rohern comments on Social Necessity of Drinking - Less Wrong Discussion
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When I lived in China, drinking as a group over dinner was a common social interaction. The one acceptable excuse, on which no one would press you, was to claim that your doctor has forbid it, which is another form of "health reasons". If people do press you on it, give them a quick cold glance that says "you are being rude" and then get back to the conversation.