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

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 ]