In 1985, South Dakota challenged the NMDAA, but in 1987, the Supreme Court ruled the Act was constitutional for the purchase of alcoholic beverages.
[9] In 2013, more than two-thirds of American students had consumed alcohol by the end of high school; and more than half of 12th graders had been drunk at least once in their lifetime.
[10] The US economy loses hundreds of billions of dollars from lost productivity and earnings, with alcohol-related illness being a primary factor.
[11] The most dangerous social problem involved in underage drinking is driving under the influence because of its contribution to fatalities and injuries among adolescents.
[17] Within the U.S., youth are being targeted by social media in order to drive sales higher by highlighting alcohol consumption in a positive way.
[19] An adult is legally considered to be over the age of 18, has the right to vote, contractual capacity, and financial responsibility.
[21] Alcohol abuse can lead to many problems, including increased chances of developing certain cardiovascular conditions, a depressant effect resulting in decreased attention and slow reaction speeds, loss of control of actions, mood changes, addiction, brain deterioration, and pregnancy issues.
[22][23][24][25] Alcohol increases the flow of insulin, which speeds up glucose metabolism and results in low blood sugar.
[29] [failed verification] Some people, such as sociology professor David Hanson, suggest lowering it.