Excessive alcohol use is responsible for about 88,000 deaths and 2.5 million years of potential life lost in the United States each year.1 Excessive alcohol use cost the US economy $223.5 billion, or $1.90 a drink, in 2006, $0.80 of which was paid by governments.2 Binge drinking (five or more drinks per occasion for men or four or more drinks per occasion for women) is responsible for more than half the deaths, two-thirds of the years of potential life lost, and three-quarters of the costs resulting from excessive alcohol use.2,3