One in five Americans admit to tobacco use. Government estimates the cost at $170 billion yearly.
https://www.drugabuse.gov/related-topics/trends-statistics#supplemental-references-for-economic-costs
By 2010, 8.7% (95% CI=6.8%, 11.2%) of annual healthcare spending in the U.S. could be attributed to cigarette smoking, amounting to as much as $170 billion per year. More than 60% of the attributable spending was paid by public programs, including Medicare, other federally sponsored programs, or Medicaid.
http://www.ajpmonline.org/article/S0749-3797(14)00616-3/fulltext
This year alone, nearly one-half million adults will still die prematurely because of smoking. Annually, the total economic costs due to tobacco are now over $289 billion. And if we continue
on our current trajectory, 5.6 million children alive today who are younger than 18 years of age will die prematurely as a result of smoking.
http://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf
Summary: Drive drunk instead, it's cheaper for the economy.According to the committee, one-third of all traffic fatalities since 1982 have been alcohol related. In 2010, the crashes caused $121.5 billion worth of damages the study says, including medical costs, earning losses and vehicle damages, among other factors.
http://www.chron.com/national/article/New-report-calls-for-lowering-BAC-levels-08-05-DWI-12517845.php?ipid=happening