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

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An Unhealthy AmericaMilken InstitutePULMONARY CONDITIONSStates with high smoking rates, high levels of industrial and vehicle pollutants, and colder weather remain at the top ofthe list in the 2023 projections.Kentucky ranks first in both the baseline and optimistic scenarios. However, while all states show increases in thebaseline scenario, only ten states show increases in the optimistic scenario, with both Michigan and Massachusettsshowing a decline in the percentage of PRC share of population. Based on expenditure rates, Kentucky again ranks first.It is followed by Missouri (15 th in PRC share), South Dakota (23 rd in PRC share), Alaska (31 st in PRC share) and Delaware (13 thin PRC share ) due to the significantly higher treatment costs in those states.Projected Pulmonary Conditions PRCProjected Pulmonary Conditions PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticKentucky Disease 29.178 25.077 (Billions) Hawaii (Millions) (Thousands)11.074 9.517Maine Cancer 25.193 21.652 48.1Nevada 10.6 12.403 4.5 10.660West Virginia Breast Cancer 25.036 21.517 5.5New Mexico1.1 12.871 4.8 11.062Michigan Colon Cancer 24.203 20.802 3.9Utah 0.3 14.587 11.5 12.537Massachusetts Lung Cancer 23.505 20.202 6.3Wyoming 0.4 15.089 17.1 12.968Source: Milken Institute Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9DiabetesProjected Expenditure 27.1 for Pulmonary 13.7Conditions2.0Projected Expenditure for PulmonaryHypertension Per 32.5 Capita, 2023 Conditions - Per Capita, 202336.8 0.9Heart Disease 64.7 19.2 3.4Top Five States Stroke Baseline Optimistic Expenditures 13.6Bottom Five PRC* 2.4 States Expenditures/PRCBaseline 5.6 OptimisticKentuckyDisease Mental Disorders 604.0 463.7(Billions) 45.8Hawaii (Millions) 30.3 (Thousands)178.1 1.5141.2MissouriCancer Total 538.0 417.8 277.0New Mexico48.1 162.2 182.010.6 4.5 1.7141.5South Dakota 536.2 411.0 California 234.9 186.1PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8Alaska 521.3 395.2 Utah 240.9 184.0Colon Cancer 3.9 0.3 11.5Delaware 494.0 377.0 New Jersey 245.8 193.2Lung 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[ 121 ]
An Unhealthy AmericaMilken InstituteDIABETESUnder the projections, diabetes PRC shares remain strong in states that were centers for the disease in the 2003data—particularly in the Southeast, the Appalachian states, and Mid-Atlantic states.There are no dramatic changes among the top ten states, although Maine (2 nd ) has moved up from 11 th in 2003, andPennsylvania remains in 5 th place. Alabama, which ranked 6 th in 2003, falls to 8 th , and Mississippi, which had ranked 1 st in2003, maintains its position. Among the bottom five states, Kansas and Wisconsin, previously ranked 7 th and 6 th , nowrank 4 th and 5 th . Utah, which had previously ranked 4 th , drops out of the bottom five to rank 6 th (44 th from the top).Montana, which ranked 5 th in 2003, moves to 16 th (34 th from the top) in 2023. The second table shows that by expenditurerates, the top three states are Maine, Mississippi, and Delaware, despite Delaware ranking just 11 th in PRC share. Alaskarises to 20 th in expenditure rate, despite being 49 th in PRC.Projected Diabetes PRCProjected Diabetes PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticMississippi Disease 9.439 8.183 (Billions) Colorado (Millions) (Thousands)3.781 3.278Maine Cancer 8.445 7.322 48.1Alaska 10.6 4.057 4.53.518West Virginia Breast Cancer 8.427 7.307 5.5Minnesota 1.1 4.214 4.83.653South Carolina Colon Cancer 7.805 6.767 3.9Kansas 0.3 4.543 11.53.939Pennsylvania Lung Cancer 7.186 6.231 6.3Wisconsin 0.4 4.728 17.14.099Source: Milken Institute Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes Projected Expenditure 27.1 for Diabetes 13.7 2.0Hypertension Projected Expenditure Per 32.5 for Capita, Diabetes 2023 36.8 - Per Capita, 2023 0.9Heart Disease 64.7 19.2 3.4Top Five States Stroke Baseline Optimistic Expenditures 13.6Bottom Five PRC* 2.4 States Expenditures/PRCBaseline 5.6 OptimisticMaineDisease Mental Disorders 374.8 288.6(Billions) 45.8Colorado (Millions) 30.3 (Thousands)156.7 1.5121.0MississippiCancer Total 352.5 272.6 277.0New Mexico48.1 162.2 174.110.6 4.5 1.7136.5DelawarePRC: Breast Population330.1Cancer Reporting Condition254.1 Utah 179.2 138.05.5 1.1 4.8West Virginia 324.7 256.4 Kansas 182.1 143.0Colon Cancer 3.9 0.3 11.5South Carolina 313.4 241.8 Oklahoma 183.6 143.8Lung 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[ 122 ]
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