Excessive Drinking is Draining the U.S. Economy

The cost of excessive alcohol use in the U.S. was almost a quarter trillion dollars in 2010. Implementing effective community-based interventions can reduce excessive drinking and its costs.

Excessive alcohol use is known to kill about 178,000 people in the United States each year, but a CDC study suggests it is also a drain on the American economy, mostly due to losses in workplace productivity.1,2

Overview of study findings

cost of excessive drinking in 2010 $2.05 per drink or $807 per person

Total costs

The cost of excessive alcohol use in the United States reached $249 billion in 2010, or about $2.05 per drink. Most (77%) of these costs were due to binge drinking. Binge drinking is defined as drinking four or more alcoholic beverages per occasion for women or five or more drinks per occasion for men. Further, 2 of every 5 dollars were paid by federal, state, and local governments, demonstrating that we are all paying for excessive alcohol use.

State costs

Excessive alcohol use cost states and the District of Columbia (D.C.) a median of $3.5 billion in 2010, ranging from $488 million in North Dakota to $35 billion in California. D.C. had the highest cost per person ($1,526, compared to the $807 national average), and New Mexico had the highest cost per drink ($2.77, compared to the $2.05 national average).

Cost of excessive drinking

Cost Breakout

The researchers found that the cost of this dangerous behavior impacts many aspects of the drinker’s life and the lives of those around them. However, most of the costs resulted from losses in workplace productivity (72% of the total cost), health care expenses for treating problems caused by excessive drinking (11% of total), law enforcement and other criminal justice expenses (10%), and losses from motor vehicle crashes related to excessive alcohol use (5%).

These estimates update two previous CDC studies that found excessive drinking cost the U.S. $223.5 billion and cost states and D.C. a median of $2.9 billion in 2006. The researchers believe that the study still underestimates the cost of excessive drinking because information on alcohol is often underreported or unavailable, and the study did not include other costs, such as pain and suffering due to alcohol-related injuries and diseases.

How can we prevent excessive alcohol consumption and reduce its economic costs?

Communities can use effective interventions to prevent excessive drinking and related harms and costs. These include:

  • Implementing pricing strategies to increase the price of alcohol
  • Regulating the number and location of where alcohol is sold (outlet density).
  • Holding alcohol retailers liable for injuries or damages caused by their intoxicated or underage customers.
  • Avoiding moving from state-controlled alcohol sales to commercial alcohol sales (privatization).

1 Centers for Disease Control and Prevention. Alcohol-Related Disease Impact Application website. Accessed February 29, 2024.

2 Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD. 2010 National and State Costs of Excessive Alcohol ConsumptionAm J Prev Med 2015; 49(5):e73–e79.