17 Oct 2025 12:00

America's Most Problematic Drug Is Alcohol

While opioid use disorder dominates headlines, alcohol quietly remains America's most problematic—and overlooked—drug. Nearly 30 million people are estimated to have alcohol use disorder. In this episode of "After the Fact," Dr. Elizabeth Salisbury-Afshar, an addiction medicine specialist, and Pew's Frances McGaffey discuss the latest trends related to alcohol use, its normalization in American culture, and the evolving science behind its risks.


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