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

An Unhealthy AmericaMilken InstituteColon CancerGDP:In 2003 the total indirect impacts based on GDP amounted to $22.1 billion. In 2023, the baseline scenarioincreases to $69.8 billion; the optimistic scenario increases to $42.7 billion. Also in 2023, the difference betweenthe baseline and optimistic scenarios themselves comes to $27.0 billion, reflecting a difference of 38.8 percent.The cumulative avoidable indirect impact based on GDP over the twenty-year period is $224.0 billion.Wages: Total indirect impacts based on wages in 2003 amounted to $9.8 billion. In 2023, the total increases to $30.1billion in the baseline projection and $18.4 billion for the optimistic scenario.IndividualCaregiverLost Workdays PresenteeismExpendituresLost WorkdaysPRC* Expenditures/PRCPresenteeismTotalYear Baseline Disease Optimistic Baseline Optimistic (Billions) Baseline Optimistic (Millions) Baseline (Thousands)Optimistic Baseline Optimistic2003Cancer1.1 1.1 19.0 19.048.10.1 0.110.61.84.51.8 22.1 22.12023 3.6 2.9 60.2 35.8 0.3 0.2 5.8 3.8 69.8 42.7Percent Change Breast Cancer 5.5 1.1 4.82003-2023 216.0 158.5 216.0 88.0 214.9 157.6 214.9 105.0 215.9 93.3Source: Milken InstituteGDP-Based Indirect Impact Projections for Colon CancerGDP-Based Indirect Impact Projections for Colon Cancer - US$ BillionsUS$ BillionsColon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Wage-Based Indirect Wage-Based Impact Indirect Projections Impact Projections for Colon for Cancer Colon Cancer - US$ BillionsPulmonary Conditions 45.2 US$ Billions 49.2 0.9Diabetes 27.1 13.7 2.0IndividualCaregiverHypertension Lost Workdays Presenteeism Expenditures 32.5 Lost Workdays PRC* 36.8 Expenditures/PRCPresenteeism 0.9TotalYearDiseaseBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline OptimisticHeart Disease (Billions) 64.7 (Millions) 19.2 (Thousands) 3.42003 0.5 0.5 8.5 8.5 0.0 0.0 0.8 0.8 9.8 9.82023 Cancer Stroke 1.5 1.3 25.9 48.1 13.6 15.4 0.1 10.6 2.4 0.1 2.5 4.5 5.6 1.6 30.1 18.4Percent Change2003-2023 Mental Breast Disorders 206.0Cancer150.0 206.9 45.8 5.582.5 205.7 30.3 1.1151.1 206.14.8 1.5 98.8Source: Milken Total Colon Institute Cancer 277.0 3.9 162.2 0.3 11.5 1.7206.5 87.6PRC: Lung Population Cancer Reporting Condition 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Colon Cancer Conditions 45.2 49.2 Colon Cancer 0.9GDP-Based Diabetes Avoidable Indirect Impact 27.1 Wage-Based 13.7 Avoidable 2.0 Indirect ImpactHypertension Colon Cancer32.5 36.8 Colon 0.9 CancerGDP-Based Avoidable Indirect ImpactWage-Based Avoidable Indirect ImpactUS$ Billions Heart Disease 64.7 19.2 3.4Expenditures PRC* Expenditures/PRCUS$ Billions30Stroke 13.6 12 2.4 5.6DiseaseExpenditures (Billions) (Millions) PRC* Expenditures/PRC(Thousands) Expenditures PRC*Mental Disorders 45.8 30.3 1.5Disease Cancer 25(Billions) 48.1 (Millions) 10.6 Disease (Thousands)10 4.5(Billions) (Millions)Total 277.0 162.2 1.7Cancer Breast Cancer 48.1 5.5 10.6 1.1 Cancer 4.5 4.848.1 10.6 4.520PRC: Population Reporting ConditionBreast Colon Cancer 5.5 3.9 1.1 0.3 Breast Cancer84.811.55.5 1.1 4.8Colon Lung Cancer 3.9 6.3 0.3 0.4 Colon Cancer 11.5 17.13.9 0.3 11.5156Lung Prostate Cancer Cancer 6.3 4.3 0.4 1.0 Lung Cancer 17.1 4.16.3 0.4 17.1Prostate Other 10 Cancers 4.3 28.0 1.0 7.7 Prostate 4Cancer 4.1 3.64.3 1.0 4.1Other Pulmonary Cancers Conditions 28.0 45.2 7.7 49.2 Other Cancers 3.6 0.928.0 7.7 3.6Pulmonary Diabetes 5 Conditions 45.2 27.1 49.2 13.7 Pulmonary 20.9Conditions 2.045.2 49.2 0.9Diabetes Hypertension 27.1 32.5 13.7 36.8 Diabetes 2.0 0.927.1 13.7 2.000Hypertension Heart Disease 2005 2008 2011 2014 32.5 64.7 2017 2020 36.8 19.2 2023 Hypertension 0.9 3.4 2005 2008 2011 32.5 2014 2017 36.8 2020 2023 0.9Source: Milken InstituteHeart Stroke Disease 64.7 13.6 19.2 2.4Source: Milken InstituteHeart Disease 3.4 5.664.7 19.2 3.4Stroke Mental Disorders 13.6 45.8 2.4 30.3 Stroke 5.6 1.513.6 2.4 5.6Mental Total Disorders 277.0 45.8 30.3 162.2 Mental Disorders 1.5 1.745.8 30.3 1.5Total PRC: Population Reporting Condition 277.0 162.2 Total 1.7277.0 162.2 1.7PRC: Population Reporting ConditionPRC: Population Reporting Condition[ 148 ]Expenditures/PRC(Thousands)