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

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<strong>An</strong> <strong>Unhealthy</strong> <strong>America</strong><strong>Milken</strong> <strong>Institute</strong>Lung CancerGDP:In 2003 the total indirect impacts based on GDP amounted to $35.7 billion. In 2023, the baseline scenarioincreases to $105.5 billion; the optimistic scenario increases to $63.9 billion. Also in 2023, the difference betweenthe baseline and optimistic scenarios themselves comes to $42.0 billion, reflecting a difference <strong>of</strong> 39.8 percent.<strong>The</strong> cumulative avoidable indirect impact based on GDP over the twenty-year period is $339.0 billion.Wages: Total indirect impacts based on wages in 2003 amounted to $15.8 billion. In 2023, the total increases to $45.4billion in the baseline projection and $27.5 billion for the optimistic scenario.GDP-Based Indirect Impact Projections for Lung CancerGDP-Based Indirect Impact ProjectionsUS$ Billionsfor Lung Cancer - US$ BillionsIndividualCaregiverLost Workdays Presenteeism Expenditures Lost Workdays PRC* Expenditures/PRCPresenteeismTotalYear Baseline Disease Optimistic Baseline Optimistic (Billions) Baseline Optimistic (Millions) Baseline (Thousands)Optimistic Baseline Optimistic2003 1.8 1.8 30.8 30.8 0.1 0.1 3.0 3.0 35.7 35.7Cancer 48.1 10.6 4.52023 5.4 4.4 90.9 53.6 0.4 0.3 8.8 5.7 105.5 63.9Percent Change Breast Cancer 5.5 1.1 4.82003-2023 195.5 139.4 195.5 74.1 194.5 138.6 194.5 89.8 195.4 79.0Source: <strong>Milken</strong> <strong>Institute</strong>Colon 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 7.7Lung Cancer 3.6Wage-Based Indirect Impact Projections for Lung Cancer - US$ BillionsPulmonary ConditionsUS$45.2Billions49.2 0.9Diabetes Individual27.1 13.7 Caregiver 2.0Hypertension Lost Workdays Presenteeism Expenditures 32.5 Lost Workdays PRC* 36.8 Expenditures/PRCPresenteeism 0.9TotalYear Baseline Disease Heart DiseaseOptimistic Baseline Optimistic (Billions) 64.7Baseline (Millions) Optimistic19.2Baseline (Thousands)Optimistic3.4Baseline Optimistic2003 0.8 0.8 13.7 13.7 0.1 0.1 1.3 1.3 15.8 15.8Cancer2023Stroke 48.12.3 1.9 39.2 23.113.6 10.60.2 0.12.4 4.53.85.62.4 45.4 27.5Percent Change Mental Breast Disorders Cancer 45.8 5.5 30.3 1.1 4.8 1.52003-2023 185.2Total Colon Cancer 130.9 187.0 69.1277.0 3.9193.4 162.2124.4 0.3 187.1 11.5 1.784.8 186.9 73.7Source: <strong>Milken</strong> <strong>Institute</strong>PRC: Lung Population Cancer Reporting Condition 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Lung Cancer Conditions 45.2 49.2 Lung Cancer 0.9GDP-Based Diabetes Avoidable Indirect Impact 27.1 Wage-Based 13.7 Avoidable 2.0 Indirect ImpactLung CancerLung CancerGDP Based Hypertension Indirect <strong>Economic</strong> Impact 32.5 36.8 Wage-Based Avoidable 0.9 Indirect ImpactUS$ Billions Heart Disease 64.7 US$ Billions 19.2 3.450Expenditures PRC* Expenditures/PRC20Stroke 13.6 2.4 Expenditures 5.6 PRC*DiseaseExpenditures (Billions) (Millions) PRC* Expenditures/PRC(Thousands)Mental Disorders Disease 45.8 30.3 (Billions) 1.5 (Millions)Disease Cancer 40(Billions) 48.1 (Millions) 10.6 (Thousands) 4.5Total 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 30Cancer 5.5 3.9 1.1 0.3 4.8 11.5Colon Cancer 3.9 0.3 11.5Colon Lung Cancer 3.9 6.3 0.3 0.4 1011.517.1Lung Cancer 6.3 0.4 17.1Lung Prostate Cancer 20 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 528.0 7.7 3.6Other Pulmonary Cancers 10 Conditions 28.0 45.2 7.7 49.2 3.6 0.9Pulmonary 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 027.1 32.5 13.7 36.8 0 2.0 0.92005 2008 2011 2014 2017 2020 2023 Hypertension 2005 2008 2011 32.5 2014 2017 36.8 2020 2023 0.9Hypertension Heart DiseaseSource: <strong>Milken</strong> <strong>Institute</strong>32.5 64.7 36.8 19.2 0.9Source:3.4<strong>Milken</strong> <strong>Institute</strong>Heart Disease 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: Population Reporting ConditionPRC: Population Reporting Condition[ 149 ]Expenditures/PRC(Thousands)

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