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Casino gambling is spreading into the mainstream of American life and unleashing a host of troubling problems: it is harming health, draining wealth from people in the lower ranks of the income distribution, and contributing to economic inequality. These are among the findings of "Why Casinos Matter: Thirty-One Evidence-Based Propositions from the Health and Social Sciences," a report released from the Council on Casinos, an interdisciplinary group of 38 scholars and public policy leaders convened by the Institute for American Values.