Montag et al. [1] challenged social media (SM) companies to ethically approach digital media platform design decisions and consider their capacity to promote healthy platform engagement. We agree, and here, expand on this notion as it relates to algorithmic accountability in the context of the relationship between SM engagement and harmful health behaviors. Here, we focus on drinking-related behaviors; however, our argument can be applied to numerous health behaviors, such as vaccination and tobacco use. SM use influences health behaviors, including alcohol use [2]. Exposure to alcohol-related content on SM is common, and the majority of alcohol-related posts portray drinking positively, often normalizing hazardous drinking behaviors [3-5]. Moreover, engagement with pro-drinking SM content (posting, liking, commenting, and viewing) is associated with increased alcohol consumption [2]. Taken together, data suggest online alcohol-related SM experiences are associated with real world harmful and hazardous drinking [6-8].