IORTI · Independent research

What excessive drinking costs

Place
Year
Method
 

Where the money goes

Health care Lost work Other costs Right-hand label = how reliable the 2010-to-2021 change is

Why the cost rose

Prices went up over the decade, but so did the amount of harm. Each bar below answers a different "what if" question.

Who is affected

These three groups overlap — an 18-year-old drinking heavily counts in two of them. That is why they are shown separately and never added together.

Cost by state

Every state's cost, built from the figure published for that state in 2010. Cost per drink is skewed in states where a lot of alcohol is bought by visitors or by people crossing a state line, so read it with care. Click any column to sort.

How certain is this

A cost like this cannot be measured directly — it is built from many separate estimates, and some of the inputs are genuinely uncertain. Rather than hide that, the charts below show what changes when the debatable choices are made differently. These are named scenarios, not a statistical margin of error. Hover any bar to see exactly what was changed.

How big could the total be?

Each bar changes something about how the cost is calculated. The main estimate is highlighted.

How much of it does government pay?

These do not change the total at all — they change only the share attributed to taxpayers. That is why they would look identical on the chart above.

Where this comes from. The framework is the 26-part model behind the 2010 federal estimate of $249 billion. Each part was updated to 2021 using public data: CDC alcohol-attributable deaths and death certificates, federal survey data on drinking, Medicare and Medicaid spending accounts, Bureau of Labor Statistics prices and wages, Justice Department corrections and victimization data, FBI crime data, highway safety crash data, and NIAAA alcohol sales. Every figure on this page is reproducible from published sources; hover any number to see which one.

Dollar amounts are in 2021 dollars. Government cost is part of the total, not an addition to it. Deaths are valued by the earnings and household work lost, the same way the 2010 estimate did it.