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If you're counting indirect deaths, then you've probably been responsible for someone's death and not known it. (Edit: If it's not obvious, this is supposed to be a bit tongue in cheek)
There's a big difference between the kind of causality where you cause someone to leave their house 5 minutes later than they would have, ultimately resulting in a fatal car crash that wouldn't have happened otherwise, and people dying because they did something you encouraged them to do
Yes, in hindsight, I don't think "responsible" was the right word.
I've always wondered about that. I worked at walmart for years. Lots of alcohol. Did I help a drunk driving death? Or who knows what else. Lots of kitchen knives and shit like that. What about hammers? Lots of stuff I sold could be used to kill a person.
If you sold a lot of alcohol, you've almost certainly contributed to a death. Between drunk driving, stupid alcohol decisions, and cancer, alcohol is pretty much the most dangerous drug we have in terms of societal damage (because its usage is so widespread).
I probably shouldn't have used the word "responsible", though. If person A miles up the road was driving slightly over the speed limit they might make it through an orange light that they otherwise would have missed. This might place a new car at the front of the queue with person B, and this person may then get hit by a driver that missed a red light, leading to their death. While the chain of events ultimately led to their death, and if Person A had driven the speed limit then person B would probably still be alive, I don't think you can say person A is responsible.
It's even worse /s https://pubmed.ncbi.nlm.nih.gov/3530279/
Is that saying aging, stress, etc somehow create alcohol in our bodies? If true, maybe we should be worried about futurama-like robots creating a matrix-like situation!
Some tiny amount is always naturally created. That is called "endogenous ethanol production" and is part of the normal methabolic process.
The paper goes into ho the amount produced fluctuates with many factors (including the ones you mentioned) and the less is created, the more one carves for drinking alcohol.
I find the idea funny that all humans (among other mammals) are basically perma microdosing alcohol.
You most certainly sold alcohol to alcoholics, which contributed to their slow deaths, but that isn't your fault, because if you wouldn't have sold it to them, they would have gotten it elsewhere. That's how addiction works.