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

An Unhealthy AmericaMilken InstituteThe following figure shows output-based historical indirect impacts of hypertension. Texas ranks higher in output (GDP)than wage rates; thus, the output-based impacts are higher than wage-based impacts. North Carolina’s per capitahypertension PRC total ranks among the top fifteen states, placing it in the highest tier. Meanwhile, Pennsylvania, whichdoesn’t sit among the top fifteen states for either output or PRC, moves down to the third tier.GDP-Based per Capita Indirect Impacts of Hypertension, 2003DiseaseExpenditures(Billions)PRC*(Millions)Expenditures/PRC(Thousands)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate 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 Lowest 1.5Total 277.0 162.2 Third Tier 1.7PRC: Population Reporting ConditionSecond TierHighestNorth Dakota has the highest per capita stroke PRC totals. Yet as shown in the next figure, the state sits in the lowest tier,because of its low GDP. Meanwhile, New York has a low stroke PRC totals, but very high GDP rates, and the indirectimpacts put the state in the second tier.GDP-Based per Capita Indirect Impacts of Stroke, 2003DiseaseExpenditures(Billions)PRC*(Millions)Expenditures/PRC(Thousands)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate 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 1.5LowestTotal 277.0 162.2 Third Tier 1.7PRC: Population Reporting ConditionSecond TierHighest[ 136 ]