PORTLAND – The Fund for a Healthy Maine was established to ensure that annual receipts from the multistate tobacco settlement are used for health-related purposes.
The governor’s proposed budget contains some troubling cuts to the fund. One, in particular, is the curtailment of fund investments in substance abuse prevention and treatment.
The proposed cuts would substantially reduce the number of youth, families and communities served by community coalitions known as Healthy Maine Partnerships. These groups work to prevent and reduce alcohol and other drug abuse, particularly among school- and college-age youth.
The proposed cuts would reduce the use of media in prevention efforts. The proposed cuts would also sharply limit treatment options for many people suffering from drug addiction.
Taken as a whole, these cuts would reduce by one-third the state’s commitment to substance abuse prevention and treatment. The inevitable result would be more substance abuse, more addiction and higher overall costs.
Substance abuse is one of Maine’s most serious health-related problems. Each year, it causes thousands of deaths, illnesses and disabilities. When we reduce the prevalence of substance abuse and the disease of addiction, we reduce the horrific cascade of social, health and economic problems that befall users, families and communities.
The Maine Office of Substance Abuse estimated that the cost of substance abuse to our state’s economy in 2010 was $1.2 billion. That’s more than $900 a year for every man, woman and child in Maine.
Research results released in 2009 by the National Center on Addiction and Substance Abuse (CASA) at Columbia University show that historically more than a quarter of Maine’s annual budget is directly or indirectly related to substance abuse. CASA also found that 98 percent of that spending goes to address the human wreckage and consequences, while less than 2 percent goes to prevention and treatment.
In other words, for every tax dollar that we spend dealing with substance abuse, 98 cents goes to deal with crime, health care, social welfare and other consequences of substance abuse, and less than 2 cents goes to reduce the need for that spending. Joseph Califano, CASA’s board chairman, describes this as “a reckless misallocation of public funds” and “unconscionable.” I agree.
Rather than go upstream to prevent the formation of the powerful torrent of human and economic devastation, we seem content to wait and deal with its ugly aftermath downstream. This is not only unconscionable, it’s just plain dumb. If anything, we should increase — not decrease — investments in substance abuse prevention and treatment.
The majority of the cost of substance abuse on Maine’s economy is attributable, directly and in combination with other drugs, to alcohol. Alcohol is a gateway drug and we know that alcohol use among teens is a particular problem in Maine.
In the latest Maine Integrated Youth Health Survey, 35 percent of high school students reported drinking alcohol in the past month, and 21 percent reported drinking five or more drinks in a row in the past month.
A few years ago, I supported legislation to increase the tax on alcohol products to deter youth drinking and to help pay for prevention and treatment services. The alcohol industry successfully defeated the bill, arguing that an alcohol tax hike would cost jobs and be bad for business.
Bad for business? Let me tell you what’s bad for business.
Increased sickness, death and disability are bad for business. A shortage of healthy, skilled and reliable workers is bad for business. Escalating medical care costs are bad for business. Increased crime is bad for business. Fractured families and communities are bad for business. Unrealized human potential is bad for business. All of these problems and more are connected to substance abuse and all have huge financial and human price tags.
Further reducing our already inadequate investment in substance abuse prevention and treatment is one of the worst economic decisions we can make.
We’ll never realize our potential as a people and as a state unless we significantly decrease the prevalence of substance abuse and addiction. To that end, we should be heading upstream with more, not fewer, resources.
- Special to the Press Herald