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

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An Unhealthy AmericaMilken InstituteFloridaFloridaDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6Cancer 657 4,576 3.01 1,284 1,055 8,826 7,979 11.33 8.42 -229 -17.82 -847 -9.60 -2.91 -25.71Breast cancer 69 4,852 0.33 121 106 9,336 8,432 1.13 0.90 -15 -12.30 -904 -9.69 -0.24 -20.79Colon cancer 21 11,652 0.25 34 28 24,533 22,167 0.83 0.62 -6 -17.67 -2,366 -9.64 -0.21 -25.61Lung cancer 23 18,268 0.42 38 31 35,240 31,827 1.35 0.99 -7 -18.44 -3,413 -9.69 -0.35 -26.34Prostate cancer 60 3,716 0.22 128 101 7,317 6,609 0.94 0.67 -28 -21.48 -708 -9.68 -0.27 -29.08Other cancers 484 3,705 1.79 963 789 7,365 6,653 7.09 5.25 -173 -18.00 -712 -9.67 -1.84 -25.93Diabetes 905 1,957 1.77 1,776 1,540 3,863 3,489 6.86 5.37 -236 -13.30 -374 -9.67 -1.49 -21.69Heart disease 1,384 3,290 4.52 2,388 1,561 6,876 6,212 16.42 9.70 -827 -34.63 -663 -9.65 -6.72 -40.93Pulmonary conditions 2,622 880 2.30 4,107 3,530 1,796 1,622 7.38 5.73 -577 -14.05 -173 -9.66 -1.65 -22.36Hypertension 2,463 967 2.37 4,400 3,577 1,913 1,728 8.41 6.18 -823 -18.70 -185 -9.67 -2.23 -26.56Stroke 151 5,721 0.87 244 198 12,179 11,005 2.97 2.18 -46 -18.84 -1,174 -9.64 -0.79 -26.67Mental disorders 2,182 1,285 2.79 4,124 3,615 2,516 2,272 10.38 8.21 -509 -12.35 -243 -9.68 -2.16 -20.83Total 10,365 1,701 17.63 18,322 15,076 4,009 3,622 63.74 45.79 -3,247 -17.72 -387 -9.66 -17.96 -28.17Indirect Impacts* (US$ 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 16.85 3.66 2.99 61.81 36.74 0.26 0.22 5.98 3.89 71.71 43.83 -27.88 -38.88Breast cancer 1.86 0.36 0.32 6.17 3.91 0.03 0.02 0.60 0.41 7.15 4.66 -2.49 -34.84Colon cancer 1.38 0.27 0.22 4.51 2.69 0.02 0.02 0.44 0.28 5.24 3.21 -2.03 -38.80Lung cancer 2.36 0.43 0.35 7.34 4.32 0.03 0.03 0.71 0.46 8.51 5.16 -3.35 -39.41Prostate cancer 1.24 0.30 0.24 5.12 2.91 0.02 0.02 0.50 0.31 5.94 3.47 -2.48 -41.66Other cancers 10.01 2.29 1.86 38.67 22.91 0.16 0.13 3.74 2.42 44.87 27.34 -17.53 -39.07Diabetes 6.90 2.93 2.54 23.91 18.75 0.23 0.20 2.55 1.98 29.62 23.47 -6.15 -20.76Heart disease 7.56 5.54 3.62 20.15 11.02 0.54 0.36 1.95 1.07 28.18 16.06 -12.12 -43.01Asthma 4.99 3.39 2.91 12.07 9.80 0.25 0.21 1.17 0.95 16.87 13.88 -2.99 -17.74Hypertension 18.73 10.62 8.63 55.15 43.61 1.04 0.85 5.35 4.23 72.16 57.33 -14.83 -20.55Stroke 1.38 0.82 0.66 3.56 2.69 0.06 0.05 0.35 0.26 4.78 3.67 -1.12 -23.35Emotional disturbances 12.29 5.55 4.87 40.40 33.95 0.40 0.35 3.88 3.26 50.23 42.43 -7.80 -15.54Total 68.71 32.50 26.22 217.04 156.56 2.79 2.23 21.22 15.64 273.56 200.66 -72.90 -26.65* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferenceMental 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) 10.30 25.37 29.28 31.18 1.90 6.49 36.20 42.49 6.29 17.38Capital stock (US$ Billions) 199.45 1088.61 2766.24 2866.87 100.63 3.64 12451.75 13664.42 1212.67 9.72Life expectancy at 65 (years) 16.07 19.74 21.59 22.83 1.24 5.74 24.68 27.06 2.38 9.65GDP* by state (US$ Billions) 70.46 553.94 1159.87 1239.01 79.13 6.82 3009.00 3540.33 531.33 17.66*Based on Real GDP[ 195 ]
An Unhealthy AmericaMilken InstituteGeorgiaGeorgiaDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Cancer 345 3,963 1.37 624 512 7,473 6,775 4.66 3.47 -111 -17.84 -699 -9.35 -1.19 -25.52Breast cancer 36 4,090 0.15 61 54 7,727 6,999 0.47 0.38 -8 -12.30 -729 -9.43 -0.10 -20.57Colon cancer 11 10,490 0.12 16 13 21,634 19,602 0.35 0.26 -3 -17.67 -2,032 -9.39 -0.09 -25.40Lung cancer 12 15,576 0.19 18 15 29,502 26,719 0.54 0.40 -3 -18.44 -2,783 -9.43 -0.14 -26.14Prostate cancer 37 3,198 0.12 70 55 6,180 5,598 0.43 0.31 -15 -21.48 -582 -9.42 -0.13 -28.88Other cancers 249 3,208 0.80 457 375 6,257 5,668 2.86 2.13 -82 -18.00 -589 -9.42 -0.74 -25.73Diabetes 427 1,688 0.72 692 600 3,269 2,961 2.26 1.78 -92 -13.30 -308 -9.42 -0.49 -21.47Heart disease 494 2,956 1.45 769 503 6,053 5,485 4.65 2.76 -266 -34.63 -569 -9.40 -1.90 -40.77Pulmonary conditions 1,549 778 1.20 2,225 1,913 1,556 1,410 3.46 2.70 -313 -14.05 -146 -9.41 -0.77 -22.14Hypertension 1,212 832 1.00 1,818 1,478 1,614 1,462 2.93 2.16 -340 -18.70 -152 -9.42 -0.77 -26.36Stroke 66 5,218 0.34 92 75 10,878 9,856 1.01 0.74 -17 -18.84 -1,021 -9.39 -0.27 -26.46Mental disorders 930 1,100 1.02 1,571 1,377 2,114 1,914 3.32 2.64 -194 -12.35 -199 -9.43 -0.68 -20.61Total 5,023 1,415 7.11 7,791 6,458 3,323 3,010 22.30 16.24 -1,333 -17.11 -312 -9.40 -6.06 -27.19Indirect Impacts* (US$ Billions)2023Individual Caregiver TotalProjections - Difference2003TotalLost Work Days Presenteeism Lost Work Days Presenteeism Projections - LevelBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute PercentLevelChronic DiseaseCancer 8.85 1.78 1.45 30.02 17.83 0.128 0.105 2.90 1.89 34.82 21.28 -13.55 -38.90Breast cancer 0.95 0.18 0.16 3.05 1.93 0.013 0.011 0.29 0.20 3.54 2.31 -1.23 -34.84Colon cancer 0.76 0.13 0.11 2.27 1.35 0.010 0.008 0.22 0.14 2.64 1.61 -1.02 -38.80Lung cancer 1.24 0.20 0.17 3.46 2.04 0.015 0.012 0.33 0.22 4.01 2.43 -1.58 -39.41Prostate cancer 0.75 0.17 0.13 2.80 1.59 0.012 0.009 0.27 0.17 3.25 1.90 -1.35 -41.66Other cancers 5.15 1.09 0.89 18.44 10.92 0.079 0.064 1.78 1.16 21.39 13.03 -8.36 -39.07Diabetes 3.26 1.14 0.99 9.32 7.31 0.091 0.079 0.99 0.77 11.55 9.15 -2.40 -20.76Heart disease 2.70 1.78 1.17 6.49 3.55 0.175 0.114 0.63 0.34 9.07 5.17 -3.90 -43.01Asthma 2.95 1.84 1.58 6.54 5.31 0.133 0.115 0.63 0.52 9.14 7.52 -1.62 -17.74Hypertension 9.21 4.39 3.57 22.79 18.02 0.431 0.351 2.21 1.75 29.82 23.69 -6.13 -20.55Stroke 0.60 0.31 0.25 1.35 1.02 0.023 0.018 0.13 0.10 1.81 1.39 -0.42 -23.35Emotional disturbances 5.24 2.12 1.85 15.39 12.94 0.154 0.134 1.48 1.24 19.14 16.16 -2.97 -15.54Total 32.82 13.35 10.86 91.89 65.98 1.14 0.92 8.98 6.61 115.35 84.36 -30.99 -26.87* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - Level Projections - 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 ConditionBaseline Optimistic Absolute PercentBaseline Optimistic Absolute Percent1970 2003VariablesBachelor's degrees (percent) 9.20 24.73 28.39 30.24 1.85 6.52 35.16 41.26 6.10 17.36Capital stock (US$ Billions) 138.02 611.51 1288.66 1335.73 47.07 3.64 4232.31 4643.82 411.51 9.72Life expectancy at 65 (years) 14.70 17.33 18.95 20.04 1.09 5.77 21.67 23.76 2.09 9.64GDP* by state (US$ Billions) 44.98 318.94 541.05 579.31 38.26 7.07 1006.61 1183.48 176.88 17.57*Based on Real GDP[ 196 ]
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