.
Christopher Snowdon, “No, gambling is not a “public health” issue”, Spiked, 2022-08-25.
November 27, 2022
QotD: Gambling is not a “public health” issue
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