Should the power to address the socio-cultural and political issue of alcohol consumption and regulation lay in that of the legislators or, the legislated? I propose that when alcohol legislation and regulation - The Botswana Alcohol Tax Levy are formed without invested cooperation from the general population, often the policy is non-sustainable and subject to change. The sustainability of the policy is primarily measured on its efficiency and effectiveness at addressing alcohol consumption and abuse. The failure to both reduce alcohol consumption and fund alcohol preventative care brings forth the conversations regarding needed change. My analysis provides the local and global implications alcohol consumption and regulation has had in Botswana, the United States, and the United Kingdom with an in-depth Policy Analysis Matrix directly discussing the Botswana Alcohol Tax Levy. The Tax Levy and other regulations created by the government have often overlooked the ground-level realities of the social issues regarding alcohol consumption, at the expense of the general populace overall health. The traditions and cultural heritage of alcohol, in regards to the Botswana people, cannot be under-mined. From my analysis, most of the issues arising from legislation stem from the discrepancies found between European Western Developmental practices and Botswana Traditional practices and law. The analysis highlights that the current position the government is taking in regards to alcohol consumption and regulation is ill informed. The current Alcohol Tax Levy neither lessens the consumption patterns of the population. Nor, does the Levy help to alleviate the current social problems excessive alcohol consumption is having in Botswana.