This article explores what happens when America’s most destructive legal drug faces competition from a demonstrably safer alternative. What are alcohol’s true costs? How does cannabis compare? And what would 10%, 25%, or even 50% reduction in alcohol consumption mean for public health, crime, and economics? The Oregon study provides the foundation for understanding what might be the most significant public health development of the 21st century: the voluntary substitution of cannabis for alcohol at a population scale
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