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ER visits for gambling disorders doubled after expanded online gambling market (https://temertymedicine.utoronto.ca)

162 points by geox 3 days ago | 157 comments | View on ycombinator

whatever1 3 days ago |

All gambling should be state owned. It is a strict societal loss anyway, we can at least soften the overall blow.

Losses can be redistributed and cover for the externalities of gambling. And we will be able to control the knob on how addictive we make them.

For profit companies have the target to maximize their profit, so of course they will ramp up any method that can bring in more revenue.

dpflan 3 days ago |

Our incredible brains are easily high-jacked. Another concerning trend in global/societal mental health that stresses different parts of it (e.g. increased ER visits). If the entirety of humanity is a connected mind let's say, and more and more parts of it are being damaged by companies that capitalize on "flaws" in the human brain -- which means our shared mentality keeps weakening and can be exploited more and more. It's just so much easier now because there is a machine in your pocket full of endless ways to high-jack your mind and attention.

We live in really crazy/fascinating times, accelerating human problems at "internet scale".

geooff_ 3 days ago |

> In 2024, Ontarians wagered $82.7 billion CAD on these sites through 2.6 million player accounts.

Truly astounding numbers. Without a doubt, online gambling is the most preventable public health crisis of our generation. None of this had any business getting legalized.

r3trohack3r 3 days ago |

> Emergency room visits for gambling disorders

Are Canadian ERs different than ERs in the U.S.? Why would one go to an emergency room, seek emergency treatment, for a gambling disorder?

jacobgold 3 days ago |

Vegas was such a great solution to gambling for Americans. We had it contained to a specific place, making it easy to access but also easy to avoid.

Cryptocurrency, which turned into just another form of gambling, seems to have been the corrupting influence that allowed it to spread into people's homes. I hope we can reverse it somehow.

apitman 3 days ago |

A few months ago I read an article that compared vibe coding to gambling[0] and I've found it a useful model.

[0]: maybe this one: https://www.fast.ai/posts/2026-01-28-dark-flow/

sixsevenrot 3 days ago |

So there is more awareness of the problem, gambling ads are required to publish a helpline number. Most of the gamers have other psychological disorders. Thus it's awareness + more consistent asking for help + regular naming of gambling among other problems.

What is the number of non-gamblers that started gambling and ended up in ER and would not have eneded up in ER if gambling wasn't available?

nullc 3 days ago |

I have never felt anything about gambling. Most boring thing ever. I don't feel anything about investment, and wrote automation to track mine because it's all so boring.

I wouldn't tempt fate to try to expose myself more, but it doesn't seem like I contain whatever is required to form these addictions.

Has it been studied if some people are just much more vulnerable than others, and are there predictive factors?

johnnyApplePRNG 3 days ago |

Out of seemingly nowhere a few years ago, the canadian local landscape changed overnight.

I feel like I am walking around las vegas half the time.

Virtually every corner store has turned into those english sports betting pubs or whatever they have all over England.

It's disgusting.

quickthrowman 3 days ago |

I’m confused, are these suicide attempts due to gambling addiction or is it mental health ER patients looking to enter a gambling addiction treatment program?

I’m having a hard time thinking of any other reason that a gambling addiction would cause someone to visit the ER.

JumpCrisscross 3 days ago |

How does someone at the ER for gambling addiction present?

BugsJustFindMe 3 days ago |

> "Emergency room visits for gambling disorders"

Huh?

> "More than 70 per cent of gambling disorder emergency department visits involved another mental health condition or heavy substance use and almost one-third of the visits led to hospital admission."

Ok, so I assume they mean that these emergency visits were for things like drug overdoses and psychotic episodes in people led to by their gambling disorders, not for the gambling disorders themselves. What a strange way of writing this up. A gambling disorder is a chronic problem, not an acute one.

There's a difference between "emergency visit for X" where you treat X and "emergency visit (for Y) because of X" where you treat Y proximal to X, and people could learn to be more discerning in their use and interpretation of language.

freediddy 3 days ago |

Why did it result in an emergency room visit? Did they try to self-harm or something because of losses?

moribvndvs 3 days ago |

Back when legalized gambling was on the ballot for my state, I was enthusiastic supportive, even though I don’t enjoy gambling personally. I conflated these bans with a sort of religious and social nannying, an affront to individual liberties and denying a legal livelihood for something people will do anyways. Legalizing gambling was a step in liberating society from churches and the state. Considering I had no skin in the game, I ignorantly downplayed mental health claims. Years later, I not only regret my support but am deeply embarrassed by it.

Since then, I’ve watched an alarming number of friends and coworkers slip into erratic and reckless patterns of anti-social behavior and self harm. People I never would have expected. No economic or social renaissance has followed as proponents might have claimed back in the day. The casinos around me are large, costly, seedy, hopelessly depressing dumps littered with equally depressing people that stink of desperation and delusion.

The expansion, normalization, and corporatization of traditional gambling and prediction markets is accelerating degeneracy and letting low rent hucksters strip mine countries where they are legal and leave the rest of us paying the bill. I think they are a genuine risk to the health and safety of society.

alex1138 3 days ago |

I'm getting sick of the ads. It's in every NHL commercial break, Rogan (though I don't know about it now) has them as sponsors

Guys, it's predatory. Stop

geodel 3 days ago |

Hmm, I was expecting it would halve, once gamblers get their fill.

deinonychus 3 days ago |

good news for cancer and CVD

at this rate, in 40 years 100% of ER visits will be due to gambling disorders.

really a triumph in public health

gleezard 3 days ago |

[dead]

tt24 3 days ago |

Let me guess - because some people are unable to consume this form of entertainment responsibly, we have to make it illegal for everyone?

Makes sense. While we’re at it let’s kick the war on drugs back into high gear, reinstate prohibition, and make other higher risk behavior illegal.

ntonozzi 3 days ago |

Privately funded health care solves this.

rdm_blackhole 3 days ago |

Unfortunately I fail to empathise with gamblers not because I think they deserve to be afflicted by this disease but simply because I have never found gambling appealing as an activity.

I bought a few lottery tickets when the prize reaches astronomical proportions but it was always a case of going along and doing it with family/friends just for fun.

I guess I could understand the appeal if the chances to actually win something were pretty good but it’s a well known fact that the house always wins in the end.