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New York Times Opinion illustration for Jessica Grose's column on youth gambling
The New York Times June 27, 2026

We're Getting America's Children Hooked on Gambling

In this New York Times Opinion column, Jessica Grose talks with a pediatrician who says gambling addiction is now turning up in general pediatric practice — including in younger teenagers barely out of middle school. It's a shift the doctor traces to the years since the 2018 Supreme Court decision legalized sports betting, which pushed betting apps, live odds, and gambling-style mechanics into the phones, streams, and video games where kids already spend their time. Grose's argument is that a generation is being raised to treat wagering as a normal, ambient part of being a fan and being online, and that these products are engineered to be especially sticky for developing brains. The column makes the case for treating youth gambling exposure as a public-health problem now, instead of waiting for the consequences to surface years later.
Our Thoughts

Every harm story we cover tends to start with an adult in crisis. This one starts earlier — and that’s exactly why it matters. Addiction medicine has a grim rule of thumb: the younger the first exposure, the deeper the eventual dependence, because the reward circuitry doing the learning is still under construction. A generation that meets gambling at twelve or thirteen — not in a casino, but in a game, a stream, a group chat — isn’t being introduced to a vice; it’s being enrolled in a curriculum. Grose’s pediatrician is describing the first students to graduate.

The mechanism she points to — ordinary online life quietly seeded with odds, loot-box math, and one-tap wagering — is the same one we keep documenting from the other end of the pipeline: the Kindbridge/UCLA report on how online gambling targets the young, and the argument that this industry is running the Big Tobacco playbook — hook early, defend late. When the product is designed to find kids where they already are, ‘personal responsibility’ is a strange thing to demand of a seventh grader.

We can’t send a middle-schooler to a meeting, and we won’t pretend otherwise. But a lot of the people in our rooms describe a first bet in their teens, and a lot of today’s parents are realizing the apps on their kid’s phone aren’t as harmless as they look. If gambling has already stopped being a game in your house — for you or someone you love — a free, anonymous meeting is a place to talk with people who understand how early it can start, and how far back it can be walked.

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