Would also appreciate some literature as well.

US Commission report  may help at
http://govinfo.library.unt.edu/ngisc/reports/7.pdf
When I looked over parts, the gambling supportive studies seemed to read
like the inconsistent studies in the income inequality and health report.
The gambling benefits were spotty and local. No studies had a global impact
to include those who locally improved and assess the dollars sucked from
surrounding areas. Areas that improved during certain time periods also had
statewide improvements during the same time as in Mississippi. Those
entering late may be too late. Those unable to develop the traffic may not
benefit from the investment and locals may suffer.

3 patients of mine in the past month declared bankruptcy

2 had health care roots and 2 had gambling (1 had both)

Loneliness seems to be a big part as many go and eat at the casinos and
meet people. Some cross the line and gamble, often on the penny slots. Some
then cross the line to other areas.

Stats from Omaha in the year after gambling went in across the river in
Iowa from FBI local person
Omaha Housing Authority delinquency rate went from 4% to 8 - 9%
Nebraska Furniture Mart, largest retailer in area took 15% decline, first
ever

Seems to be construction benefit originally till opened, then lower income
decline when operations continue.

Dollars shifting across state lines and to Nevada and outside locations.

Also studies of big winners noting lack of any long term benefit have been
cited, but would be nice to examine.

We'll see if the following assumption is accurate:

Gambling appears to be a coalition of advertisers and marketers and gaming
businesses that foster a redistribution of wealth that mostly benefits
those who get the cash flow and has questionable overall benefits to
society and has devastating impacts on susceptible individuals (who may be
lower in income).

Robert C. Bowman, M.D.
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