An Unhealthy America: The Economic Burden of ... - Milken Institute

An Unhealthy AmericaMilken InstituteSummary Table – Avoided CostsThe next table below summarizes the differences between the optimistic and baseline projection scenarios in absoluteand percentage totals of avoidable direct costs. As shown, more than 40 million cases of chronic conditions could beavoided, resulting in avoided treatment costs of $217.6 billion annually in 2023, a 27.5 percent savings.2023 Avoidable Cost Projections2023 Avoidable Cost Difference Projections Between - Difference Baseline and Between Optimistic Baseline Projections and Optimistic ProjectionsPRCExpendituresExpendituresPRC*per PRCExpenditures/PRCTotal ExpendituresDisease Absolute (Billions) Absolute (Millions) (Thousands) AbsoluteChronic Disease Cancer (Thousands) Percent 48.1 ($) 10.6Percent(US$ 4.5 Billions) PercentCancer Breast Cancer -3,060 -17.8 5.5 -803 1.1 -9.4 4.8 -37 -25.6Breast Cancer Colon Cancer -211 -12.3 3.9 -836 0.3 -9.3 11.5 -3.2 -20.6Colon Cancer Lung Cancer -79 -17.7 6.3-2,166 0.4 -9.2 17.1 -2.7 -25.5Lung Cancer Prostate Cancer -91 -18.4 4.3-2,959 1.0 -9.3 4.1 -4.2 -26.2Prostate CancerOther Cancers -393 -21.5 28.0 -723 7.7 -9.2 3.6 -4.1 -28.9Other CancersPulmonary Conditions -2,285 -18.0 45.2 -649 49.2 -9.2 0.9-23.1 -25.8Pulmonary Conditions Diabetes -9,078 -14.1 27.1 -167 13.7 -9.2 2.0-26.2 -22.2Diabetes Hypertension-2,791 -13.3 32.5 -350 36.8 -9.2 0.9-17.1 -21.5Hypertension Heart Disease -9,561 -18.7 64.7 -157 19.2 -9.2 3.4-23.3 -26.4Heart Disease Stroke -9,354 -34.6 13.6 -630 2.4 -9.2 5.6-75.8 -40.8StrokeMental Disorders-589 -18.845.8-1,06030.3-9.21.5-9.7 -26.5Mental DisordersTotal -5,763 -12.3 277.0 -265 162.2 -9.3 1.7-28.0 -20.7Total PRC: Population -40,196 Reporting Condition -17.4 – – -217.6 -27.5Source: Milken InstituteCumulatively over two decades, the direct avoidable treatment cost totals $1.6 trillion for all chronic diseases in this study.Avoidable Avoidable Direct Costs Direct - US$ Costs BillionsUS$ BillionsExpendituresCumulative Sum PRC* Expenditures/PRCDisease(Billions) 2004-2023 (Millions) (Thousands)Cancer Chronic Disease Baseline48.1 Optimistic 10.6 Avoidable 4.5Costs*Cancer Breast Cancer 1,850 5.5 1,578 1.1 -272.0 4.8BreastColonCancer 2053.91830.3 11.5-22.3Lung Cancer 208 176 -32.4Lung Cancer 6.3 0.4 17.1Colon Cancer 134 112 -21.7ProstateProstateCancerCancer1784.31501.0 4.1-27.2Other Other Cancers Cancers 1,126 28.0 958 7.7 -168.5 3.6Diabetes Pulmonary Conditions 1,032 45.2 913 49.2 -118.5 0.9Heart Diabetes Disease 2,392 27.1 1,830 13.7 -561.7 2.0Pulmonary Hypertension Conditions 1,551 32.5 1,352 36.8 -199.6 0.9Hypertension Heart Disease 1,172 64.7 992 19.2 -179.6 3.4Stroke 470 13.6 3972.4 5.6 -72.7MentalMentalDisordersDisorders1,67945.81,48330.3-196.61.5Total 10,146 8,545 1,600.8Total 277.0 162.2 1.7*Sums of Differences between Baseline and Optimistic ProjectionsSource: PRC: Population Milken Institute Reporting Condition[ 92 ]