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

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An Unhealthy AmericaMilken InstituteStrokeStroke PRC share of population in the 2023 projections continues to show significant geographic overlap withhypertension rates. The states with high stroke PRC percentage of population in 2023 are very similar to those in the2003 data, with the exception of Maine, which rises from 14 th in the 2003 data to 4 th in the 2023 projections. Pennsylvaniadrops from 5 th in 2003 to 7 th in 2023. Among the states in the lower tiers, there are no significant changes, with thebottom ten matching for both 2003 and 2023, albeit in a slightly changed order.In the baseline projections, all states show increased PRC share, with the most dramatic increases belonging to NorthDakota (from 1.23 percent to 1.49 percent), Maine (0.99 percent to 1.24 percent), and Montana (0.86 percent to 1.11percent). In the optimistic projection, only Maine (4 th ), Montana (13 th ), Vermont (19 th ), Wyoming (21 st ), New Hampshire(38 th ), New Mexico (43 rd ), and Alaska (49 th ) show increases in PRC shares. In terms of per capita expenditures, NorthDakota, West Virginia, South Carolina, and Maine rank highest.Projected Stroke PRCProjected Stroke PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticNorth Dakota Disease 1.489 1.209 (Billions) Utah (Millions) (Thousands)0.550 0.446West Virginia Cancer 1.261 1.023 48.1Alaska 10.6 0.601 4.50.487Iowa Breast Cancer 1.256 1.019 5.5New York 1.1 0.648 4.80.526Maine Colon Cancer 1.238 1.004 3.9Colorado 0.3 0.650 11.50.528Arkansas Lung Cancer 1.208 0.980 6.3Nevada 0.4 0.680 17.10.551Source: 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 13.7 Stroke2.0HypertensionProjected Expenditure Per 32.5 Capita, for Stroke 2023- 36.8 Per Capita, 2023 0.9Heart Disease 64.7 19.2 3.4Top Five States Stroke Baseline Optimistic Expenditures13.6Bottom Five PRC*2.4 States Expenditures/PRCBaseline 5.6 OptimisticNorth DakotaDiseaseMental Disorders 194.9 144.6(Billions)45.8Utah (Millions)30.3(Thousands)63.2 1.545.6West Virginia Total 171.0 126.5 277.0New Jersey 162.2 76.2 1.756.5Cancer 48.1 10.6 4.5South Carolina PRC: Population 169.5 Reporting Condition 122.5 California 76.7 57.4Breast Cancer 5.5 1.1 4.8Maine 168.6 121.6 Arizona 79.4 57.6Colon Cancer 3.9 0.3 11.5South Dakota 167.4 121.2 New York 80.0 59.3Lung 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[ 125 ]
An Unhealthy AmericaMilken InstituteMental DisordersThe PRC share increases in all states in 2023 baseline and optimistic scenarios. Oregon, Massachusetts, and Montanamaintain their positions at the top of the list in both the 2003 and 2023 data. However, Vermont (4 th ) and New Mexico(5 th ) move ahead of Wisconsin (4 th in 2003) and Minnesota (5 th in 2003). The latter two states drop to 6 th and 7 th in theprojections. Pennsylvania rises from 47 th in 2003 to 15 th in 2023. By expenditure rates, the top states are Alaska, Oregon,Nevada, and Massachusetts, despite a PRC share ranking of 11 th for Nevada and 14 th for Alaska.Projected Mental Disorders PRCProjected Mental Disorders PRC - Percentage of Population, 2023Percentage of Population, 2023Top Five States Baseline Optimistic Expenditures Bottom Five PRC* States Expenditures/PRCBaseline OptimisticOregon Disease 22.646 19.850 (Billions) Washington (Millions) (Thousands)6.588 5.774Massachusetts Cancer 21.841 19.144 48.1North Dakota 10.6 8.706 4.57.632Montana Breast Cancer 20.851 18.276 5.5California 1.1 9.397 4.88.236Vermont Colon Cancer 19.548 17.134 3.9New York 0.3 10.544 11.59.242New Mexico Lung Cancer 19.526 17.115 6.3Mississippi 0.4 10.931 17.19.581Source: 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 27.1for Mental 13.7 Disorders 2.0Projected Expenditure forHypertension Per Mental32.5 Capita, Disorders 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 OptimisticAlaskaDisease Mental Disorders 864.8 668.4(Billions) 45.8Washington (Millions) 30.3 (Thousands)246.4 1.5193.7OregonCancer Total 789.4 619.2 277.0Texas 48.1 162.2 249.810.6 4.5 1.7196.5Nevada 782.2 593.4 Mississippi 259.5 202.9PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8Massachusetts 776.0 619.9 California 273.9 221.2Colon Cancer 3.9 0.3 11.5Montana 737.3 579.7 Oklahoma 280.2 221.9Lung 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[ 126 ]
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