OTOH moderate intake of alcohol, despite the risks, also has positive effects on the cardiovascular system. Wine has antioxidants which are associated with longevity, beer is good for bone strength, and so on. While an alcoholic may have a higher chance of dying before cancer gets them due to organ failure and accidents, a glass-of-wine-a-day drinker might live longer with a higher quality of life with the increased cancer risks than they otherwise might have with their congenital heart disease or whatever. Cancer typically gets you when you're old, heart disease gets a lot of people in their 40s and 50s.
And while the first world doesn't benefit directly anymore, typical brewing and fermenting processes ensured a drink was sanitary due to lengthy boiling times or yeast out-competing other microbes. Alcohol and hops/flavorings provide antimicrobial effects, acetobacter competed and inhibited against other water-born bacterial and mold growth. Alcoholic beverages are an easy way to store and preserve calories in times of scarcity, etc. It's quite likely that those who chose low-alcohol beverages were saved from other water-born diseases and lived longer thanks to it.
And while the first world doesn't benefit directly anymore, typical brewing and fermenting processes ensured a drink was sanitary due to lengthy boiling times or yeast out-competing other microbes. Alcohol and hops/flavorings provide antimicrobial effects, acetobacter competed and inhibited against other water-born bacterial and mold growth. Alcoholic beverages are an easy way to store and preserve calories in times of scarcity, etc. It's quite likely that those who chose low-alcohol beverages were saved from other water-born diseases and lived longer thanks to it.