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Substance use has a massive impact on American society, with 113 million people experiencing harm from someone else’s drinking or drug habits. Nearly one in seven Americans suffers negative consequences from a loved one’s addiction, revealing a hidden epidemic that reaches far beyond individual struggles. These impacts create ripple effects through families, communities, and entire social networks, causing emotional, financial, and physical damage. The research shows addiction is not just a personal battle, but a complex community challenge that transforms lives in profound and often unseen ways. Understanding these widespread consequences is crucial for developing more comprehensive approaches to prevention and recovery.