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

An Unhealthy AmericaMilken InstituteStrokeIn 2003 calculations, the top five states were North Dakota, West Virginia, Iowa, Maine, and Arkansas.In 2023 for both scenarios, the top five states are North Dakota, West Virginia, Iowa, Maine, and Arkansas. Utah, Alaska,New York, Colorado, and Nevada are the bottom five states for indirect impacts.StrokeGDP-Based Indirect Impact Per Capita for Stroke, 2023GDP-Based Indirect Impact per Capita, 2023Top 5 States Expenditures Bottom PRC* 5 States Expenditures/PRCDisease Baseline Optimistic (Billions) Baseline (Millions) Optimistic (Thousands)Cancer North Dakota North Dakota 48.1 Utah 10.6 Utah 4.5Breast West Cancer Virginia West Virginia5.5 Alaska1.1 Alaska 4.8Colon Cancer Iowa Iowa 3.9 New York0.3 New York 11.5Lung Cancer Maine Maine 6.3 Colorado0.4 Colorado 17.1Prostate Arkansas Cancer Arkansas 4.3 Nevada 1.0 Nevada 4.1Other Source: Cancers Milken Institute28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Emotional Disturbances Heart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6In 2003 calculations, Mental the top Disorders five states were Oregon, Massachusetts, 45.8 Montana, 30.3 Wisconsin, 1.5 and Minnesota.Total 277.0 162.2 1.7PRC: Population Reporting ConditionOregon, Massachusetts, Montana, Vermont (up from 6 th in 2003), and New Mexico maintain their positions in bothscenarios in 2023.The bottom five states in both 2003 and 2023 are Washington, North Dakota, California, New York, and Mississippi. Therankings are identical to the projections of PRC for 2023.Emotional DisturbancesGDP-Based Indirect Impact Per Capita for Emotional Disturbances 2023GDP-Based Indirect Impact per Capita, 2023Top 5 States Expenditures PRC* Bottom Expenditures/PRC5 StatesDiseaseBaseline Optimistic (Billions) (Millions) Baseline (Thousands)OptimisticCancer Oregon Oregon 48.1 Washington 10.6 Washington 4.5Breast Massachusetts Cancer Massachusetts 5.5 North 1.1 Dakota North Dakota 4.8Colon Cancer Montana Montana 3.9 California 0.3 California 11.5Lung Cancer Vermont Vermont 6.3 New 0.4York New 17.1YorkProstate New Cancer Mexico New Mexico 4.3 Mississippi 1.0 Mississippi 4.1Other 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[ 164 ]