There are lots of possible answers to this, but the one that impacted me the most in my former life was the widespread belief that most liver disease is due to alcohol abuse. In my practice, alcoholic liver disease was # 4 in frequency, after nonalcoholic fatty liver disease, autoimmune diseases, congenital diseases in children. And one does not need to consume socially unacceptable amounts of alcohol to develop liver disease if you are susceptible, especially if female.