The expansion of electronic gambling machines in China through anthropological and public health lenses

The Chinese have always been identified as gamblers, and they accept this. However, apart from state lotteries, the people of China have not been exposed to a situation where games have been legitimized and made generally available. According to recent literature, there are significant problems related to gambling in many jurisdictions around the world where a critical mass of people of Chinese origin have access to state gambling. Overseas Chinese are table game enthusiasts and are also turning to electronic gambling machines (EGMs), which are recognized as the games most likely to be associated with harmful gambling and pathological gambling. In Mainland China, EGM are now being widely introduced. This discussion paper is built on a synthesis of anthropological knowledge about Chinese culture and a non systematic review of current literature about Chinese culture and gambling. We have tried to answer the following question: if such machines are now introduced in large numbers in China, what are the implications for public health if the games are as popular as projections would have them? Given our knowledge of the correlation between Chinese culture and games of chance and money ? and in light of the sensational popularity of casinos in Macao ? the introduction of electronic gambling machines in China should become popular and could have important consequences on the population?s health. When the negative effects are felt, the Chinese regime may be unlikely to listen to civil society which, as in other jurisdictions where EGMs are operated, will try too late and within the limits of the freedom granted in China, to mitigate the impacts of those games.