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Etches said the back-and-forth between competing firms in the same industry suggested that they were losing sight of the need to address problem gambling. The industry needs to think more carefully about that bigger reputational issue and recognise that those who are thoughtful can see through some of this selfish behaviour, he said. There are a lot of people who have a problem so we need to have a better discourse. A narrow focus that gets very shouty between campaign groups puts people off having a more grown-up more mature discussion. The row over the role that FOBTs play in addiction reflects the limited amount of hard evidence on problem gambling. One of the most comprehensive studies, by research group NatCen, looked at whether people who hold loyalty cards with bookmakers changed their behaviour over time, in an attempt to show whether FOBTs coincide with a slide into addiction. It found a correlation between the use of machines in bookmakers and a descent into problem gambling, with the unemployed and ethnic minority groups worst affected . Pinterest A man uses betting machines at a Paddy Power shop in London. Photograph: Bloomberg/Bloomberg via Getty Images But NatCen associate research director Heather Wardle, who sits on the Responsible Gambling Strategy Board, is wary of drawing too many conclusions from this. It shows an association, we just dont know whats driving that association. In all likelihood there are some people for whom the machines are causing them difficulties. Others have immense problems with all types of gambling and happen to play machines. She points out that similar research has not been done into amusement arcades, fruit machines or online betting, so it is difficult to compare the risk of addiction.

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All told, they offer the area more than 5-thousand machines. Then there's Cincinnati's Horseshoe Casino which faces fierce competition from Indiana's Belterra, Hollywood, and Rising Star Casinos. Here in the tri-state there are over 8-thousand slots with more on the way. Lebanon's Miami Valley Gaming with its 16-hundred video lottery terminals or "VLT'S" is the latest to open in the tri-state. General Manager Jim Simms is confident that their business model will keep them competitive saying: "It all comes down to the guest experience, if you look at our facility it's designed to have wide spacious aisles, the most comfortable slot chairs you can have, so we've designed a great experience for the guest." Professor Alan Silver at Ohio University is an expert on the gaming industry. He tells FOX19 that it's not just about getting gamblers in the door, but getting them to come back again and again. "As an operator, I want to have loyalty with my customers so I want to have excellent customer service. Customer service is the name of the game," he says. Meanwhile, the competition in the tri-state is only going to tighten as the old River Downs, now known as Belterra Park, opens for business this May and with it 16-hundred more slot machines giving area gamblers more options and making it tougher for the state of Ohio to meet its revenue projections.

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