"Total government spending as a consequence of other drug use that can be differentiated by substance is an estimated $18.7 billion:
"• $16.4 billion in federal spending: $7.8 billion in dedicated drug enforcement, $39.5 million in drug court costs, $2.6 billion for drug interdiction, $2.5 billion for prevention, treatment, research and evaluation, and $3.8 billion in health care costs.
"• $1.9 billion in state spending: $336 million for public safety costs for drug enforcement programs, $138 million for drug courts, and $1.5 million linked to illicit and controlled prescription drugs in state spending on Medicaid.
"• $342.3 million in local health care spending."


National Center on Addiction and Substance Abuse at Columbia University, "Shoveling Up II: The Impact of Substance Abuse on State Budgets" (New York, NY: CASA, May 2009), p. 17.