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The Impact of Substance Abuse on Federal, State, and Local Budgets

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As the Administration and the Congress consider health care reform and work to expand access to the 45 million Americans without coverage, it is worth noting that the largest amount of federal and state spending on the burden of substance abuse and addiction–$207.2 billion, or 58 percentwas for health care, and that health care is 74.1 percent of the federal shoveling up burden. With health care costs by far the biggest cost of shoveling up, for the Administration and Congress to attempt healt

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