Nearly 40 million Americans--most of whom are not alcoholics--drink to excess, but far too few discuss this with their doctors, according to a new report from the Centers for Disease Control and Prevention. This behavior includes high weekly use, drinking among pregnant women or those under 21 and binge drinking, according to the report. Excessive drinking is responsible for about 88,000 deaths in the U.S. annually, at a cost of about $224 billion to the economy. Although alcohol screening and counseling can help excessive drinkers reduce their consumption on a single occasion by 25 percent, only one in six people talk about drinking with a doctor or other clinician. The Affordable Care Act mandates that new insurance plans cover screening and counseling without a copay. Report