Drug abuse has long been a serious issue in the United States, with the so-called “War on Drugs” dating back to 1971 under President Nixon.
Despite decades of efforts to fight addiction, the problem remains widespread and deadly. More than 80,670 Americans died from drug overdoses in the 12 months ending November 2024. As new threats like fentanyl spread—enough was seized last year for 380 million lethal doses—it’s more urgent than ever for policymakers to act.
But where is the crisis worst? A new report from WalletHub ranks all 50 states and the District of Columbia across key metrics like drug use, overdoses, and access to treatment.
Chip Lupo, an analyst at WalletHub, explains: “Drug problems can start from multiple sources, like taking illegal substances with friends or getting hooked on a prescription that was originally given for a legitimate medical issue. As states fight drug addiction, they need to consider all angles and make sure they are not just addressing things from a law enforcement perspective but also providing the resources necessary to help people with addictions get clean.”
WalletHub’s analysts compared states using 20 metrics organized into three main categories: drug use and addiction, law enforcement, and drug health issues and rehab. These metrics included measures like the percentage of adults and teens who reported using illicit drugs, overdose death rates, opioid prescriptions, and availability of treatment facilities.
New Mexico tops the list with the biggest drug problem in America. The state has the highest percentage of teens using drugs, the most teens reporting marijuana use before age 13, and the third-highest rate of adult illicit drug use. New Mexico also struggles with high overdose deaths and ranks near the bottom in offering help to those with addiction.