The evolution of American alcohol policy — and what’s next

By Nailah John, Program Associate

Alcohol is consumed by billions of consumers the world over. Humans drink alcohol for many reasons, including enjoying the taste or coping with stress while others consume alcohol because of social influences. More than 85 percent of people around the world consume alcohol. America’s alcohol policy has seen many ups and downs over many decades from prohibition in the 1920s to the end of prohibition in 1933, National Minimum Drinking Age Act in 1988, the Alcohol Beverage Labeling Act 1988 (ABLA), and the continued efforts for a “Nutritional Facts Label” on all alcoholic beverages by consumer advocacy groups.

Every other consumable product on the supermarket shelves is required to have a Nutritional Facts Label. That label has a list of required information about a food’s nutrient content, such as the calories, protein, vitamins, fat, sugar, sodium, and fiber. This is critically important consumer information for guiding healthy choices.

After Prohibition In 1935, the Federal Alcohol Administration governed alcohol regulation. In 2003, the Alcohol and Tobacco Tax and Trade Bureau (TTB) was formed, and alcohol continued to be regulated by this federal agency. Since the 1970s, consumer advocacy groups have worked for a comprehensive label on all alcoholic products. In 2003, the Center for Science in the Public Interest (CSPI) and the National Consumers League made a hard push for a nutritional facts label. Manufacturers asked for voluntary labels, making the argument that putting nutrition facts on all bottled of alcohol would make consumers think that alcohol was nutritious. In 2004, TTB sided with manufacturers and issued guidelines that allowed them to list calories, carbs, protein, and fat­—but only if they wished to do so voluntarily. In 2021, NCL and other groups are recommitting ourselves to this consumer information campaign.

The Dietary Guidelines 2020-2025 lay out the existing recommendations for sugar and alcohol, which recommend moderate alcohol consumption––up to one alcoholic drink per day for women and up to two per day for men. The CDC warns that alcohol consumption is associated with a variety of short and long-term health risks: high blood pressure, various cancers, motor vehicle accidents, violence, and sexually risky behavior. The CDC guidelines also note that pregnant women should refrain from alcohol consumption and that those with certain condition should avoid alcohol. That is true as well with certain medications.

More than half—55 percent—of Americans say they have had alcohol in the past month. An estimated 14.5 million American adults age 12 and older battled an alcohol use disorder, or 5.3 percent of this population. The bottom line is that if you drink, do so in moderation per the CDC and DGAC guidelines. And join with consumer advocates fighting for a nutritional facts label to be put on all alcoholic beverages.