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

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An Unhealthy AmericaMilken InstituteConnecticutConnecticutDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Cancer 136 4,745 0.65 197 162 8,032 7,410 1.58 1.20 -35 -17.70 -623 -7.75 -0.38 -24.08Breast cancer 18 5,653 0.10 24 21 9,555 8,803 0.23 0.18 -3 -12.30 -751 -7.86 -0.04 -19.19Colon cancer 4 10,567 0.04 5 4 19,201 17,697 0.09 0.07 -1 -17.67 -1,505 -7.84 -0.02 -24.12Lung cancer 5 17,977 0.09 6 5 30,444 28,050 0.17 0.13 -1 -18.44 -2,394 -7.86 -0.04 -24.86Prostate cancer 14 4,815 0.07 22 17 8,291 7,640 0.18 0.13 -5 -21.48 -651 -7.86 -0.05 -27.65Other cancers 96 3,717 0.36 140 115 6,449 5,943 0.91 0.68 -25 -18.00 -507 -7.85 -0.22 -24.44Diabetes 147 2,077 0.31 198 172 3,583 3,302 0.71 0.57 -26 -13.30 -282 -7.86 -0.14 -20.11Heart disease 224 2,683 0.60 284 186 4,847 4,467 1.38 0.83 -98 -34.63 -380 -7.84 -0.55 -39.75Pulmonary conditions 611 830 0.51 722 620 1,471 1,356 1.06 0.84 -101 -14.05 -115 -7.85 -0.22 -20.80Hypertension 434 908 0.39 538 437 1,569 1,446 0.84 0.63 -101 -18.70 -123 -7.86 -0.21 -25.08Stroke 30 5,213 0.16 34 28 9,558 8,809 0.33 0.25 -6 -18.84 -749 -7.83 -0.08 -25.20Mental disorders 408 1,740 0.71 558 489 2,982 2,747 1.67 1.34 -69 -12.35 -234 -7.86 -0.32 -19.24Total 1,991 1,669 3.32 2,531 2,094 3,475 3,203 7.56 5.66 -437 -17.26 -272 -7.84 -1.91 -25.19Indirect Impacts* (US$ 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 3.49 0.56 0.46 9.46 5.63 0.040 0.033 0.92 0.60 10.98 6.72 -4.26 -38.80Breast cancer 0.53 0.08 0.07 1.37 0.87 0.006 0.005 0.13 0.09 1.59 1.03 -0.55 -34.86Colon cancer 0.23 0.03 0.03 0.55 0.33 0.002 0.002 0.05 0.03 0.63 0.39 -0.25 -38.83Lung cancer 0.46 0.06 0.05 1.04 0.61 0.004 0.004 0.10 0.06 1.20 0.73 -0.47 -39.43Prostate cancer 0.36 0.06 0.05 1.09 0.62 0.005 0.004 0.10 0.07 1.26 0.73 -0.52 -41.68Other cancers 1.91 0.32 0.26 5.43 3.21 0.023 0.019 0.52 0.34 6.30 3.84 -2.46 -39.09Diabetes 1.12 0.33 0.28 2.67 2.09 0.026 0.022 0.28 0.22 3.30 2.62 -0.69 -20.76Heart disease 1.23 0.66 0.43 2.40 1.31 0.065 0.042 0.23 0.13 3.35 1.91 -1.44 -43.01Asthma 1.16 0.60 0.51 2.12 1.72 0.043 0.037 0.21 0.17 2.97 2.44 -0.53 -17.74Hypertension 3.30 1.30 1.06 6.74 5.33 0.128 0.104 0.65 0.52 8.82 7.01 -1.81 -20.55Stroke 0.27 0.11 0.09 0.50 0.38 0.008 0.007 0.05 0.04 0.67 0.52 -0.16 -23.35Emotional disturbances 2.30 0.75 0.66 5.47 4.60 0.055 0.048 0.52 0.44 6.80 5.74 -1.06 -15.54Total 12.88 4.31 3.49 29.36 21.07 0.36 0.29 2.86 2.11 36.90 26.96 -9.94 -26.94* 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) 13.70 32.83 38.19 40.67 2.48 6.50 47.02 55.20 8.18 17.40Capital stock (US$ Billions) 107.37 304.60 526.24 545.39 19.16 3.64 1356.47 1488.73 132.26 9.72Life expectancy at 65 (years) 15.29 19.43 21.25 22.47 1.22 5.75 24.29 26.64 2.35 9.66GDP* by state (US$ Billions) 36.05 168.06 232.74 249.15 16.41 7.05 355.58 418.24 62.66 17.62*Based on Real GDP[ 193 ]
An Unhealthy AmericaMilken InstituteDelawareDelawareDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Cancer 34 5,227 0.18 58 47 11,159 9,916 0.64 0.47 -10 -17.85 -1,243 -11.14 -0.17 -26.99Breast cancer 3 5,467 0.02 6 5 11,778 10,454 0.07 0.05 -1 -12.30 -1,323 -11.24 -0.01 -22.15Colon cancer 1 13,590 0.01 1 1 32,529 28,892 0.05 0.03 0 -17.67 -3,637 -11.18 -0.01 -26.87Lung cancer 1 20,640 0.02 1 1 44,600 39,589 0.07 0.05 0 -18.44 -5,011 -11.23 -0.02 -27.61Prostate cancer 4 4,230 0.02 7 5 9,362 8,311 0.06 0.04 -1 -21.48 -1,051 -11.22 -0.02 -30.29Other cancers 25 4,231 0.10 42 35 9,471 8,409 0.40 0.29 -8 -18.00 -1,062 -11.22 -0.11 -27.20Diabetes 39 2,229 0.09 65 57 4,947 4,392 0.32 0.25 -9 -13.30 -555 -11.22 -0.07 -23.03Heart disease 58 3,833 0.22 93 61 9,095 8,078 0.84 0.49 -32 -34.63 -1,017 -11.19 -0.35 -41.94Pulmonary conditions 155 1,017 0.16 206 177 2,346 2,083 0.48 0.37 -29 -14.05 -263 -11.20 -0.11 -23.68Hypertension 112 1,101 0.12 167 136 2,449 2,174 0.41 0.30 -31 -18.70 -275 -11.22 -0.11 -27.82Stroke 6 6,716 0.04 9 7 16,285 14,465 0.14 0.10 -2 -18.84 -1,820 -11.17 -0.04 -27.91Mental disorders 74 1,457 0.11 117 103 3,203 2,844 0.37 0.29 -14 -12.35 -360 -11.23 -0.08 -22.19Total 479 1,905 0.91 715 588 5,150 4,573 3.22 2.27 -127 -17.82 -577 -11.19 -0.95 -29.59Indirect Impacts* (US$ 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 0.86 0.16 0.13 2.78 1.65 0.012 0.010 0.27 0.17 3.22 1.97 -1.25 -38.91Breast cancer 0.09 0.02 0.01 0.29 0.18 0.001 0.001 0.03 0.02 0.33 0.22 -0.12 -34.85Colon cancer 0.07 0.01 0.01 0.20 0.12 0.001 0.001 0.02 0.01 0.23 0.14 -0.09 -38.80Lung cancer 0.11 0.02 0.01 0.29 0.17 0.001 0.001 0.03 0.02 0.33 0.20 -0.13 -39.42Prostate cancer 0.08 0.02 0.01 0.27 0.15 0.001 0.001 0.03 0.02 0.31 0.18 -0.13 -41.66Other cancers 0.51 0.10 0.08 1.74 1.03 0.007 0.006 0.17 0.11 2.01 1.23 -0.79 -39.08Diabetes 0.30 0.11 0.09 0.88 0.69 0.009 0.007 0.09 0.07 1.09 0.86 -0.23 -20.76Heart disease 0.32 0.21 0.14 0.78 0.43 0.021 0.014 0.08 0.04 1.09 0.62 -0.47 -43.01Asthma 0.30 0.17 0.15 0.61 0.49 0.012 0.011 0.06 0.05 0.85 0.70 -0.15 -17.74Hypertension 0.85 0.40 0.33 2.10 1.66 0.040 0.032 0.20 0.16 2.74 2.18 -0.56 -20.55Stroke 0.06 0.03 0.02 0.13 0.10 0.002 0.002 0.01 0.01 0.17 0.13 -0.04 -23.35Emotional disturbances 0.42 0.16 0.14 1.15 0.96 0.011 0.010 0.11 0.09 1.43 1.20 -0.22 -15.54Total 3.10 1.25 1.00 8.41 5.98 0.11 0.09 0.82 0.60 10.59 7.67 -2.92 -27.62* 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 ConditionVariables1970 2003Baseline Optimistic Absolute Percent Baseline Optimistic Absolute PercentBachelor's degrees (percent) 13.10 28.73 32.11 34.20 2.09 6.52 39.87 46.81 6.94 17.40Capital stock (US$ Billions) 20.38 60.60 124.28 128.82 4.54 3.64 363.71 399.17 35.46 9.72Life expectancy at 65 (years) 14.36 18.51 20.24 21.41 1.17 5.77 23.14 25.38 2.24 9.66GDP* by state (US$ Billions) 9.18 46.97 81.14 86.88 5.74 7.07 141.67 166.64 24.96 17.62*Based on Real GDP[ 194 ]
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An Unhealthy America: The Economic Burden of ... - Milken Institute

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