Addiction Science: From Molecules to Managed Care

The total cost of substance abuse and addiction to the Commonwealth in 2005, the most recent year for which aggregate data are available, was more than $4.5 billion, which represented 21.8 percent of the total state budget in 2005, according to the 2009 report by the OxyContin and Heroin Commission. Out of the more than $4.5 billion, 98 percent represents the cost to public programs, which includes spending on justice, education, mental health services, and public safety, according to the report. Private insurance payments for substance abuse treatment decreased 11 percent from 1991 to 2001 while public payments increased by 68 percent, the report noted.

Cost of Methadone Maintenance

Cost of Methadone and Suboxone

2009

$276,000,000

Number Serviced

14,000

Average Cost per person

$19,799

Cost of Suboxone Maintenance

Cost of Methadone and Suboxone

2009

$49,000,000

Number of Doctors

400

Cost of Sobriety Maintenance

Better Government Nomination

Massachusetts Model

2010

$20,956,000

Number Serviced

8,400

Average Cost per person

$2,494

Cost of Addiction Care Massachusetts

2005

$4,500,000,000

21.8% of the State Budget

Drug Abuse Cost United States Economy