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

An Unhealthy AmericaMilken InstituteOTHER CANCERSPRC share for “other cancers” show an increase for all states under both the 2023 baseline and optimistic scenarios.Lifestyle and demographic factors again play a large role, with relatively limited changes occurring in state rankingsbetween the 2003 data and the 2023 projections.Among states with the highest PRC shares, Maryland manages to fall from 5 th under the 2003 data to 9 th . West Virginiaranks 5 th , up from 7 th in 2003. Alaska sees the highest proportionate rise in PRC share, from 2.27 percent to 3.57 percent,and a ranking change from 46 th all the way up to 31 st . Both Alaska and Colorado fall out of the bottom five states. Hawaiiand Kansas are now in the bottom five. From an expenditure standpoint, Delaware, South Dakota, and Alaska are thetop three states, despite being ranked 7 th , 22 nd , and 31 st by PRC. Tennessee’s high PRC share places it 4 th overall inexpenditures per capita.Projected Other Cancers PRCProjected Other Cancers PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticTennessee Disease 4.787 3.925 (Billions) Utah (Millions) (Thousands)2.951 2.420Arkansas Cancer 4.777 3.917 48.1Arizona 10.6 2.952 4.52.420Mississippi Breast Cancer 4.776 3.916 5.5Hawaii 1.1 3.085 4.82.530Kentucky Colon Cancer 4.551 3.732 3.9New Mexico 0.3 3.153 11.52.585West Virginia Lung Cancer 4.457 3.655 6.3Kansas 0.4 3.177 17.12.605Source: Milken Institute Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9DiabetesProjected Expenditure27.1for Other13.7Cancers2.0Projected Expenditure forHypertensionPer Other32.5Capita, Cancers 2023 - Per Capita, 202336.8 0.9Heart Disease 64.7 19.2 3.4Top Five StatesStrokeBaseline Optimistic Expenditures 13.6Bottom Five PRC* 2.4StatesExpenditures/PRCBaseline5.6OptimisticDelaware 410.4 298.8 New Mexico 154.4 114.5Disease Mental Disorders (Billions) 45.8 (Millions) 30.3 (Thousands) 1.5South Dakota 388.2 283.8 Utah 166.3 121.2Cancer Total 277.0 48.1 162.2 10.6 4.5 1.7Alaska 372.1 269.0 Hawaii 175.7 132.9PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8Tennessee 370.6 274.5 California 176.6 133.4Colon Cancer 3.9 0.3 11.5Kentucky 364.4 266.8 Arizona 178.6 130.8Lung Cancer 6.3 0.4 17.1Source: Milken InstituteProstate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6Mental Disorders 45.8 30.3 1.5Total 277.0 162.2 1.7PRC: Population Reporting Condition[ 120 ]