Saturday, 19 April 2025

Drinking guidelines and cancer warnings

I've written about the push towards 'no safe level' for alcohol for Spectator USA.
 

In December, the National Academies of Sciences, Engineering, and Medicine published a rigorous 230 page report titled Review on Evidence of Alcohol and Health which confirmed what has been apparent for fifty years. It concluded that those who drink alcohol in moderation have a 16 percent lower risk of all-cause mortality than those who have never drunk alcohol. They also have a 22 percent lower risk of having a heart attack, an 11 per cent lower risk of having a stroke and an 18 percent lower risk of dying from cardiovascular disease.

A few weeks after the National Academies report was published, the Surgeon-General effectively spiked it by publishing his own report calling for cancer warnings to be put on bottles of booze. Heavy drinking can certainly cause some forms of cancer, although the only form of the disease that the National Academies report associated with moderate alcohol consumption was breast cancer, with a relatively modest risk increase of 10 percent. Crucially, overall mortality was lower among moderate drinkers of both sexes. Would you rather be 10 percent more likely to develop breast cancer or 16 percent less likely to die prematurely?

By ignoring the big picture and focusing on cancer, the Surgeon-General was deliberately muddying the water and changing the subject. Liver disease is by far the biggest health problem associated with drinking, so why warn people specifically about cancer? He was taking a page straight out of the anti-tobacco playbook. The modern crusade against smoking started with mandatory cancer warnings.

This explains the concerted effort to downplay the health benefits of moderate drinking. The claim that there is “no safe level” of drinking (a choice of words borrowed from the anti-smoking lobby) rings hollow when teetotallers are significantly more likely to die prematurely from some of humanity’s most serious diseases.  

 
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