🆕 Association of Directors of Public Health statement on #CommercialDeterminantsOfHealth #CDoH "just 4 commercial products, tobacco, alcohol, ultra-processed foods & fossil fuels are linked to approximately 19 million deaths worldwide each year" @[email protected] www.adph.org.uk/resources/wh...

5 Hidden Ways the Gambling Industry Engineers Harm

Introduction: The Illusion of Choice

For many, gambling is seen as a form of entertainment, a voluntary activity where personal responsibility is paramount. We’re told to gamble responsibly. But, if things go wrong, the blame is often placed on the individual’s lack of self-control. 

But what if that entire narrative is a dangerous fiction?

A new public health study reveals gambling harm is not an unfortunate side effect of a few people’s poor choices. Instead, it is the calculated outcome of a powerful and deliberate “gambling ecosystem” designed to maximize profit at a severe human cost.

This system operates using tactics that public health experts call the “commercial determinants of health.” The same strategies used by the tobacco and fossil fuel to drive profit by undermining public wellbeing. 

This post will reveal five of the most impactful insights from the study, exposing the hidden truths of an industry that has mastered the art of engineering harm.

1. The “Responsible Gambling” Slogan is Designed to Blame YOU

The familiar phrase “gamble responsibly” is not a genuine public health message but a strategic discourse meticulously promoted by the industry. The primary function of this narrative is to shift the focus, and the blame, onto the individual consumer.

By framing harm as a personal failing, it deflects attention. It deflects it from:

  • Predatory industry practices
  • Unsafe products
  • A system that profits from addiction

This blame-shifting has severe consequences, creating a culture of shame that prevents people from seeking help and isolates them when they are most vulnerable. As the study’s authors note: 

This emphasis on individual responsibility diverts attention from the practices of the industry. It generates stigma and shame for those harmed. It downplays serious harms caused by gambling. Worst of all: it contributes to the suicide toll. 

This psychological framing is so damaging because it convinces individuals that their suffering is their own fault, making it harder to recognize the external forces at play and seek the support they need. 

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2. The Gambling Industry’s Goal is For You to “Play to Extinction”

Behind the glamorous advertising and messages of entertainment lies a stark and chilling internal objective. The study highlights a term used by gambling industry representatives to describe their core aim: “playing to extinction.” 

This isn’t an exaggeration; it’s the industry’s own vocabulary for its business model:

“
gambling industry representatives describe their aim is to maximise revenue per available customer (revpac), and encourage ‘playing to extinction’, the point at which a customer has exhausted all available funds.”

The phrase has a chilling double meaning.

It refers to the financial extinction of a customer’s funds, but in the context of gambling-related suicide, it acquires a much darker significance.

The industry’s profit model depends on pushing customers into the exact states of financial ruin and profound despair that are known precursors to suicide. It is a business model that treats human crisis as a key performance indicator. Rather than a tragic crisis.

3. Products are Engineered to Undermine Your Control

Modern gambling products, especially digital ones, are not simple games of chance. They have been intentionally intensified with features like:

  • Increased speed
  • High complexity
  • “Frictionless” transactions

All designed to encourage extended use and bypass a person’s executive function. 

The industry also employs digital tactics like sludging. Deliberately designing interactions to make it difficult for customers to act in their own best interest. Such as withdrawing funds or closing an account. This tactic also manifests physically. For 15 years, the Australian industry has resisted modern, universal pre-commitment systems that allow users to set binding loss limits. Instead, it has relied on a form of physical sludging: “manual, paper-based self-exclusion” that requires a person to fill out separate forms for every single venue they wish to avoid. 

Product design also deploys psychological tricks to encourage overspending.

The study points out that a single ticket in the Australian “Powerball” lottery can be priced as high as AUD$46,249.65. This serves as a psychological anchor. While few would buy it, its existence makes spending smaller—yet still exorbitant—amounts like hundreds or thousands of dollars seem reasonable by comparison.

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4. “Good Causes” are Used as a Smokescreen

A common defense of the gambling industry is that it funds worthy causes, from sports teams to community charities. The research argues this is a calculated strategy to create an “‘alibi’ to legitimise gambling operations” and procure a “social license” to operate. 

This linkage creates a “symbiotic, reflexive relationship” where community groups become financially captured. Reliant on gambling revenue, these beneficiaries become powerful allies in resisting reforms that could threaten their funding, even if those reforms would reduce harm. This insidious dependency creates a powerful barrier to reform. 

As one researcher observed, the dynamic is inescapable: 


 at first the lottery was primarily dependent on the good cause and then, gradually, the good cause became increasingly dependent on the lottery. 

5. The Gambling Industry Distorts Science and Influences Policy

Like the tobacco and fossil fuel industries before it, the gambling ecosystem actively works to control and distort the scientific evidence base to protect its interests. The study identifies two key tactics: 

  • Funding “safe” research: The industry funds and promotes research focused on the individual, such as the influential “pathways model.” This model frames gambling harm as an artifact of pre-existing conditions like “antisocial personality disorder,” thereby shifting blame from the addictive product to the flawed consumer. 
  • Discrediting effective solutions: The ecosystem publicly casts doubt on proven harm-prevention tools. The paper cites an industry-linked researcher who claimed that universal pre-commitment systems might have a “detrimental effect and may aggravate the problem.” Crucially, the study notes that a subsequent review of the evidence cited for this claim found “no support for this conclusion,” noting the studies had significant “methodological limitations.” This reveals a pattern of distorting weak evidence to undermine effective public health measures. 

This distortion of science is coupled with political donations and the “revolving door”—where politicians and staff take industry jobs after leaving office—to block or delay meaningful reforms that could save lives.

Conclusion: Shifting from Individual Blame to Systemic Accountability

The evidence is clear: gambling harm is not a simple story of poor individual choices. It is the predictable and profitable result of a commercial system meticulously designed to addict users, shift blame, and protect its revenue streams at all costs. From manipulative product design to the distortion of science, the gambling ecosystem functions as a commercial determinant of health, actively generating and sustaining harm. 

This reframing moves the problem from one of personal responsibility to one of systemic accountability. Seeing the deliberate system that drives these harms, what does real responsibility—from our governments, communities, and the industry itself—truly look like?

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#behavioralAddiction #commercialDeterminantsOfHealth #darkPatterns #gambling #gamblingAddiction #gamblingHarm #gamblingIndustry #gamblingPolicy #harmReduction #onlineGambling #preCommitmentLimits #predatoryDesign #problemGambling #publicHealth #responsibleGambling #selfExclusion #sludging #sportsBetting #stigmaAndShame #suicidePrevention

New Paper Alert! 🎉
Han E, Crosbie E, Ling P, et al. Tobacco industry influence on breast cancer research, policy and public opinion: scoping the Truth Tobacco Industry.

#breastcancer #tobaccoindustry #CDoH #commercialdeterminantsofhealth

https://tobaccocontrol.bmj.com/content/early/2025/04/23/tc-2024-058724

Tobacco industry influence on breast cancer research, policy and public opinion: scoping the Truth Tobacco Industry Documents

Objective Over the last 35 years, there has been growing evidence suggesting a relationship between tobacco use and breast cancer. The tobacco industry’s role in shaping research, policy and public opinion about the relationship is unknown. This study’s objective is to determine if the tobacco industry-funded Council for Tobacco Research (CTR) Records and the Tobacco Institute (TI) Records, housed in the Truth Tobacco Industry Document Archive, contain documents related to internal research about breast cancer and strategies to influence the science and public opinion about breast cancer causes. Methods We applied the situational scoping method, in which community advocates and university researchers collaborate, to (1) identify external events considered by CTR or TI as a threat or opportunity to business interests; (2) select events for further analysis and (3) conduct social worlds/arenas mapping of industry responses to selected events. Results The CTR and TI Records contained 19 719 documents with the search term ‘breast cancer’ ranging from the 1950s to 1998. We analysed nine events relevant to the aim of this research. CTR and TI responded to external threats, pointing out methodological problems in studies they perceived as threatening, or characterising lung cancer as misdiagnosed or metastasised breast cancer. They responded to external opportunities with promoting and funding research focusing on smoking’s ‘protective effects’ over breast cancer, and breast cancer’s genetic, hormonal and dietary causes. Conclusion The CTR and TI Records are a rich source of documents related to tobacco industry efforts to influence breast cancer research, policy and public opinion away from any aetiologic relationship between tobacco use and breast cancer. Data are available upon reasonable request.

Tobacco Control
Here's our report on food manufacturers', supermarkets', and fast food chains commitments to increase the health and sustainability in Ireland. Spoiler: They're quite limited. #commercialdeterminantsofhealth #foodsystems #foodenvironment zenodo.org/records/1451...

Report: FEAST - Food companies...
Report: FEAST - Food companies' commitments on population nutrition, health, and sustainability in Ireland

Non-communicable diseases (NCDs) such as diabetes and cardiovascular disease are responsible for the premature death of up to 17 million people (57%) worldwide. In 2019, 90% of preventable deaths in Ireland were due to NCDs. In addition to lives lost, the economic burden continues to escalate. Spiraling costs associated with NCDs such as cardiovascular disease (CVD) and cancer cost the EU healthcare systems almost €155 billion and €103 billion respectively. Unhealthy diet is one of the leading causes of NCDs worldwide with increased consumption of high fat, salt and sugar (HFSS) foods leading to high blood pressure, heart disease, stroke, type 2 diabetes and other harmful conditions, including overweight and obesity. A compelling case has now been made that this increased consumption is driven by changes in the food environment, rather than, for example, by changes to individuals’ values and preferences, or by changes in consumption of specific nutrients. The importance of a good diet for health and wellbeing of citizens is globally recognised. At the same time there are large health disparities, and different socioeconomic groups have differential access and ability to choose healthy foods that can help them to maintain their health. It is also recognised that increasing socioeconomic inequalities in diet and health over the past decade have coincided with large and detrimental changes in the food environment. The food environment is described as all contexts in which people engage with the food system to make their food choices. To date, to improve population diets, actions relied predominantly on individuals changing their behaviour, while the food environment in which these choices were being made remained largely unchanged or has changed to the detriment of health promoting choices. This approach not only ignores that poor diets are the result of a complex web of determinants. There is a growing consensus that structural changes are needed through the simultaneous implementation of a comprehensive set of actions and policies, including improvements of the food environment to create a shift towards healthy dietary choices in the entire population. The food industry has the potential to be a major driver of positive change. The products and practices of the food industry play a significant role in shaping our food systems and environments, but, all too often, their impact has been negative (WHO Europe Region, 2024). Even so, food industry actors can be ‘part of the solution’ and it is increasingly common for companies to make extensive commitments around improved nutrition, health and sustainability.

Zenodo
The Healthy Populations Institute at #DalhousieU is hosting a webinar series on the #CommercialDeterminantsOfHealth in October/November 2024. Hear from global experts on how #CDOH shape our health & what we can do about them to improve #populationhealth More here: https://www.eventbrite.ca/e/hpi-speaker-series-commercial-determinants-of-health-tickets-1016661270227?aff=oddtdtcreator #AcademicMastodon
HPI Speaker Series - Commercial Determinants of Health

An introduction to the Commercial Determinants of Health in Atlantic Canada with global experts.

Eventbrite

How do these people sleep at night? It's their planet too!

"A Shell spokesperson said the company believes “society needs to take action on climate change”, and said that the company had made “no fundamental change” to its climate pledges and was making progress toward those goals".

https://www.theguardian.com/us-news/2023/jul/16/big-oil-climate-pledges-extreme-heat-fossil-fuel

#ClimateActionNow
#CommercialDeterminantsOfHealth
#TaxTheRich
#JustStopOil

Big oil quietly walks back on climate pledges as global heat records tumble

Energy firms have made record profits by increasing production of oil and gas, far from their promises of rolling back emissions

The Guardian