Those who contemplate the beauty of the earth find reserves of strength that will endure as long as life lasts. ~Rachel Carson
Substance abuse, addiction and its consequences cost the U.S. government nearly $500 billion in 2005 with only a fraction of federal and state dollars spent on prevention and treatment, according to a report released last week.
Of the $373.9 billion spent by federal and state government agencies, some 95.6 percent was spent to “shovel up the consequences and human wreckage of substance abuse and addiction,” while only 1.9 percent was spent on prevention and treatment, said the report from Columbia University’s National Center on Addiction and Substance Abuse.
For every dollar spent to prevent and treat substance abuse, federal and state government spent more than $50 on public programs aimed at addressing its effects. “Despite a significant and growing body of knowledge documenting that addiction is a preventable, treatable, and manageable disease, and despite the proven efficacy of prevention and treatment techniques, our nation still looks the other way while substance abuse and addiction causes illness, injury, death and crime, savages our children, overwhelms social service systems, impedes eduction – a slaps and heavy and growing tax on our citizens,” said Susan Foster, the addiction center’s vice president and director of policy research and analysis.
The center found that federal, state and local governments spent some $467.7 billion on substance abuse-related costs, including health care, justice systems, family court, child welfare and homelessness. The figures are for 2005, the most recent year for which data was available.
The center found that if substance abuse and addiction were its own category within the federal budget, it would rank sixth in size behind Social Security, national defense, Medicare, and consume 9.6 percent of the total budget. The report concludes that states spend more on substance abuse and addiction than they spent on Medicaid, higher education, transportation or justice.
The report advocates that more funding and efforts be directed toward prevention and treatment, rather than cleaning up the wreckage that substance abuse leaves in its wake.