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you may not know it but substance abuse is taking a big bite out of your wallet itamp;#39;s costing you and every other person in America nearly $2,000 a year that adds up to a whopping one point four billion dollars in North Dakota and a staggering six hundred billion dollars across the United States thatamp;#39;s a pretty hefty price tag so where does all that money go every year our economy absorbs all kinds of costs for medical care involvement with the criminal justice system work loss treatment and lost quality of life because of Alcohol Tobacco and other drug abuse okay before we get ahead of ourselves what exactly is substance abuse some people enjoy sharing a beer or glass of wine with friends and family and sometimes we take medicine to help us feel better when weamp;#39;re sick or in pain but when we drink too much or drink too young or take medications for the wrong reasons in amounts not recommended by a doctor thatamp;#39;s when substance use becomes substance