What sort of nanny state intervention do you propose for the hundreds of thousands of alcoholics who are deliberately destroying their mental capacity?
Public drunkenness is already against the law; operating heavy machinery and doing various responsible tasks (parenting, surgery, driving, air traffic control. . .) while drunk is against the law; supplying alcohol to minors is against the law.
So there is already quite a bit of “nanny state” intervention as you term it.