I'm trying to imagine a world where ethanol has never existed (either undiscovered or no fermentation process).
Apart from all the people adversely affected by alcohol throughout history and prehistory.
No vinegar for my chips, and no vinegar to preserve food for the past few millennia.
South Australia, and great parts of Europe, would be very different if there had never been any wine-making or barley growing.
You would enjoy a book called Seeds of change by Henry Hobhouse. It's about the five plants, which have most influenced history, now revised to six, so as to include coca, as in cocaine.
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