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>HypertensionGDP:In 2003 the total indirect impacts based on GDP amounted to $279.5 billion. In 2023, the baseline scenarioincreases to $838.7 billion; the optimistic scenario increases to $666.3 billion. Also in 2023, the difference betweenthe baseline and optimistic scenarios themselves comes to $172.0 billion, reflecting a difference <strong>of</strong> 20.6 percent.<strong>The</strong> cumulative avoidable indirect impact based on GDP over the twenty-year period is $1.3 trillion.Wages: Total avoidable indirect impacts based on wages in 2003 amounted to $123.6 billion. In 2023, the total increasesto $360.2 billion in the baseline projection and $286.1 billion for the optimistic scenario.GDP-Based Indirect Impact Projections for HypertensionGDP-Based Indirect Impact Projections for Hypertension - US$ BillionsUS$ BillionsIndividualCaregiverLost Workdays Presenteeism Expenditures Lost Workdays PRC* Expenditures/PRCPresenteeismTotalYear BaselineDiseaseOptimistic Baseline Optimistic(Billions)Baseline Optimistic(Millions)Baseline(Thousands)Optimistic Baseline Optimistic2003 41.1 41.1 213.6 213.6 4.1 4.1 20.7 20.7 279.5 279.52023 123.4Cancer100.3 641.0 506.948.112.1 9.910.662.24.549.2 838.7 666.3Percent Change Breast Cancer 5.5 1.1 4.82003-2023 200.1 144.0 200.1 137.3 199.4 143.6 199.7 137.0 200.0 138.4Source: <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 7.7 Hypertension 3.6Wage-Based Indirect Impact ProjectionsPulmonary Conditions US$ 45.2Billionsfor Hypertension - 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 BaselineDisease Heart Disease Optimistic Baseline Optimistic(Billions) 64.7Baseline (Millions)Optimistic 19.2 Baseline(Thousands)Optimistic 3.4 Baseline Optimistic2003 18.2 18.2 94.5 94.5 1.8 1.8 9.2 9.2 123.6 123.6Cancer Stroke 48.1 13.6 10.6 2.4 4.5 5.62023 53.0 43.1 275.2 217.7 5.2 4.2 26.7 21.1 360.2 286.1Percent Change Mental Breast Disorders Cancer 45.8 5.5 30.3 1.1 4.8 1.52003-2023 191.3 Total Colon Cancer 136.9 191.3 130.4 277.0 3.9 190.9 162.2 136.5 0.3 190.9 11.5 1.7 130.1 191.3 131.4Source: <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 3.6HypertensionHypertensionPulmonary Conditions 45.2 49.2 0.9GDP-Based Diabetes Avoidable Indirect Impact 27.1 Wage-Based 13.7 Avoidable 2.0 Indirect ImpactHypertensionHypertensionGDP-Based Hypertension Avoidable Indirect Impact 32.5 36.8Wage-Based Avoidable 0.9 Indirect ImpactUS$ BillionsUS$ BillionsHeart Disease 64.7 19.2 3.4200Expenditures PRC* Expenditures/PRC80Stroke 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) 4.5150Total Cancer 277.0 60 162.2 48.1Cancer 48.1 10.6 4.51.7 10.6 4.5Breast Cancer 5.5 1.1 4.8Breast PRC: Population 5.5 Reporting Condition Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 1.1 0.3 4.8 11.5Colon Cancer 3.9 0.3 11.5Colon Lung 100 Cancer 3.9 6.3 0.3 0.4 4011.517.1Lung 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 Cancers50Other Cancers28.0 7.72028.0 7.7 3.6Pulmonary Conditions 45.2 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 Hypertension027.1 32.5 13.7 36.802.00.9Hypertension 2005 2008 2011 32.5 2014 2017 36.8 2020 2023Hypertension0.920052008 201132.52014 201736.82020 20230.9Heart Disease 64.7 19.2 3.4Source: <strong>Milken</strong> <strong>Institute</strong>Heart Disease Source: <strong>Milken</strong> <strong>Institute</strong> 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[ 154 ]
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