According to the SAMSHA FASD Center for Excellence, FAS costs the United States $5.4 billion dollars a year. A child diagnosed with FAS carries a lifetime health cost from $860,000 to a maximum of $4.2 million. current time . It is also plausible to predict that a diagnosis of FAS reduces lifetime productivity by $200,000 per individual. Even expensive prevention programs may be “cost effective,” if the cost per affected child is minimally $850,000.