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

An Unhealthy AmericaMilken InstituteBreast CancerGDP:In 2003 the total indirect impacts based on GDP amounted to $31.1 billion. In 2023, the baseline scenarioincreases to $102.2 billion; the difference in the optimistic scenario increases to $66.6 billion. Also in 2023, thedifference between the baseline and optimistic scenarios themselves comes to $36.0 billion, reflecting adifference of 35.1 percent.The cumulative avoidable indirect impact based on GDP over the twenty-year period is $281.0 billion.Wages: Total indirect impacts based on wages in 2003 amounted to $13.8 billion. In 2023, the total increases to $44.0billion in the baseline projection and $28.7 billion for the optimistic scenario.IndividualCaregiverLost Workdays PresenteeismExpendituresLost WorkdaysPRC* Expenditures/PRCPresenteeismTotalYear Baseline DiseaseOptimistic Baseline Optimistic (Billions) Baseline (Millions)Optimistic Baseline (Thousands)Optimistic Baseline Optimistic2003 1.6 1.6 26.8 26.8 0.1 0.1 2.6 2.6 31.1 31.1Cancer 48.1 10.6 4.52023 5.2 4.5 88.1 55.8 0.4 0.3 8.5 5.9 102.2 66.6Percent Change Breast Cancer 5.5 1.1 4.82003-2023 228.1 186.1 228.1 108.0 226.9 185.1 226.9 126.8 228.0 113.9Source: Milken InstituteGDP-Based Indirect Impact Projections for Breast CancerGDP-Based Indirect Impact Projections for Breast Cancer - US$ BillionsUS$ BillionsColon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers Wage-Based Indirect Impact 28.0 Projections for 7.7 Breast Cancer 3.6Wage-Based Indirect Impact ProjectionsPulmonary Conditions US$ 45.2Billionsfor Breast Cancer - US$ Billions49.2 0.9Diabetes 27.1 13.7 2.0IndividualCaregiverHypertension Lost Workdays Presenteeism Expenditures 32.5 Lost Workdays PRC* 36.8 Expenditures/PRCPresenteeism 0.9TotalYear Baseline Disease Heart Disease Optimistic Baseline Optimistic (Billions) 64.7 Baseline (Millions) Optimistic 19.2 Baseline (Thousands)Optimistic 3.4 Baseline Optimistic2003 0.7 0.7 11.9 11.9 0.1 0.1 1.2 1.2 13.8 13.8Cancer Stroke 48.1 13.6 10.6 2.4 4.5 5.62023 2.2 2.0 38.0 24.1 0.2 0.1 3.7 2.5 44.0 28.7Percent Change Mental Breast Disorders Cancer 45.8 5.5 30.3 1.1 4.8 1.52003-2023 Total 222.3Colon Cancer180.5 218.6 102.0 277.0 3.9217.4 162.2 173.90.3216.411.5 1.7 119.0 218.5 107.7Source: Milken InstitutePRC: Lung Population Cancer Reporting Condition 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6PulmonaryBreast CancerConditions 45.2 49.2Breast Cancer0.9GDP-Based Diabetes Avoidable Indirect Impact 27.1 Wage-Based 13.7 Avoidable 2.0 Indirect ImpactBreast CancerBreast CancerGDP-Based Hypertension Avoidable Indirect Impact 32.5 36.8Wage-Based Avoidable 0.9 Indirect ImpactUS$ Billions Heart Disease 64.7 US$ Billions 19.2 3.440Expenditures PRC* Expenditures/PRC20Stroke 13.6 2.4 Expenditures 5.6 PRC* Expenditures/PRCDiseaseExpenditures (Billions) (Millions) PRC* Expenditures/PRC(Thousands)Mental Disorders Disease 45.8 30.3 (Billions) 1.5 (Millions) (Thousands)Disease Cancer (Billions) 48.1 (Millions) 10.6 (Thousands) 4.530Total Cancer 277.0 15 162.2 48.1 1.7 10.6 4.5Cancer Breast Cancer 48.1 5.5 10.6 1.1 4.5 4.8PRC: Population Reporting Condition Breast Cancer 5.5 1.1 4.8Breast Colon Cancer 5.5 3.9 1.1 0.3 4.8 11.5Colon Cancer 3.9 0.3 11.5Colon Lung 20 Cancer 3.9 6.3 0.3 0.4 1011.517.1Lung Cancer 6.3 0.4 17.1Lung Prostate Cancer Cancer 6.3 4.3 0.4 1.0 17.1 4.1Prostate Cancer 4.3 1.0 4.1Prostate Other Cancers 4.3 28.0 1.0 7.7 4.1 3.6Other Cancers 28.0 7.7 3.6Other Pulmonary Cancers 10 Conditions 28.0 45.2 7.7 49.2 53.60.9Pulmonary Conditions 45.2 49.2 0.9Pulmonary Diabetes Conditions 45.2 27.1 49.2 13.7 0.9 2.0Diabetes 27.1 13.7 2.0Diabetes Hypertension 27.1 32.5 13.7 36.8 2.0 0.90Hypertension 032.5 36.8 0.9Hypertension Heart Disease 2005 2008 2011 2014 32.5 64.7 2017 2020 36.8 19.2 2023 0.9 3.4 2005 2008 2011 2014 2017 2020 2023Source: Milken InstituteHeart Disease Source: Milken Institute 64.7 19.2 3.4Heart Stroke Disease 64.7 13.6 19.2 2.4 3.4 5.6Stroke 13.6 2.4 5.6Stroke Mental Disorders 13.6 45.8 2.4 30.3 5.6 1.5Mental Disorders 45.8 30.3 1.5Mental Total Disorders 277.0 45.8 30.3 162.2 1.5 1.7Total 277.0 162.2 1.7Total PRC: Population Reporting Condition 277.0 162.2 1.7PRC: [ 147 Population ] Reporting ConditionPRC: Population Reporting Condition