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

An Unhealthy AmericaMilken InstituteHeart DiseaseBecause the recent increase in heart disease rates is heavily dependent on behavioral risk factors, differences in baselineand optimistic PRC percentage of population are more significant than for virtually all other diseases profiled.The top five states for heart disease remain largely unchanged from the 2003 data, with Pennsylvania dropping from 5 thto 11 th . Florida moves from 8 th to 5 th , chiefly due to its larger retirement-age population. Among the bottom five states,the only significant change is New Mexico, which rises from 46 th in 2003 to 25 th in the 2023 data. The top three states forexpenditures are South Dakota, West Virginia, and North Dakota, despite North Dakota ranking 7 th in PRC share andSouth Dakota ranking 20 th .Projected Heart Disease PRCProjected Heart Disease PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticWest Virginia Disease 12.447 8.137 (Billions) Utah (Millions) (Thousands)4.152 2.715Mississippi Cancer 11.150 7.289 48.1Alaska 10.6 4.826 4.53.155Alabama Breast Cancer 10.488 6.857 5.5Colorado 1.1 4.997 4.83.267Oklahoma Colon Cancer 10.304 6.736 3.9Minnesota 0.3 5.419 11.53.543Florida Lung Cancer 9.602 6.277 6.3Oregon 0.4 6.200 17.14.053Source: Milken InstituteProstate 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 Heart 13.7 Disease 2.0Projected ExpenditureHypertension Per for Heart32.5 Capita, Disease 2023 - 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 OptimisticSouth DakotaDisease954.5 556.6Mental Disorders (Billions)Utah45.8 (Millions) 30.3 (Thousands)274.1 159.21.5West Virginia 919.4 547.6 Connecticut 373.3 224.9Cancer Total 277.0 48.1 162.2 10.6 4.5 1.7North Dakota 917.9 548.6 Colorado 386.7 225.2PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8Missouri 905.2 534.8 New Jersey 389.7 232.9Colon Cancer 3.9 0.3 11.5Delaware 858.9 498.7 California 390.2 235.1Lung 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[ 124 ]