# America's Most Problematic Drug Is Alcohol Page: https://stenobird.com/podcast/after-the-fact-779587/america-s-most-problematic-drug-is-alcohol Text version: https://stenobird.com/podcast/after-the-fact-779587/america-s-most-problematic-drug-is-alcohol.md Podcast: [After the Fact](https://stenobird.com/podcast/after-the-fact-779587) Published: 2025-10-17T12:00:00+00:00 Episode link: https://afterthefact.libsyn.com/americas-most-problematic-drug-is-alcohol Audio file: https://traffic.libsyn.com/secure/afterthefact/Americas_Most_Problematic_Drug_Is_Alcohol.mp3?dest-id=462766 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/after-the-fact-779587/episodes/america-s-most-problematic-drug-is-alcohol Duration seconds: 1392 ## Resource 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. ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/after-the-fact-779587/episodes/america-s-most-problematic-drug-is-alcohol/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/after-the-fact-779587/america-s-most-problematic-drug-is-alcohol.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.