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Kraus, L Article Authors Figures & Tables References Metrics Citations Background : Prevalence estimates of the use of tobacco, alcohol, illegal drugs, and psychoactive medications and of substance-related disorders enable an assessment of the effects of substance use on health and society

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Studies are a mixed bag on how much those costs are, with the lost lives and health care costs weighed against lower Social Security and Medicare costs from early deaths and the personal enjoyment that smokers get from smoking