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>Heart DiseaseGDP:In 2003 the total indirect impacts based on GDP amounted to $104.6 billion. In 2023, the baseline scenarioincreases to $318.9 billion; the optimistic scenario increases to $181.7 billion. Also in 2023, the difference betweenbaseline and optimistic scenarios themselves comes to $137.0 billion, reflecting a difference <strong>of</strong> 43.0 percent.<strong>The</strong> cumulative avoidable indirect impact based on GDP over the twenty-year period is $1.1 trillion.Wages: Total indirect impacts based on wages in 2003 amounted to $46.3 billion. In 2023, the total increases to $137.0billion in the baseline projection and $78.1 billion for the optimistic scenario.GDP-Based Indirect Impact Projections for Heart DiseaseGDP-Based Indirect Impact ProjectionsUS$ Billionsfor Heart Disease - US$ BillionsLost Workdays Presenteeism Lost WorkdaysPresenteeismTotalDisease(Billions) (Millions) (Thousands)Year Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic2003 20.6 Cancer20.6 74.8 74.8 48.1 2.0 2.0 10.6 7.2 4.5 7.2 104.6 104.62023 62.7Breast 41.0 Cancer 228.0 124.7 5.5 6.2 4.01.1 22.0 4.8 12.1 318.9 181.7Percent ChangeColon Cancer 3.9 0.3 11.52003-2023 204.8 99.3 204.8 66.7 204.9 99.0 204.3 66.5 204.8 73.7Source: <strong>Milken</strong> <strong>Institute</strong>IndividualExpenditures[ 155 ]CaregiverPRC*Expenditures/PRCLung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Lost Workdays Presenteeism Lost Workdays Presenteeism TotalYear Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic2003 9.1 9.1 33.1 33.1 0.9 0.9 3.2 3.2 46.3 46.32023 26.9 17.6 97.9 53.5 2.7 1.7 9.5 5.2 137.0 78.1Percent Change2003-2023 195.9 93.4 195.9 61.8 195.5 93.2 195.5 61.6 195.9 68.6Source: <strong>Milken</strong> <strong>Institute</strong>Pulmonary Wage-Based Wage-Based Conditions Indirect Indirect Impact Impact Projections 45.2 Projections for Heart for 49.2 Heart Disease Disease - US$ 0.9 BillionsUS$ BillionsDiabetes 27.1 13.7 2.0HypertensionIndividual32.5 36.8 Caregiver 0.9Expenditures PRC* Expenditures/PRCHeart Disease 64.7 19.2 3.4Disease(Billions) (Millions) (Thousands)Stroke 13.6 2.4 5.6Cancer 48.1 10.6 4.5Mental Disorders 45.8 30.3 1.5TotalBreast Cancer277.05.5162.21.1 4.81.7Colon Cancer 3.9 0.3 11.5PRC: Population Reporting ConditionLung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Heart DiseaseHeart DiseasePulmonary Conditions 45.2 49.2 0.9GDP-Based Diabetes Avoidable Indirect Impact 27.1 Wage-Based 13.7 Avoidable 2.0 Indirect ImpactHeart DiseaseHeart DiseaseGDP-Based Hypertension Avoidable Indirect Impact 32.5 36.8Wage-Based Avoidable 0.9 Indirect ImpactUS$ BillionsUS$ BillionsHeart Disease 64.7 19.2 3.4140Expenditures PRC* Expenditures/PRC60Stroke 13.6 2.4 Expenditures 5.6 PRC* Expenditures/PRCDiseaseExpenditures (Billions) (Millions) PRC* Expenditures/PRC(Thousands)120Mental Disorders Disease 45.8 50 30.3 (Billions) 1.5 (Millions) (Thousands)Disease Cancer (Billions) 48.1 (Millions) 10.6 (Thousands) 4.5Total Cancer 277.0 162.2 48.1 1.7 10.6 4.5Cancer Breast 100 Cancer 48.1 5.5 10.6 1.1 4.5 4.8PRC: Population Reporting Condition Breast Cancer 405.5 1.1 4.8Breast Colon Cancer 5.5 3.9 1.1 0.3 4.8 11.580Colon Cancer 3.9 0.3 11.5Colon Lung Cancer 3.9 6.3 0.3 0.4 3011.517.1Lung Cancer 6.3 0.4 17.1Lung Prostate Cancer 60 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 20 4.1 3.640Other Cancers 28.0 7.7 3.6Other Pulmonary Cancers Conditions 28.0 45.2 7.7 49.2 3.6 0.9Pulmonary2010Conditions 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
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