Synopsis
Treatment and prevention of alcohol and drug abuse problems and related health conditions are estimated to have cost almost $28.8 billion in 1992, of which about $18.8 billion was for alcohol problems and $9.9 billion was for drug abuse problems. Included in these estimates are the cost of specialty treatment, prevention, and support services for alcohol and drug abusers, as well as health care costs for treatment of the medical consequences of alcohol and drug abuse. Treatment of medical consequences includes inpatient and outpatient medical care, pharmaceuticals, and other services provided to persons suffering from conditions such as HIV/AIDS, infant drug or alcohol exposure, liver cirrhosis, and trauma. Findings from this analysis of health care costs are summarized in table 4.1 and include the following:
- Treatment and prevention of alcohol and drug abuse disorders cost about $9.0 billion, and training, research, and insurance administration for treatment and prevention services cost another $1.0 billion.
- Treatment of the medical consequences of alcohol and drug abuse cost about $18.8 billion.
- Medical consequences of alcohol and drug abuse resulted in costs of $6.3 billion for hospitalizations and $4.9 billion for other health care services (e.g., ambulatory care and medications).
- Special disease groups cost about $6.5 billion, including about $3.7 billion for drug abuse-related HIV/AIDS cases, $462 million for hepatitis, and $407 million for drug-exposed newborns.
Estimates reported in this study are greater than would have been expected given inflation from the previous estimate by Rice et al. (1990) for 1985 of $8.9 billion. Most of the differences can be attributed to (1) application of specific causal factors to estimate alcohol-related hospital days and other health care utilization and (2) inclusion of drug-related cases of HIV/AIDS, hepatitis, and drug-exposed newborns.
- Table 4.1: Health Care Costs of Alcohol and Drug Abuse, 1992
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Table 4.1: Health Care Costs of Alcohol and Drug Abuse, 1992 (millions of dollars) Cost Total Drugs Specialty Services and Support Services: Alcohol or drug abuse treatment $7,176 $4,046 $3,130 Alcohol or drug abuse prevention $1,814 $1,088 $726 Support: Training $122 $73 $49 Research $536 $184 $352 Insurance administration $325 $182 $143 Total, Specialty Services and Support $9,973 $5,573 $4,400 Medical Consequences Health Providers: Hospitalization, non-Federal $5,846 $5,328 $518 Hospitalization, Federal $495 $451 $44 Outpatient medical $1,749 $1,749 0 Nursing homes $623 $623 0 Pharmaceuticals $1,581 $1,581 0 Other health professionals $935 $935 0 Special Disease Groups: Fetal alcohol syndrome $1,944 $1,944 0 Drug-exposed infants, etc. $407 0 $407 Tuberculosis $30 0 $30 HIV/AIDS $3,700 0 $3,700 Hepatitis $462 0 $462 Violent crime $105 0 $105 Health Insurance Administration $901 $636 $265 Total, Medical Consequences $18,778 $13,247 $5,531 Total $28,751 $18,820 $9,931 Source: Analysis by The Lewin Group.
Note: Components may not sum to totals because of rounding.