The recent approval by the New York State Gaming Commission to open three new casinos in Queens and the Bronx has prompted urgent discussions regarding gambling addiction and public health. The decision, which aims to capitalize on potential revenue from gaming, hotel, and retail taxes, raises concerns about the implications for communities as gambling culture takes root in downstate New York.
Heather Hugelmeyer, LCSW and senior director for behavioral health at Northwell Health, emphasizes that the impact of gambling addiction is often overshadowed by the allure of financial gain. The proposed casinos are projected to generate billions in revenue, but the potential fallout for individuals struggling with gambling use disorder is a critical issue that cannot be ignored.
As the landscape of gambling shifts, Hugelmeyer insists that the health system is prepared to address the consequences of this expansion. The approval of three casino licenses in a single region could lead to a surge in addiction cases that the system may struggle to manage effectively. The anticipated increase in calls to gambling help lines highlights the urgency of this situation, particularly as gambling addiction frequently coexists with other issues such as substance abuse and mental health disorders.
Hugelmeyer notes a troubling trend: many individuals mistakenly believe they can “win” at gambling, a misconception that can have tragic consequences. This misunderstanding is compounded by the lack of awareness among gambling proponents regarding the inherent dangers associated with their products. Research suggests that the brain’s reward system is activated by gambling, leading to intrusive and compulsive thoughts similar to those seen in other addictions.
The message to “gamble responsibly,” frequently heard in casinos and advertisements, falls short when confronted with the realities of addiction. Professionals in addiction treatment understand that personal responsibility is insufficient to combat the neurobiology of gambling addiction. This disconnect underscores the need for a more robust response to the potential crisis on the horizon, echoing the past challenges posed by tobacco and opioid epidemics.
Looking ahead, the promise of economic benefits from the new casinos remains uncertain. Two of the casinos are scheduled to open in 2030, and it will take time to assess their impact on local communities. However, research indicates that increased accessibility to gambling correlates with higher participation rates and related problems.
Hugelmeyer stresses the importance of educating families and communities about the signs of problem gambling. At Northwell Health, the behavioral health team is taking a proactive approach by treating gambling as a primary addiction. This includes implementing screenings to identify potential problem gamblers and raising awareness among school leaders about the rising incidence of gambling among teenagers.
Children and adolescents are particularly vulnerable to developing gambling issues, and early intervention is crucial. The message is clear: no one is just one bet away from a life-changing victory.
As New York prepares for the cultural shift brought by the new casinos, a comprehensive public health strategy is essential. The focus should not solely be on revenue, land, and licenses, but also on safeguarding the well-being of individuals and communities. With the right measures in place, it is possible to mitigate the risks associated with gambling expansion while fostering a healthier environment for all.
