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

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An Unhealthy AmericaMilken InstituteArizonaArizonaDirect Costs2003 2023Avoidable Costs(US$ Billions)Projections - Level Projections - DifferencePRC (Thousands) Expenditure per PRC ($) Total Expenditure(US$ Billions) PRC (Thousands) Expenditure perPRC ($)Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent Absolute Percent Absolute PercentTotal Expenditure(US$ Billions)Expenditure per PRC($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Cancer 161 3,716 0.60 355 292 7,786 6,959 2.76 2.03 -63 -17.74 -826 -10.61 -0.73 -26.48Breast cancer 16 4,141 0.07 34 30 8,568 7,652 0.29 0.23 -4 -12.30 -916 -10.69 -0.06 -21.67Colon cancer 6 9,849 0.06 11 9 22,519 20,124 0.26 0.19 -2 -17.67 -2,395 -10.64 -0.07 -26.42Lung cancer 7 14,512 0.10 13 11 30,111 26,893 0.39 0.28 -2 -18.44 -3,217 -10.68 -0.11 -27.16Prostate cancer 11 3,381 0.04 28 22 7,178 6,411 0.20 0.14 -6 -21.48 -766 -10.67 -0.06 -29.86Other cancers 121 2,820 0.34 268 220 6,049 5,404 1.62 1.19 -48 -18.00 -645 -10.67 -0.43 -26.75Diabetes 217 1,752 0.38 508 440 3,729 3,331 1.89 1.47 -68 -13.30 -398 -10.67 -0.43 -22.55Heart disease 294 2,940 0.87 613 401 6,666 5,957 4.09 2.39 -212 -34.63 -709 -10.64 -1.70 -41.58Pulmonary conditions 824 761 0.63 1,412 1,214 1,679 1,500 2.37 1.82 -198 -14.05 -179 -10.65 -0.55 -23.21Hypertension 559 790 0.44 1,120 910 1,685 1,505 1.89 1.37 -209 -18.70 -180 -10.67 -0.52 -27.37Stroke 33 4,917 0.16 63 51 11,380 10,170 0.72 0.52 -12 -18.84 -1,210 -10.63 -0.20 -27.47Mental disorders 683 1,559 1.08 1,471 1,290 3,288 2,937 4.84 3.79 -182 -12.35 -351 -10.68 -1.05 -21.71Total 2,771 1,500 4.15 5,542 4,598 3,706 3,311 18.56 13.39 -944 -17.04 -395 -10.66 -5.17 -27.87Indirect Impacts* (US$ Billions)TotalLost Work Days Presenteeism Lost Work Days Presenteeism Projections - Level Projections - DifferenceBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent2023Individual Caregiver2003TotalLevelChronic DiseaseCancer 4.14 1.01 0.83 17.07 10.15 0.073 0.060 1.65 1.07 19.80 12.11 -7.69 -38.83Breast cancer 0.45 0.11 0.09 1.79 1.13 0.008 0.007 0.17 0.12 2.07 1.35 -0.72 -34.83Colon cancer 0.42 0.09 0.08 1.58 0.94 0.007 0.006 0.15 0.10 1.83 1.12 -0.71 -38.79Lung cancer 0.68 0.14 0.12 2.41 1.42 0.010 0.008 0.23 0.15 2.80 1.70 -1.10 -39.40Prostate cancer 0.26 0.07 0.06 1.26 0.71 0.005 0.004 0.12 0.08 1.46 0.85 -0.61 -41.65Other cancers 2.33 0.59 0.48 10.03 5.95 0.043 0.035 0.97 0.63 11.64 7.09 -4.55 -39.06Diabetes 1.65 0.84 0.73 6.83 5.36 0.067 0.058 0.73 0.57 8.47 6.71 -1.76 -20.76Heart disease 1.61 1.42 0.93 5.17 2.83 0.140 0.091 0.50 0.27 7.24 4.12 -3.11 -43.01Asthma 1.57 1.17 1.00 4.15 3.37 0.085 0.073 0.40 0.33 5.80 4.77 -1.03 -17.74Hypertension 4.25 2.70 2.20 14.04 11.10 0.265 0.216 1.36 1.08 18.36 14.59 -3.77 -20.55Stroke 0.30 0.21 0.17 0.93 0.70 0.015 0.012 0.09 0.07 1.24 0.95 -0.29 -23.35Emotional disturbances 3.85 1.98 1.74 14.41 12.11 0.144 0.126 1.38 1.16 17.92 15.13 -2.78 -15.54Total 17.36 9.33 7.59 62.60 45.63 0.79 0.64 6.12 4.55 78.84 58.40 -20.44 -25.92* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferenceOther 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) 12.60 25.57 29.87 31.82 1.95 6.52 37.42 43.91 6.49 17.34Capital stock (US$ Billions) 64.57 361.30 1057.83 1096.46 38.63 3.64 5171.08 5673.49 502.41 9.72Life expectancy at 65 (years) 15.50 19.36 21.17 22.39 1.22 5.77 24.21 26.54 2.33 9.63GDP* by state (US$ Billions) 15.76 183.95 372.28 398.60 26.32 7.07 1063.41 1246.58 183.17 17.22*Based on Real GDP[ 189 ]
An Unhealthy AmericaMilken InstituteArkansasArkansasDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Cancer 125 3,947 0.49 197 161 7,504 6,762 1.48 1.09 -35 -17.94 -742 -9.89 -0.38 -26.06Breast cancer 12 3,921 0.05 16 14 7,701 6,933 0.12 0.10 -2 -12.30 -768 -9.97 -0.03 -21.04Colon cancer 4 10,935 0.04 5 4 23,566 21,227 0.11 0.08 -1 -17.67 -2,339 -9.93 -0.03 -25.84Lung cancer 3 15,460 0.05 4 4 30,444 27,409 0.13 0.10 -1 -18.44 -3,035 -9.97 -0.03 -26.58Prostate cancer 14 3,166 0.04 23 18 6,368 5,734 0.15 0.10 -5 -21.48 -634 -9.96 -0.04 -29.30Other cancers 93 3,195 0.30 149 122 6,491 5,844 0.97 0.71 -27 -18.00 -646 -9.95 -0.25 -26.17Diabetes 126 1,695 0.21 180 156 3,418 3,078 0.61 0.48 -24 -13.30 -340 -9.96 -0.13 -21.93Heart disease 224 3,081 0.68 287 188 6,589 5,935 1.89 1.11 -99 -34.63 -654 -9.93 -0.78 -41.12Pulmonary conditions 503 796 0.40 655 563 1,660 1,495 1.09 0.84 -92 -14.05 -165 -9.94 -0.25 -22.60Hypertension 411 829 0.34 548 445 1,674 1,507 0.92 0.67 -102 -18.70 -167 -9.96 -0.25 -26.79Stroke 32 5,541 0.18 38 31 12,077 10,879 0.45 0.33 -7 -18.84 -1,198 -9.92 -0.12 -26.89Mental disorders 278 1,096 0.30 406 356 2,191 1,973 0.89 0.70 -50 -12.35 -218 -9.96 -0.19 -21.08Total 1,701 1,527 2.60 2,311 1,900 3,728 3,358 7.33 5.23 -410 -17.76 -370 -9.94 -2.10 -28.63Indirect Impacts* (US$ Billions)2023Individual Caregiver TotalLost Work Days Presenteeism Lost Work Days Presenteeism Projections - Level Projections - DifferenceBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent2003TotalLevelChronic DiseaseCancer 3.21 0.56 0.46 9.46 5.62 0.040 0.033 0.92 0.59 10.98 6.70 -4.28 -38.98Breast cancer 0.31 0.05 0.04 0.80 0.50 0.003 0.003 0.08 0.05 0.92 0.60 -0.32 -34.84Colon cancer 0.28 0.04 0.03 0.70 0.42 0.003 0.002 0.07 0.04 0.81 0.50 -0.32 -38.80Lung cancer 0.35 0.05 0.04 0.84 0.50 0.004 0.003 0.08 0.05 0.98 0.59 -0.39 -39.41Prostate cancer 0.29 0.06 0.04 0.93 0.53 0.004 0.003 0.09 0.06 1.08 0.63 -0.45 -41.65Other cancers 1.98 0.37 0.30 6.19 3.67 0.026 0.022 0.60 0.39 7.19 4.38 -2.81 -39.07Diabetes 0.96 0.30 0.26 2.42 1.90 0.024 0.020 0.26 0.20 3.00 2.38 -0.62 -20.76Heart disease 1.22 0.67 0.44 2.42 1.33 0.066 0.043 0.23 0.13 3.39 1.93 -1.46 -43.01Asthma 0.96 0.54 0.46 1.93 1.56 0.039 0.034 0.19 0.15 2.69 2.22 -0.48 -17.74Hypertension 3.13 1.32 1.07 6.87 5.43 0.130 0.106 0.67 0.53 8.98 7.14 -1.85 -20.55Stroke 0.29 0.13 0.10 0.55 0.42 0.009 0.007 0.05 0.04 0.74 0.57 -0.17 -23.35Emotional disturbances 1.57 0.55 0.48 3.98 3.34 0.040 0.035 0.38 0.32 4.95 4.18 -0.77 -15.54Total 11.34 4.06 3.27 27.63 19.59 0.35 0.28 2.70 1.96 34.73 25.11 -9.63 -27.71* 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) 6.70 18.10 19.93 21.23 1.30 6.51 25.33 29.74 4.41 17.40Capital stock (US$ Billions) 40.29 139.47 278.90 289.08 10.18 3.64 810.72 889.75 79.04 9.72Life expectancy at 65 (years) 15.37 17.75 19.41 20.53 1.12 5.76 22.19 24.33 2.14 9.66GDP* by state (US$ Billions) 11.96 75.16 112.17 120.10 7.93 7.07 186.30 219.12 32.82 17.62*Based on Real GDP[ 190 ]
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An Unhealthy AmericaMilken Institut
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An Unhealthy America: The Economic Burden of ... - Milken Institute

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