'Just a piece': The U.S. opioid epidemic is costing a fortune in lost tax revenue

As state and federal authorities crack down on companies and doctors who made money by fueling the U.S. opioid epidemic, researchers are beginning to better understand other negative economic affects of the crisis.

The opioid crisis cost the U.S. about $37.8 billion in state and federal taxes between 2000 and 2016, according to a recent study by researcher at Penn State University and published in the journal Medical Care.

Researchers found that “between 2000 and 2016, opioid misuse cost state governments $11.8 billion, including $1.7 billion in lost sales tax revenue and $10.1 billion in lost income tax revenue.” On top of that, the study found, the federal government lost $26 billion in income tax revenue during that time.

“We certainly know that opioids have had a significant cost,” Joel Segel, an assistant professor of health policy administration at Penn State University and one of the authors of the report, told Yahoo Finance, “but I’m not sure we had necessarily realized it was this large. Obviously, this is just a small fraction of the total costs — just a piece.”

Warren, a city that was once one of the nation's manufacturing hubs, has been struggling with high unemployment and a surge in opioid addiction. (Photo: Spencer Platt/Getty Images)
Warren, a city that was once one of the nation's manufacturing hubs, has been struggling with high unemployment and a surge in opioid addiction. (Photo: Spencer Platt/Getty Images)

The data was calculated by estimating lost state income and sales tax revenue “due to the impact of opioid misuse on employment” and estimating lost income tax revenues for the federal government.

Within states, $9.5 billion was lost due to labor force exits while $0.6 billion was lost because of premature mortality.

“In addition to lost income tax revenue, most states also experience reductions in sales tax revenue when workers leave the labor force and purchase fewer goods and services,” the report states.

‘Different people on different levels’

The researchers used CDC Wonder mortality data to “calculate the lost income and sales tax revenue for each [opioid-attributable] death using the same method used for labor market exits, with the additional assumption that if a worker dies prematurely due to opioid misuse, it will eliminate tax payments in all subsequent years during the 2000-2016 time period.”

Men have been affected by opioid addiction more than women, particularly during the 2000-2016 timeframe. According to data from the Kaiser Family Foundation, the number of male opioid overdose deaths was at a rate of 4.4 per 100,000 individuals, compared to 1.6 of females, in 2000. By 2016, that number surged to 18.1 per 100,000 among men and 8.5 of females.

Men has suffered more opioid overdose deaths than women. (Photo: Kaiser Family Foundation)
Men has suffered more opioid overdose deaths than women. (Photo: Kaiser Family Foundation)

“I think a big piece of this is that the opioid crisis touches people in a number of different ways,” Segel said. “Obviously, there are the health effects of it. And then there are the impacts on the ability to work, what additional services they may need, and whether they have interactions with the criminal justice system. This highlights that the opioid crisis affects people on different levels.”