States tightly regulate access to alcohol and other substances. During the pandemic and related state of emergency, state and federal governments adopted a variety of regulations affecting this access. State shelter‐in‐place orders included decisions about whether liquor stores and marijuana dispensaries are essential businesses. Decisions about telehealth access to medical marijuana or treatments for substance use disorders were made at the state and federal levels. This article examines the political economy behind these decisions, focusing on deviations from the norm including Pennsylvania's decision to close state‐run liquor stores. Interest groups and other political considerations help explain state and federal policy changes affecting access to alcohol and other substances.

中文翻译：

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COVID-19 大流行期间药物和酒精监管的政治经济学

各州严格监管酒精和其他物质的获取。在大流行和相关的紧急状态期间，州和联邦政府通过了影响这种访问的各种法规。州就地庇护令包括决定酒类商店和大麻药房是否是必不可少的业务。在州和联邦层面做出了关于远程医疗获得医用大麻或药物使用障碍治疗的决定。本文探讨了这些决定背后的政治经济学，重点关注与规范的偏差，包括宾夕法尼亚州关闭国营酒类商店的决定。利益集团和其他政治考虑有助于解释影响获得酒精和其他物质的州和联邦政策变化。