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

An Unhealthy AmericaMilken InstituteHypertensionProjections for the 2023 data show hypertension remaining concentrated in the same regions as in 2003, the Southeastand Appalachian states.Under the baseline scenario, hypertension PRC share shows increases in all states in 2023, with Tennessee droppingfrom 5 th to 10 th . Florida ranks 4 th , moving up from 8 th in 2003. The bottom five states are fairly consistent, with NewMexico moving from 4 th place in 2003 to 8 th in 2023. Hawaii moves from 8 th in 2003 to 4 th in 2023. Under the optimisticscenario, only Mississippi (1 st ), Vermont (27 th ), Wyoming (37 th ), New Mexico (43 rd ), and Arizona (44 th ) show an increase inPRC share, with the other forty-five states showing slight declines. In projected expenditures, Delaware, West Virginia,Kentucky, and Mississippi rank as the top four states, despite Kentucky ranking 7 th and Delaware 11 th in terms of PRCshare of population. Alaska’s higher costs once again affect its ranking, moving it from 48 th in PRC share and to 16 th placein expenditures.Projected Hypertension PRCProjected Hypertension PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticMississippi Disease 20.717 16.844 (Billions) Utah (Millions) (Thousands) 9.955 0.325West Virginia Cancer 20.028 16.284 48.1Colorado 10.6 10.085 4.50.330Alabama Breast Cancer 19.659 15.984 5.5Alaska 1.1 10.760 4.80.364Florida Colon Cancer 17.692 14.384 3.9Hawaii 0.3 11.538 0.381Arkansas Lung Cancer 17.586 14.298 6.3Montana 0.4 11.788 17.10.382Source: 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 Hypertension13.7 2.0HypertensionProjected Expenditure Per for32.5 Capita, Hypertension 2023 36.8- Per Capita, 20230.9Heart Disease 64.7 19.2 3.4Top Five States Stroke Baseline Optimistic Expenditures 13.6Bottom Five PRC* 2.4 States Expenditures/PRCBaseline 5.6 OptimisticDelawareDisease Mental Disorders 417.3 301.2(Billions) 45.8Utah (Millions) 30.3 (Thousands)162.8 1.5117.6West VirginiaCancer Total 379.6 281.1 277.0New Mexico48.1 162.2 164.910.6 4.5 1.7121.3Kentucky 379.3 275.4 Hawaii 177.4 133.1PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8Mississippi 378.0 274.1 California 183.1 137.2Colon Cancer 3.9 0.3 11.5Tennessee 359.3 263.8 Colorado 186.6 135.1Lung 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[ 123 ]