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

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An Unhealthy AmericaMilken InstituteAppendix IIAlabamaAlabamaDirect Costs2003 2023Projections - Level Projections - DifferenceAvoidable Costs(US$ Billions)Expenditure perPRC ($)Total Expenditure(US$ Billions) PRC (Thousands)PRC (Thousands) Expenditure per PRC ($)Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent Absolute Percent Absolute PercentTotal Expenditure(US$ Billions)Expenditure per PRC($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Cancer 167 4,353 0.72 254 209 7,998 7,280 2.03 1.52 -45 -17.79 -718 -8.97 -0.51 -25.16Breast cancer 18 4,577 0.08 25 22 8,416 7,654 0.21 0.17 -3 -12.30 -762 -9.05 -0.04 -20.24Colon cancer 5 11,277 0.06 7 5 22,552 20,518 0.15 0.11 -1 -17.67 -2,034 -9.02 -0.04 -25.09Lung cancer 6 17,227 0.11 8 6 31,752 28,877 0.24 0.18 -1 -18.44 -2,874 -9.05 -0.06 -25.83Prostate cancer 15 3,527 0.05 24 19 6,627 6,027 0.16 0.11 -5 -21.48 -599 -9.04 -0.05 -28.58Other cancers 122 3,524 0.43 191 157 6,679 6,076 1.28 0.95 -34 -18.00 -604 -9.04 -0.32 -25.42Diabetes 245 1,931 0.47 337 292 3,635 3,306 1.22 0.97 -45 -13.30 -329 -9.04 -0.26 -21.14Heart disease 378 3,201 1.20 500 327 6,358 5,784 3.18 1.89 -173 -34.63 -573 -9.02 -1.29 -40.52Pulmonary conditions 854 866 0.74 1,062 913 1,682 1,531 1.79 1.40 -149 -14.05 -152 -9.03 -0.39 -21.81Hypertension 737 963 0.71 938 762 1,815 1,651 1.70 1.26 -175 -18.70 -164 -9.04 -0.44 -26.05Stroke 46 5,588 0.26 54 44 11,290 10,272 0.61 0.45 -10 -18.84 -1,018 -9.01 -0.16 -26.16Mental disorders 485 1,258 0.61 671 589 2,351 2,138 1.58 1.26 -83 -12.35 -213 -9.05 -0.32 -20.28Total 2,912 1,619 4.72 3,816 3,136 3,589 3,265 12.11 8.74 -681 -17.84 -324 -9.03 -3.37 -27.83Indirect Impacts* (US$ Billions)2023Individual Caregiver TotalProjections - Difference2003TotalLost Work Days Presenteeism Lost Work Days Presenteeism Projections - LevelChronic Disease Level Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute PercentCancer 4.27 0.72 0.59 12.24 7.27 0.052 0.043 1.18 0.77 14.20 8.68 -5.52 -38.86Breast cancer 0.47 0.07 0.06 1.25 0.79 0.005 0.005 0.12 0.08 1.45 0.94 -0.50 -34.84Colon cancer 0.36 0.05 0.04 0.89 0.53 0.004 0.003 0.09 0.06 1.03 0.63 -0.40 -38.80Lung cancer 0.63 0.09 0.07 1.45 0.85 0.006 0.005 0.14 0.09 1.68 1.02 -0.66 -39.40Prostate cancer 0.31 0.06 0.04 0.96 0.55 0.004 0.003 0.09 0.06 1.12 0.65 -0.47 -41.65Other cancers 2.50 0.45 0.37 7.69 4.56 0.033 0.027 0.74 0.48 8.92 5.43 -3.48 -39.07Diabetes 1.87 0.55 0.48 4.53 3.55 0.044 0.038 0.48 0.38 5.62 4.45 -1.17 -20.76Heart disease 2.07 1.16 0.76 4.22 2.31 0.114 0.074 0.41 0.22 5.91 3.37 -2.54 -43.01Asthma 1.63 0.88 0.75 3.12 2.54 0.064 0.055 0.30 0.25 4.36 3.59 -0.77 -17.74Hypertension 5.61 2.26 1.84 11.75 9.30 0.222 0.181 1.14 0.90 15.38 12.22 -3.16 -20.55Stroke 0.42 0.18 0.15 0.79 0.60 0.013 0.010 0.08 0.06 1.06 0.81 -0.25 -23.35Emotional disturbances 2.73 0.90 0.79 6.58 5.53 0.066 0.057 0.63 0.53 8.18 6.91 -1.27 -15.54Total 18.59 6.66 5.36 43.23 31.09 0.58 0.46 4.23 3.10 54.70 40.02 -14.67 -26.83* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferenceProstate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary 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 ConditionPercentBaseline Optimistic Absolute Percent Baseline Optimistic Absolute1970 2003VariablesBachelor's degrees (percent) 7.80 21.87 25.53 27.19 1.66 6.50 31.41 36.86 5.45 17.35Capital stock (US$ Billions) 85.35 249.25 475.41 492.73 17.32 3.64 1304.40 1431.22 126.82 9.72Life expectancy at 65 (years) 14.75 17.09 18.69 19.77 1.08 5.75 21.37 23.43 2.06 9.64GDP* by state (US$ Billions) 23.22 129.22 199.11 213.15 14.05 7.06 310.51 365.07 54.56 17.57*Based on Real GDP[ 187 ]
An Unhealthy AmericaMilken InstituteAlaskaAlaskaDirect Costs2003 2023Projections - Level Projections - DifferenceAvoidable Costs(US$ Billions)Expenditure perPRC ($)Total Expenditure(US$ Billions) PRC (Thousands)PRC (Thousands) Expenditure per PRC ($)Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent Absolute Percent Absolute PercentTotal Expenditure(US$ Billions)Expenditure per PRC($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Cancer 20 5,860 0.12 40 33 13,498 11,910 0.55 0.40 -7 -17.73 -1,588 -11.76 -0.15 -27.41Breast cancer 2 6,277 0.01 5 4 14,139 12,465 0.07 0.05 -1 -12.30 -1,673 -11.84 -0.01 -22.68Colon cancer 1 16,298 0.01 1 1 41,027 36,197 0.06 0.04 0 -17.67 -4,831 -11.77 -0.02 -27.36Lung cancer 1 22,446 0.02 1 1 50,713 44,711 0.07 0.05 0 -18.44 -6,002 -11.83 -0.02 -28.10Prostate cancer 2 5,285 0.01 4 3 12,247 10,799 0.05 0.04 -1 -21.48 -1,448 -11.82 -0.02 -30.76Other cancers 15 4,447 0.07 29 23 10,428 9,196 0.30 0.22 -5 -18.00 -1,232 -11.81 -0.08 -27.69Diabetes 20 2,560 0.05 33 28 5,950 5,246 0.19 0.15 -4 -13.30 -703 -11.82 -0.05 -23.54Heart disease 17 4,807 0.08 39 25 11,989 10,577 0.46 0.27 -13 -34.63 -1,412 -11.78 -0.20 -42.33Pulmonary conditions 105 1,180 0.12 146 126 2,856 2,519 0.42 0.32 -21 -14.05 -337 -11.80 -0.10 -24.19Hypertension 60 1,128 0.07 86 70 2,627 2,317 0.23 0.16 -16 -18.70 -310 -11.82 -0.06 -28.30Stroke 3 8,223 0.02 5 4 20,983 18,514 0.10 0.07 -1 -18.84 -2,469 -11.77 -0.03 -28.39Mental disorders 74 2,273 0.17 133 116 5,229 4,611 0.69 0.54 -16 -12.35 -618 -11.82 -0.16 -22.71Total 299 2,130 0.64 482 403 5,962 5,258 2.64 1.90 -79 -16.37 -704 -11.80 -0.74 -28.12Indirect Impacts* (US$ Billions)2023Individual Caregiver Total2003TotalLost Work Days Presenteeism Lost Work Days Presenteeism Projections - Level Projections - DifferenceBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute PercentLevelChronic DiseaseCancer 0.52 0.12 0.09 1.95 1.16 0.008 0.007 0.19 0.12 2.26 1.38 -0.88 -38.82Breast cancer 0.05 0.01 0.01 0.24 0.15 0.001 0.001 0.02 0.02 0.27 0.18 -0.10 -34.83Colon cancer 0.06 0.01 0.01 0.21 0.12 0.001 0.001 0.02 0.01 0.24 0.15 -0.09 -38.78Lung cancer 0.08 0.01 0.01 0.25 0.15 0.001 0.001 0.02 0.02 0.29 0.17 -0.11 -39.40Prostate cancer 0.05 0.01 0.01 0.19 0.11 0.001 0.001 0.02 0.01 0.22 0.13 -0.09 -41.65Other cancers 0.28 0.06 0.05 1.06 0.63 0.005 0.004 0.10 0.07 1.23 0.75 -0.48 -39.06Diabetes 0.15 0.05 0.05 0.44 0.34 0.004 0.004 0.05 0.04 0.54 0.43 -0.11 -20.76Heart disease 0.09 0.09 0.06 0.33 0.18 0.009 0.006 0.03 0.02 0.46 0.26 -0.20 -43.01Asthma 0.20 0.12 0.10 0.43 0.35 0.009 0.008 0.04 0.03 0.60 0.49 -0.11 -17.74Hypertension 0.45 0.21 0.17 1.08 0.85 0.020 0.017 0.10 0.08 1.41 1.12 -0.29 -20.55Stroke 0.02 0.02 0.01 0.07 0.05 0.001 0.001 0.01 0.01 0.09 0.07 -0.02 -23.35Emotional disturbances 0.42 0.18 0.16 1.30 1.09 0.013 0.011 0.12 0.10 1.61 1.36 -0.25 -15.54Total 1.86 0.78 0.64 5.59 4.03 0.06 0.05 0.54 0.40 6.98 5.13 -1.86 -26.59* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - Level Projections - Difference Projections - Level Projections - DifferenceHeart 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 ConditionBaseline Optimistic Absolute PercentBaseline Optimistic Absolute Percent1970 2003VariablesBachelor's degrees (percent) 14.10 25.10 28.34 30.18 1.84 6.51 36.61 42.97 6.36 17.38Capital stock (US$ Billions) 29.44 57.83 117.18 121.45 4.27 3.64 401.53 440.63 39.10 9.72Life expectancy at 65 (years) 14.70 18.38 20.10 21.26 1.16 5.76 22.98 25.20 2.22 9.65GDP* by state (US$ Billions) 8.09 30.27 59.60 63.81 4.21 7.06 119.80 140.88 21.08 17.60*Based on Real GDP[ 188 ]
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