Eighteen-year-olds lose access
Every state that licenses sports betting sets the age at 21. A federally regulated exchange sets it at 18. Three years is a long time at that age, and the age at which someone starts gambling is among the strongest predictors of whether they develop a problem with it.
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Value
The stream is the mental health of people in late adolescence, when the impulse control that keeps most adults out of trouble with gambling is not yet fully in place. It sits in the class this site uses for life and health, one step below the top of it because what is lost can be regained. What is priced is the condition itself rather than the money lost, which for this group is small in absolute terms and large relative to what they have. Nothing here treats an eighteen-year-old as incapable of choosing; what is counted is only that starting earlier makes a problem more likely, which is a finding rather than a judgment. The value sits one step below the maximum: the stream is health, and health that can be regained.
Impact
About 13 million Americans are aged 18, 19 or 20. If 8 percent of them would use a prediction market where a sportsbook is closed to them, in a range from 2 to 20 percent, that is roughly 1.04 million young people gaining access to sports gambling three years early. Not all of them are harmed and most are not: an average loss of 0.01 quality-adjusted years a year across the whole group is used, in a range from 0.003 to 0.03, which amounts to assuming that something like one in twenty carries a real cost and the rest carry none. That gives 10,400 quality-adjusted years a year. The figure is deliberately built as an average across everyone rather than as a rate among the affected, because nobody knows which of them are affected. The Impact is comparable to the licensing protections above and reaches a different group, which is why the two are counted separately.
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| Americans aged 18, 19 or 20 | 13 million people | ||
| × | Share using a prediction market because a sportsbook is closed to them Setting, range 2 to 20 percent: every licensing state sets the age at 21, the exchanges at 18 [1] | 8 % | 1.04 million people |
| × | Quality-adjusted years lost, averaged across all of them Setting, range 0.003 to 0.03: equivalent to assuming about one in twenty carries a real cost and the rest none [3] | 0.01 a year | 10,400 quality-adjusted years |
| × | Value of the years the value of a healthy life year used across this site | 40,000 euro each | 416 million euro |
| ÷ | Normalised Impact scale of this evaluation | 200 million euro a point | 2.08 |
Plausibility
That the age of first gambling predicts later problems is well documented and the mechanism is not disputed. What is unmeasured is everything specific to this case. The counterfactual is the same cohort with the exchanges closed to them, and no source counts how many under-21s hold exchange accounts, because the exchanges do not publish it and no regulator collects it. The chain has three links — the age limit differs, young people use the lower one, using it earlier raises later risk — and the middle one has no number attached. The counter-mechanism is real and unanswered: an eighteen-year-old shut out of the exchange has an offshore site and a friend's account available, so the exclusion may be nominal. The confounder in the underlying literature is the familiar one, that people who start gambling young differ in ways that also predict problems later, and the studies establishing the link are observational. Reverse causation does not arise for the policy itself. The Plausibility is low because the number of young people this actually concerns has never been counted.
Counterfactual: the same cohort with exchanges closed to them; nobody counts under-21 exchange accounts. Design: associational — the age-of-onset link rests on observational studies without exogenous variation; the take-up link has no source at all. Confounder: young starters differing in ways that also predict later problems, unaddressed by the underlying literature. Direction: no reverse causation for the policy. Ceiling: associational 5.5 binds. Band: chain open, because the take-up share carries the whole quantity and the counter-mechanism — offshore sites and borrowed accounts — is unanswered.
The chain is named but the link carrying the quantity — how many 18-to-20-year-olds actually use exchanges because sportsbooks are closed to them — has no source, and the counter-mechanism that they can reach offshore sites anyway is unanswered. Read back: about a third of the time, roughly the assumed share of that cohort gains three years of early access.
Open: Exchanges hold the age distribution of their accounts and file reports with the federal regulator. Publishing it by state, against the state age limit, would settle the take-up link outright.