Addiction Alcohol Use Economic Impact of Alcohol Abuse in the US How Alcoholism and Binge Drinking Hits All of Our Wallets By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial process Buddy T Medically reviewed by Medically reviewed by Steven Gans, MD on January 05, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Review Board Steven Gans, MD Updated on October 18, 2020 Print Tetra Images / Getty Images Alcohol abuse and dependence claim an estimated 100,000 lives each year in the United States, but the cost to society doesn't stop there. Heavy drinking takes its toll on society as a whole, costing industry, the government, and the U.S. taxpayer an estimated at $249 billion each year, according to a report from the Atlanta-based Centers for Disease Control and Prevention (CDC). The societal costs of alcohol misuse averages to around $807 per citizen or roughly $2.05 per drink. Government and Taxpayers Bear the Burden The CDC report, published in 2015, concluded that two of every five dollars of these costs (or an estimated $100.7 billion) were picked up federal and state governments. Three-quarters (or $191 billion) were directly attributed to binge drinking. Underage drinking further represented $24.3 billion of these costs while drinking during pregnancy accounted for an additional $5.5 billion. According to the researchers, the costs were mainly associated with losses in workplace productivity followed by direct and indirect costs to the healthcare system. The numbers broke down as follows: 72 percent of the costs were attributed to workplace absenteeism, worker's compensation, Social Security disability, and unemployment expenses.11 percent were related to healthcare expenses such as emergency care, hospitalization, alcohol treatment, alcohol-associated pediatric care, and the treatment of cirrhosis and liver cancer.10 percent were attributed to criminal justice expenses.Five percent were directly related to motor vehicle crashes, including insurance costs. Statistics: Alcohol & Crime Alcohol Costs by State Breaking down the regional impact of alcohol abuse, the median cost per state was roughly $3.5 billion. Binge drinking was responsible for more than 70 percent of these costs, 40 percent of which was covered by the federal government. The costs to states ranged from a low of $488 million in North Dakota to a high of $35 billion in California. Washington, D.C. had the highest per capita costs overall at $1,526, nearly twice the national average. In terms of per-drink costs, the highest numbers were seen in New Mexico at $2.77, a figure that was 35 percent higher than the national average. Amounts Are Believed Underestimated The CDC believes that the $249 billion in annual costs is largely underestimated, in part because many injuries and alcohol-related health problems remain either reported or undiagnosed. Moreover, many of the workplace losses—such as those related to absenteeism—cannot be measured directly, making it difficult to place a dollar value on such losses. To complicate matters even further, the $249 billion in alcohol-related expenses do not include $193 billion lost to illicit drug use, a figure described in the Surgeon General's 2016 Report on Alcohol, Drugs, and Health. How Many People Drink Alcohol in the United States? Strategies for Reducing Binge Drinking The quickest way to reduce these costs, says the CDC, would be to reduce binge drinking (defined as four or more drink per occasion for women or five or more for men). To this end, the researchers suggested using several evidence-based strategies to reduce the impact of drinking on society: Increasing the price of alcohol to discourage use, particularly among the youngRegulating the number and location of sites where alcohol is soldReducing the days and hours of alcohol salesHolding alcohol retailers liable for injuries or damages caused by intoxicated or underage customersAvoiding the commercialization of state-controlled alcohol sales While many of the suggestions would meet stiff opposition from government and industry, they do highlight that cost and access remain major drivers of the alcohol epidemic in the U.S. Unless measures are taken to actively discourage drinking, says the CDC, it will be society at large that will end up paying. Frequently Asked Questions About Alcoholism Was this page helpful? Thanks for your feedback! Learn the best ways to manage stress and negativity in your life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Centers for Disease Control and Prevention. Excessive Drinking is Draining the U.S. Economy. Updated July 13, 2018. Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD. 2010 National and State Costs of Excessive Alcohol Consumption. American Journal of Preventative Medicine. 2015;49(5):e73-e79.doi:10.1016/j.amepre.2015.05.031 U.S. Department of Health and Human Services (HHS), Office of the Surgeon General. Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health. Washington, DC: HHS. Published November 2016.