An Unhealthy America: The Economic Burden of ... - Milken Institute
An Unhealthy America: The Economic Burden of ... - Milken Institute
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>AsthmaGDP:In 2003 the total indirect impacts based on GDP amounted to $93.7 billion. In 2023, the baseline scenario increasesto $265.4 billion; the optimistic scenario increases to $218.3 billion. Also in 2023, the difference between thebaseline and optimistic scenarios themselves comes to $47.0 billion, reflecting a difference <strong>of</strong> 17.7 percent.<strong>The</strong> cumulative avoidable indirect impact based on GDP over the twenty-year period is $359.0 billion.Wages: Total indirect impacts based on wages in 2003 amounted to $41.6 billion. In 2023, the total increases to $114.3billion in the baseline projection and $94.1 billion for the optimistic scenario.IndividualCaregiverLost Workdays Presenteeism Expenditures Lost Workdays PRC* Expenditures/PRCPresenteeismTotalYear Baseline Disease Optimistic Baseline Optimistic (Billions) Baseline Optimistic (Millions) Baseline (Thousands)Optimistic Baseline Optimistic2003 18.8 18.8 67.0 67.0 1.4 1.4 6.5 6.5 93.7 93.7Cancer 48.1 10.6 4.52023 53.3 45.8 189.8 154.2 3.9 3.3 18.4 15.0 265.4 218.3Percent Change Breast Cancer 5.5 1.1 4.82003-2023 183.4 143.5 183.4 130.2 182.7 143.3 183.2 130.1 183.3 133.1Source: <strong>Milken</strong> <strong>Institute</strong>GDP-Based Indirect Impact Projections for AsthmaGDP-Based Indirect Impact Projections for Asthma - US$ 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 7.7for Asthma 3.6Pulmonary Wage-Based Conditions Indirect ImpactUS$ 45.2 ProjectionsBillionsfor 49.2 Asthma - US$ Billions 0.9Diabetes 27.1 13.7 2.0IndividualCaregiverLost Hypertension Workdays Presenteeism Expenditures 32.5 Lost Workdays PRC* 36.8 Expenditures/PRCPresenteeism 0.9TotalYear Baseline Disease Heart Optimistic Disease Baseline Optimistic (Billions) 64.7 Baseline (Millions) Optimistic 19.2 Baseline (Thousands) Optimistic 3.4 Baseline Optimistic2003 8.3 Stroke 8.3 29.7 29.7 13.6 0.6 2.4 2.9 5.6 2.9 41.6 41.6Cancer 48.1 10.6 4.52023 22.9 19.7 81.8 66.5 1.7 1.4 7.9 6.5 114.3 94.1Mental Disorders 45.8 30.3 1.5Percent Change Breast Cancer 5.5 1.1 4.82003-2023 175.1 Total Colon 136.4 Cancer 175.1 123.5277.0 3.9174.9 162.2 136.2 0.3 174.9 11.5 1.7 123.3 175.0 126.3Source: <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 Asthma Conditions 45.2 49.2 Asthma 0.9GDP-Based Diabetes Avoidable Indirect Impact 27.1 Wage-Based 13.7 Avoidable 2.0 Indirect ImpactAsthmaAsthmaGDP-BasedHypertensionAvoidable Indirect Impact32.5 36.8Wage-Based Avoidable0.9Indirect ImpactUS$ Billions Heart Disease 64.7 US$ Billions 19.2 3.450Expenditures PRC* Expenditures/PRC25Stroke 13.6 2.4 5.6DiseaseExpenditures (Billions) (Millions) PRC* Expenditures/PRC(Thousands) Expenditures PRC* Expenditures/PRCMental Disorders 45.8 30.3 1.5Disease Cancer 40(Billions) 48.1 (Millions) 10.6 Disease (Thousands)20 4.5(Billions) (Millions) (Thousands)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 4.5PRC: Population Reporting ConditionBreast Colon 30Cancer 5.5 3.9 1.1 0.3 Breast Cancer 15 4.8 11.55.5 1.1 4.8Colon Lung Cancer 3.9 6.3 0.3 0.4 Colon Cancer 11.5 17.13.9 0.3 11.5Lung Prostate Cancer 20 Cancer 6.3 4.3 0.4 1.0 Lung Cancer 1017.14.16.3 0.4 17.1Prostate Other Cancers 4.3 28.0 1.0 7.7 Prostate Cancer 4.1 3.64.3 1.0 4.1Other Pulmonary Cancers 10 Conditions 28.0 45.2 7.7 49.2 Other Cancers 53.60.928.0 7.7 3.6Pulmonary Diabetes Conditions 45.2 27.1 49.2 13.7 Pulmonary 0.9 Conditions 2.045.2 49.2 0.9Diabetes Hypertension027.1 32.5 13.7 36.8 Diabetes02.00.927.1 13.7 2.0Hypertension Heart Disease2005 2008 2011 2014 32.5 64.72017 2020 36.8 19.22023 Hypertension 0.9 3.42005 2008 2011 32.5 2014 2017 36.8 2020 2023 0.9Source: <strong>Milken</strong> <strong>Institute</strong>Source: <strong>Milken</strong> <strong>Institute</strong>Heart Stroke Disease 64.7 13.6 19.2 2.4 Heart 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 Condition[ 152 ]PRC: Population Reporting Condition
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