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

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An Unhealthy AmericaMilken InstituteAverage Annual Average Growth Annual in GDP, Growth 2004-2050 in GDP, by State 2004-2050 - Percent by Change, state Year AgoPercent Change, Year AgoReal Growth Rate of GDPNominal Growth Rate of GDPExpenditures PRC* Expenditures/PRCState Baseline Optimistic Difference Baseline Optimistic DifferenceAlabamaDisease1.78 2.13(Billions)0.35 3.73(Millions)4.09(Thousands)0.36Alaska Cancer 2.51 2.87 0.3648.1 4.4810.6 4.85 4.50.36Arizona Breast 4.00 Cancer 4.35 0.36 5.5 6.00 1.1 6.36 4.80.36Arkansas Colon 1.99Cancer 2.35 0.36 3.9 3.96 0.3 4.32 11.50.36California Lung 2.82Cancer 3.17 0.36 6.3 4.79 0.4 5.16 17.10.36Colorado Prostate 2.36 Cancer 2.72 0.36 4.3 4.33 1.0 4.69 4.10.36Connecticut Other 1.75Cancers 2.11 0.3528.0 3.71 7.7 4.07 3.60.36DelawarePulmonary2.25Conditions2.61 0.3645.24.2249.24.580.90.36Florida 3.61 3.97 0.36 5.60 5.97 0.37Diabetes 27.1 13.7 2.0Georgia 2.50 2.85 0.36 4.47 4.83 0.36Hypertension 32.5 36.8 0.9Hawaii 2.31 2.66 4.27 4.64 0.36Idaho Heart 2.99 Disease 3.35 0.3664.7 4.97 19.2 5.33 3.40.36Illinois Stroke 1.77 2.13 0.3513.6 3.73 2.4 4.09 5.60.36Indiana Mental 1.70Disorders2.05 0.3545.8 3.65 30.3 4.01 1.50.36Iowa Total 1.50 1.86 0.35 277.0 3.46162.2 3.81 1.70.36Kansas PRC: 1.81 Population Reporting 2.17 Condition 0.35 3.77 4.13 0.36Kentucky 1.78 2.13 0.35 3.74 4.10 0.36Louisiana 1.78 2.13 0.35 3.74 4.10 0.36Maine 1.96 2.32 0.35 3.93 4.28 0.36Maryland 2.33 2.68 0.36 4.29 4.66 0.36Massachusetts 1.76 2.11 0.35 3.72 4.08 0.36Michigan 1.79 2.14 0.36 3.75 4.11 0.36Minnesota 2.27 2.63 0.36 4.24 4.60 0.36Mississippi 1.85 2.20 0.35 3.81 4.17 0.36Missouri 1.89 2.25 0.35 3.85 4.21 0.36Montana 2.11 2.47 0.36 4.08 4.44 0.36Nebraska 1.59 1.95 0.35 3.55 3.91 0.36Nevada 3.71 4.07 0.36 5.71 6.07 0.36New Hampshire 2.45 2.81 0.36 4.43 4.79 0.36New Jersey 2.05 2.41 0.36 4.02 4.37 0.36New Mexico 2.09 2.45 0.36 4.06 4.42 0.36New York 1.64 2.00 0.36 3.59 3.96 0.37North Carolina 2.68 3.04 0.36 4.66 5.02 0.36North Dakota 1.32 1.68 0.35 3.28 3.63 0.35Ohio 1.55 1.91 0.35 3.51 3.87 0.36Oklahoma 1.93 2.29 0.35 3.89 4.25 0.36Oregon 2.71 3.06 0.36 4.68 5.04 0.37Pennsylvania 1.60 1.95 0.35 3.55 3.91 0.36Rhode Island 1.70 2.05 0.35 3.66 4.01 0.36South Carolina 2.25 2.60 0.36 4.22 4.57 0.36South Dakota 1.51 1.86 0.35 3.47 3.82 0.36Tennessee 2.18 2.54 0.36 4.15 4.51 0.36Texas 3.06 3.42 0.35 5.04 5.40 0.36Utah 2.97 3.33 0.36 4.95 5.31 0.36Vermont 2.10 2.46 0.36 4.07 4.43 0.36Virginia 2.44 2.79 0.36 4.41 4.77 0.36Washington 2.99 3.35 0.36 4.97 5.34 0.37West Virginia 1.29 1.64 0.35 3.25 3.60 0.35Wisconsin 1.97 2.33 0.36 3.93 4.29 0.36Wyoming 1.98 2.33 0.35 3.94 4.30 0.35Sources: Census Bureau, Economy.com, NCHS, Milken Institute[ 181 ]
An Unhealthy AmericaMilken InstituteThe next tables rank the top five and bottom five states in terms of historical real GDP. The top five overall performersin 2003 are not surprising at all. California, New York, Texas, Florida, and Illinois all enjoy large economies, large landmass, and large industries. The economies of the bottom five states are generally based in the service sectors oragriculture. There are a lot of vacant miles in Montana, North and South Dakota, and Wyoming. Vermont has small landmass, relatively remote geographical status, and little industry.Historical Historical Real Real GDP by State, 1970 1970Top 5 StatesExpendituresUS$ Billions BottomPRC*5 StatesExpenditures/PRCUS$ BillionsDiseaseCalifornia(Billions)243.85(Millions)South Dakota(Thousands)4.20CancerNew York 203.3548.1 10.6Montana4.54.43Texas 96.82 North Dakota 3.65Breast Cancer 5.5 1.1 4.8Florida 70.46 Vermont 3.86Colon Cancer 3.9 0.3 11.5Illinois 105.60 Wyoming 2.84Lung Cancer 6.3 0.4 17.1Source: Milken InstituteProstate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes Historical 27.1Real Real GDP 13.7 by State, 2003 20032.0Hypertension 32.5 36.8 0.9Heart Disease Top 5 States 64.7 19.2 3.4ExpendituresUS$ Billions BottomPRC*5 StatesExpenditures/PRCUS$ BillionsStroke California 1468.90 13.6 South 2.4 Dakota 5.627.18Disease(Billions) (Millions) (Thousands)Mental Disorders New York 833.52 45.8 30.3 Montana 1.524.91Cancer 48.1 10.6 4.5Total Texas 277.0 815.68 162.2 North Dakota 1.721.01Breast Cancer 5.5 1.1 4.8PRC: Population Reporting Florida Condition 553.94 Vermont 20.87Colon Cancer 3.9 0.3 11.5Illinois 499.50 Wyoming 20.11Lung Cancer 6.3 0.4 17.1Source: Milken InstituteProstate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions Projected 45.2Real GDP 49.2 by State, 20230.9Diabetes Projected Real 27.1GDP US$ by Billions State, 13.7 2023 - US$ Billions 2.0Hypertension 32.5 36.8 0.9Top Heart 5 States Disease Baseline ExpendituresOptimistic 64.7 Bottom PRC* 19.2 5 States Expenditures/PRC 3.4 Baseline OptimisticDiseaseStroke California 2450.61 (Billions) 2621.31 13.6(Millions) South 2.4 Dakota(Thousands)5.639.26 42.05CancerMental New York Disorders 1093.76 1173.00 48.145.810.630.3 Montana 4.51.546.05 49.31Total Texas 1273.57 1364.75 277.0 162.2 North Dakota 1.7Breast Cancer 5.5 1.1 4.829.64 31.74PRC:Colon Florida PopulationCancerReporting 1159.87 Condition 1239.00 3.9 0.3 Vermont 11.533.14 35.49LungIllinoisCancer678.06 726.166.3 0.4Wyoming17.132.56 34.86Source: Prostate Milken Cancer Institute4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions Projected 45.2Real GDP 49.2 by State, 20500.9Diabetes 27.1 13.7 2.0Projected Real GDP US$ by Billions State, 2050 - US$ BillionsHypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4TopStroke5 States Baseline ExpendituresOptimistic13.6Bottom PRC* 2.45 States Expenditures/PRC 5.6Baseline OptimisticDisease MentalCaliforniaDisorders5188.22 (Billions) 6096.2245.8 (Millions) South30.3Dakota(Thousands)1.556.30 66.20Cancer TotalNew York 1650.46 1945.55277.0 48.1 162.2 10.6Montana4.5 1.777.44 91.09Texas 2946.70 3466.98 North Dakota 40.59 47.72PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8ColonFloridaCancer3009.00 3540.333.9 0.3Vermont11.556.26 66.15LungIllinoisCancer1072.18 1260.626.3 0.4Wyoming17.152.23 61.40Source: Milken InstituteProstate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9[ 182 ]Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4
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