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Overall, U.S. casinos and online betting apps took in more than $60 billion last year alone, the association said. Rep. Paul Tonko to reframe gambling as an issue of public health, on the same level as tobacco, alcohol, opioids and other addictive products. “I can say that gambling addiction beat me. Now he’s a Northeastern doctoral student pushing for federal legislation that treats betting as a public health issue.

And that high is part of a darkness that you don’t wish on anybody.” It is chemical and it is as real with gambling as it is with opioids. You don’t need food, you don’t need water, you don’t need sex, you barely need the air to breathe — what you need is your fix. “All addiction has an element of pain relief,” Levant says. The goal of gambling addicts is not to become rich, he insists. At some point I did what many other people who are addicts do — I self-medicated with my drug of choice.

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The legislature made the determination that they wanted to legalize sports wagering because of the existence of the black market.” “My role as commissioner is to take that law and establish and implement a regulatory framework that meets my charge, which I view as allowing operators to maximize profits while minimizing the negative consequences of implementing a gambling product.” “The legislature made the determination that they wanted to legalize sports wagering because of the existence of the black market — and states bordering Massachusetts had taken steps to legalize,” she says. “Even if a customer did see some of those terms, I don’t think that a reasonable consumer would understand what they meant,” says Gottlieb, who argues that the bonus is an example of the enticing but deceptive marketing practices that are common throughout the industry. Americans have been rushing to place bets online — over $220 billion worth of them since Murphy. “We view gambling as an addictive product similar to tobacco and alcohol,” says Gottlieb.

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“Free bet offers, bonuses and gambling promotions are targeted to people in real time, based on large amounts of personal data,” says Gottlieb. What are we going to do to take a system that is fundamentally flawed and put some guardrails up so people don’t fall in the river in the first place? “I treat people and families who are struggling with gambling disorder,” Levant says. Levant and the PHAI have been collaborating with Tonko, the first congressional leader to focus on the large number of casualties that he says will result from the widespread marketing of online gambling. For each person who struggles with gambling, they are harming a significant number of additional people — their family members, their friends, their co-workers, their community.

In the meantime, fears Gottlieb, history is on the verge of being repeated by the escalation of legalized betting. “That combination has brought people to that ‘a-ha’ moment when they realize that something has to be done.” The histories of the U.S. cigarette, alcohol and opioid industries have shown that great public pain must be endured before Congress takes action, says Gottlieb. “Research has found a causal relationship between exposure to ads for gambling products or brands and greater intentions to gamble and increased gambling activity.” After being sentenced to parole and probation, Levant sought treatment for his addiction. Because if I’m ever going to have another day on the other side of this, I don’t want to have to look over my shoulder ever again.’”

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