Madness in men’s and women’s college basketball kicks off, millions will tune in to watch and bet — with the latter having major ties to the health of both the players and those making bets.According to the American Gaming Association,

Internet searches for gambling addiction help are up significantly in Pennsylvania. According to the Journal of the American Medical Association, gambling adiction is a growing problem in the U.S. and sports betting is to blame.

For every buzzer-beater and upset at this year’s NCAA Basketball Tournaments, there will be legions of bettors praising and cursing the heroes of March Madness in almost equal measure.