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

An Unhealthy AmericaMilken InstituteHypertensionIn 2003 calculations, the top five states were West Virginia, Mississippi, Alabama, Arkansas, and Tennessee.The 2023 data show that state rankings for PRC hypertension match the projected state rankings for indirect impacts.Mississippi, West Virginia, Alabama, Florida, and Arkansas are the top five states; and Utah, Colorado, Alaska, Hawaii(seventh lowest in 2003), and Montana are the bottom five states for indirect impacts.HypertensionGDP-Based Indirect Impact Per Capita for Hypertension, 2023GDP-Based Indirect Impact per Capita, 2023Top 5 StatesExpendituresBottomPRC*5 StatesExpenditures/PRCDisease(Billions) (Millions) (Thousands)Baseline Optimistic Baseline OptimisticCancer 48.1 10.6 4.5Mississippi Mississippi Utah UtahBreast Cancer 5.5 1.1 4.8West Virginia West Virginia Colorado ColoradoColon Cancer 3.9 0.3 11.5Alabama Alabama Alaska AlaskaLung Cancer 6.3 0.4 17.1Florida Florida Hawaii HawaiiProstate Cancer 4.3 1.0 4.1Arkansas Arkansas Montana MontanaOther Cancers 28.0 7.7 3.6Source: Milken InstitutePulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart DiseaseHeart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6In 2003 calculations, Mental the top Disorders five states were West Virginia, 45.8Oklahoma, 30.3 Mississippi, Alabama, 1.5and Pennsylvania.Total 277.0 162.2 1.7In 2023 for both optimistic PRC: Population and baseline Reporting scenarios, Condition West Virginia ranks first, followed by Mississippi, Alabama, Oklahoma,and Florida. This ranking order matches the states’ 2023 PRC rankings. For 2023, bottom five states are Utah (down fromsecond lowest), Alaska, Colorado, Minnesota, and Oregon (38 th in 2003). This order matches the PRC rankings for thebottom five states in 2023.Heart DiseaseGDP-Based Indirect Impact Per Capita for Heart Disease, 2023GDP-Based Indirect Impact per Capita, 2023Top 5 StatesExpendituresBottomPRC*5 StatesExpenditures/PRCDiseaseBaseline Optimistic(Billions)Baseline(Millions)Optimistic(Thousands)Cancer 48.1 10.6 4.5West Virginia West Virginia Utah UtahBreast Cancer 5.5 1.1 4.8Mississippi Mississippi Alaska AlaskaColon Cancer 3.9 0.3 11.5Alabama Alabama Colorado ColoradoLung Cancer 6.3 0.4 17.1Oklahoma Oklahoma Minnesota MinnesotaProstate Cancer 4.3 1.0 4.1Florida Florida Oregon OregonOther Cancers 28.0 7.7 3.6Source: Milken InstitutePulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6Mental Disorders 45.8 30.3 1.5Total 277.0 162.2 1.7PRC: Population Reporting Condition[ 163 ]