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Youth online gambling is the new opioid crisis

Kayvan Haddadan, MD
Conditions and Diseases
June 2, 2026
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Gen X (roughly 1965 to 1980) grew up as “latchkey kids” with no constant internet, more independence, figuring things out through trial and error. They often developed real resilience from facing hardships without much handholding. Gen Z (1997 to 2012) entered a world saturated with technology, social media, instant information, and a big emphasis on mental health. Many are thoughtful about emotional well-being but can be less practiced at pushing through discomfort or figuring things out without guidance. They grew up with dopamine hits from likes, notifications, and quick rewards. Gen X parents often try to give their Gen Z kids the easier path they didn’t have by providing more support and lower expectations to reduce stress. This can sometimes lean permissive. Meanwhile, Gen Z kids may not always show the same grit or appreciation because the environment didn’t demand it as much. It’s a classic mismatch: resilient parents raising kids in a softer, more connected but also more fragile digital world.

In summary, Gen X parents, shaped by hands-on resilience without constant screens, often try to spare their Gen Z kids from that struggle. Gen Z grew up in a world of instant info, social media dopamine, and lower emphasis on grinding through discomfort. Online gambling apps and sites use slick design, variable rewards (that “maybe I’ll win” rush), and aggressive marketing to hook young users. This isn’t harmless fun, as it’s an engineered addiction. There are high rates of gambling before age 21, especially sports betting and online casino games among younger adults. Gen Z, especially young men, faces elevated risks for problem gambling, with online sports gambling surging and problem gambling rates twice as high for sports bettors. Youth are four times more likely than adults to develop gambling disorders, linked to anxiety, depression, debt, and higher suicide risk. Studies highlight the crisis: nearly two-thirds of adults 21 and over gambled before age 21, with younger cohorts showing even higher rates of early sports betting (33 percent for ages 21 to 44) and online casino play.

Online formats make it worse because of easy access and constant availability. Brains are still developing in the teen and early 20s years, as the reward system (dopamine) is highly sensitive, while impulse control isn’t fully online yet. Gambling triggers the same pathways as drugs. Early exposure dramatically raises lifetime addiction risk. Many platforms fail at real age verification, letting minors slip through. These corporations know exactly what they’re doing. They normalize gambling through sports ads, influencer partnerships, and game-like apps. They chase profits by exploiting developing brains and the generational shift toward quick, low-effort rewards. It’s predatory, especially when it targets or reaches under-18s. The result? Nightmares for parents, with financial stress, family conflict, anxiety, depression, and lost potential.

This isn’t “personal responsibility” when the system is rigged with algorithms designed for addiction and weak safeguards for kids. It’s corporate greed at the expense of vulnerable youth.

Liability: engineered exploitation of vulnerable youth

The gambling industry has raced into this digital frontier with remarkable speed and precision. What has lagged far behind is meaningful regulation, parental awareness, and any genuine effort by platforms to exclude minors. Most “age verification” consists of simply entering a birthdate, something easily faked. These systems create the illusion of protection while allowing a multibillion-dollar industry to profit through an enormous loophole. This pattern is painfully familiar in medicine. We have seen it before: an industry expands rapidly, harm builds quietly, and regulators react only after widespread damage is done. The opioid crisis unfolded this way. Youth online gambling is now traveling the same dangerous road.

Some offshore, unlicensed gambling platforms operate in the United States while relying on weak self-attestation for age, a simple checkbox claiming the user is 18 or over, rather than robust ID verification. This approach has drawn significant scrutiny for enabling underage access and illegal operations, and these greedy offshore operators bear heavy responsibility. This vulnerability is exactly what these gambling outfits exploit. They design slick apps and sites with variable rewards that hijack developing brains by flooding them with dopamine hits that feel like easy wins. They know the science: Teen and young adult brains are wired for risk and reward but lack full impulse control, as mentioned above. Yet they push hard into Gen Z spaces through sports ads, influencers, and gamified platforms, often with laughably weak age checks. Offshore operators in particular dodge U.S. rules, skip proper verification, and let minors slip through. The fallout is devastating, including but not limited to addiction, debt, anxiety, and family nightmares for parents who thought they were just protecting their kids from the worst of the internet. It’s not entertainment. It’s calculated corporate greed preying on a generation raised on effortless digital rewards, turning fleeting thrills into long-term harm. These operators’ age checks are notoriously weak, often just a self-attested checkbox or accepting a parent’s ID without liveness verification, selfies, or biometrics. Multiple states have hit such operators with cease-and-desist orders for operating illegally and failing to protect minors, and more states need to be added to the list. Some operators have responded by adding many of these states to their restricted lists, but enforcement remains inconsistent due to their offshore status. Some have been accused of misleading consumers as “USA-based” while lacking licenses and offering inadequate protections against addiction and underage play.

Class actions in some states (2023 onward) allege that certain offshore operators and related sites constitute illegal gambling under state law. Plaintiffs seek recovery of losses, claiming the platforms profited from unlicensed operations. While direct high-profile suits naming individual operators and minors are still emerging, the pattern of cases against offshore and crypto casinos is growing, and these platforms are frequently cited in industry warnings for weak verification. Similar platforms face claims of inadequate age checks allowing minors easy access via VPNs or false self-reporting, targeting developing brains with dopamine-driven designs, and contributing to addiction, debt, and family harm. No massive federal judgment against these offshore operators yet exists, due to offshore challenges, but the trend shows increasing state-level enforcement and private lawsuits focusing on negligent age verification and predatory practices.

Implications for minors and families

A model built on minimal verification plus crypto payments exemplifies the risks highlighted in reports on offshore gambling. Regulators and advocates argue this knowingly exposes teens, whose brains are highly reward-sensitive, to addiction. This fuels calls for stronger federal action and supports watchdog efforts documenting harms. As these operators face a growing web of state enforcement actions and legal risks centered on unlicensed operation and failure to protect minors, and while they continue in unrestricted states, the pattern of regulatory pushback and emerging lawsuits signals increasing liability for corporate negligence. Advocacy and watchdog sites are calling this out directly, documenting cases where minors slip through and the nightmare it creates for parents. These companies shouldn’t get a free pass to target minors for profit. Stronger accountability would actually protect families instead of exploiting them.

Kayvan Haddadan is a physiatrist and pain management physician, and president and medical director of Advanced Pain Diagnostic & Solutions, a multidisciplinary pain management practice in California that he founded in 2012. A physician and surgeon licensed by the Medical Board of California, he is double board-certified in pain medicine and physical medicine and rehabilitation. He is also certified in controlled substance registration through the DEA and serves as a qualified medical examiner through California’s Department of Industrial Relations Division of Workers’ Compensation.

Dr. Haddadan earned his Bachelor of Science degree from the College of Alborz in Tehran, Iran, and his medical degree from Shahid Beheshti University of Medical Sciences. He later received his Educational Commission for Foreign Medical Graduates certification in Philadelphia, completed an internship in medical surgery at Loyola University Medical Center’s Stritch School of Medicine in Illinois, and finished his residency in physical medicine and rehabilitation at the same institution. He completed his fellowship in pain medicine at California Pacific Medical Center’s Pacific Pain Treatment Center and also trained in medical acupuncture for physicians at the University of California, Los Angeles David Geffen School of Medicine.

Dr. Haddadan has contributed to 29 research publications across multiple specialties, including pain management, cardiology, pulmonology, endocrinology, gastroenterology, and infectious disease. His work has examined topics such as hyperlipidemia in high cardiovascular risk patients, hyperuricemia and gout management, type 2 diabetes and hypertension, chronic obstructive pulmonary disease and asthma therapies, influenza treatment, irritable bowel syndrome, and opioid related complications in chronic pain care. His research has also included clinical outcome studies in spinal cord stimulation and award-winning presentations on neuropathic pain management and neuromuscular disorders.

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