Responsible alcohol consumption is safe and enjoyable, and nearly all alcohol users drink responsibly. At the same time, problematic alcohol use by a relatively small share of drinkers creates enormous social costs. A recent study found destructive alcohol use cost the U.S. nearly $250 billion in 2010 alone.
The most serious cost of problematic drinking is early death. Excessive alcohol use is blamed for around 95,000 deaths every year in the U.S., including around 10,000 from drunk driving. By contrast, around 93,000 people died of drug overdoses in 2020. Between 1999 and 2017, alcohol-related deaths in the United States more than doubled. Alcohol-related deaths cost Americans nearly 3 million years of potential life every year.