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

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An Unhealthy AmericaMilken InstituteKentuckyKentuckyDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Cancer 173 4,599 0.80 268 220 9,716 8,680 2.60 1.91 -48 -17.84 -1,036 -10.66 -0.69 -26.60Breast cancer 17 4,719 0.08 23 20 9,788 8,738 0.23 0.18 -3 -12.30 -1,049 -10.72 -0.05 -21.70Colon cancer 6 12,307 0.07 7 6 28,215 25,205 0.20 0.15 -1 -17.67 -3,010 -10.67 -0.05 -26.45Lung cancer 8 18,102 0.14 9 8 37,653 33,617 0.35 0.25 -2 -18.44 -4,036 -10.72 -0.09 -27.19Prostate cancer 15 3,710 0.06 25 20 7,896 7,050 0.20 0.14 -5 -21.48 -845 -10.71 -0.06 -29.89Other cancers 128 3,723 0.48 203 167 8,007 7,151 1.63 1.19 -37 -18.00 -857 -10.70 -0.44 -26.78Diabetes 219 2,057 0.45 308 267 4,389 3,920 1.35 1.05 -41 -13.30 -470 -10.70 -0.31 -22.58Heart disease 325 3,494 1.13 424 277 7,945 7,097 3.37 1.97 -147 -34.63 -848 -10.67 -1.40 -41.60Pulmonary conditions 1,020 935 0.95 1,303 1,119 2,070 1,849 2.70 2.07 -183 -14.05 -221 -10.69 -0.63 -23.24Hypertension 607 1,022 0.62 775 630 2,185 1,951 1.69 1.23 -145 -18.70 -234 -10.70 -0.46 -27.40Stroke 37 6,178 0.23 44 36 14,340 12,811 0.64 0.46 -8 -18.84 -1,529 -10.66 -0.18 -27.50Mental disorders 378 1,332 0.50 532 466 2,817 2,515 1.50 1.17 -66 -12.35 -302 -10.71 -0.33 -21.74Total 2,760 1,702 4.70 3,655 3,017 4,358 3,892 13.85 9.86 -638 -17.45 -466 -10.69 -3.99 -28.82Indirect Impacts* (US$ 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 4.44 0.76 0.62 12.89 7.66 0.055 0.045 1.25 0.81 14.96 9.14 -5.82 -38.90Breast cancer 0.42 0.07 0.06 1.12 0.71 0.005 0.004 0.11 0.08 1.30 0.85 -0.45 -34.82Colon cancer 0.40 0.06 0.05 1.01 0.60 0.004 0.004 0.10 0.06 1.17 0.71 -0.45 -38.78Lung cancer 0.74 0.10 0.08 1.72 1.01 0.007 0.006 0.17 0.11 2.00 1.21 -0.79 -39.39Prostate cancer 0.31 0.06 0.05 0.98 0.56 0.004 0.003 0.09 0.06 1.14 0.66 -0.47 -41.64Other cancers 2.58 0.48 0.39 8.06 4.78 0.034 0.028 0.78 0.51 9.35 5.70 -3.65 -39.05Diabetes 1.67 0.51 0.44 4.15 3.26 0.041 0.035 0.44 0.34 5.14 4.08 -1.07 -20.76Heart disease 1.78 0.98 0.64 3.58 1.96 0.097 0.063 0.35 0.19 5.01 2.85 -2.15 -43.01Asthma 1.94 1.08 0.92 3.83 3.11 0.078 0.067 0.37 0.30 5.35 4.40 -0.95 -17.74Hypertension 4.61 1.87 1.52 9.71 7.68 0.184 0.150 0.94 0.74 12.71 10.10 -2.61 -20.55Stroke 0.34 0.15 0.12 0.65 0.49 0.011 0.009 0.06 0.05 0.87 0.67 -0.20 -23.35Emotional disturbances 2.13 0.72 0.63 5.21 4.38 0.052 0.045 0.50 0.42 6.48 5.48 -1.01 -15.54Total 16.92 6.07 4.90 40.03 28.54 0.52 0.41 3.91 2.86 50.53 36.71 -13.81 -27.34* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferenceStroke 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) 7.20 21.10 24.05 25.62 1.57 6.54 29.80 34.96 5.16 17.33Capital stock (US$ Billions) 85.03 239.46 448.01 464.42 16.41 3.64 1219.19 1337.56 118.38 9.72Life expectancy at 65 (years) 14.79 17.04 18.63 19.71 1.08 5.78 21.31 23.36 2.05 9.62GDP* by state (US$ Billions) 22.70 124.95 194.93 208.75 13.82 7.09 300.60 353.35 52.75 17.55*Based on Real GDP[ 203 ]
An Unhealthy AmericaMilken InstituteLouisianaLouisianaDirect 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($)PRC(Thousands)Chronic DiseaseCancer 183 4,585 0.84 280 230 7,755 7,138 2.17 1.64 -50 -17.89 -617 -7.95 -0.53 -24.42Breast cancer 18 4,553 0.08 26 22 7,784 7,159 0.20 0.16 -3 -12.30 -625 -8.03 -0.04 -19.34Colon cancer 7 12,703 0.08 8 6 23,383 21,513 0.18 0.14 -1 -17.67 -1,870 -8.00 -0.04 -24.25Lung cancer 6 17,917 0.11 8 6 30,691 28,228 0.24 0.18 -1 -18.44 -2,463 -8.03 -0.06 -24.99Prostate cancer 20 3,676 0.07 33 26 6,404 5,891 0.21 0.15 -7 -21.48 -514 -8.02 -0.06 -27.78Other cancers 132 3,712 0.49 206 169 6,517 5,995 1.34 1.01 -37 -18.00 -522 -8.02 -0.33 -24.58Diabetes 239 1,947 0.46 328 284 3,398 3,125 1.11 0.89 -44 -13.30 -272 -8.02 -0.23 -20.25Heart disease 332 3,573 1.18 454 297 6,537 6,014 2.97 1.79 -157 -34.63 -523 -8.00 -1.18 -39.86Pulmonary conditions 704 919 0.65 865 744 1,648 1,516 1.43 1.13 -122 -14.05 -132 -8.01 -0.30 -20.94Hypertension 644 950 0.61 823 669 1,660 1,527 1.37 1.02 -154 -18.70 -133 -8.02 -0.34 -25.21Stroke 39 6,428 0.25 46 38 11,940 10,985 0.56 0.41 -9 -18.84 -954 -7.99 -0.14 -25.33Mental disorders 445 1,259 0.56 620 543 2,183 2,008 1.35 1.09 -77 -12.35 -175 -8.02 -0.26 -19.38Total 2,586 1,756 4.54 3,417 2,805 3,689 3,394 10.96 7.97 -612 -17.91 -295 -8.00 -2.99 -27.25Indirect Impacts* (US$ 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 4.69 0.80 0.65 13.50 8.01 0.058 0.047 1.31 0.85 15.66 9.56 -6.10 -38.94Breast cancer 0.45 0.07 0.06 1.24 0.79 0.005 0.005 0.12 0.08 1.44 0.94 -0.50 -34.83Colon cancer 0.46 0.07 0.06 1.14 0.68 0.005 0.004 0.11 0.07 1.32 0.81 -0.51 -38.80Lung cancer 0.63 0.09 0.07 1.46 0.86 0.006 0.005 0.14 0.09 1.70 1.03 -0.67 -39.40Prostate cancer 0.42 0.08 0.06 1.31 0.74 0.006 0.004 0.13 0.08 1.51 0.88 -0.63 -41.65Other cancers 2.73 0.49 0.40 8.35 4.95 0.036 0.029 0.81 0.52 9.69 5.90 -3.78 -39.06Diabetes 1.82 0.54 0.47 4.41 3.46 0.043 0.037 0.47 0.37 5.47 4.33 -1.14 -20.76Heart disease 1.81 1.05 0.69 3.83 2.10 0.104 0.068 0.37 0.20 5.36 3.06 -2.31 -43.01Asthma 1.34 0.71 0.61 2.54 2.07 0.052 0.045 0.25 0.20 3.55 2.92 -0.63 -17.74Hypertension 4.90 1.99 1.61 10.32 8.16 0.195 0.159 1.00 0.79 13.50 10.72 -2.77 -20.55Stroke 0.35 0.16 0.13 0.68 0.51 0.011 0.009 0.07 0.05 0.91 0.70 -0.21 -23.35Emotional disturbances 2.51 0.83 0.73 6.07 5.10 0.061 0.053 0.58 0.49 7.55 6.37 -1.17 -15.54Total 17.43 6.08 4.90 41.35 29.41 0.52 0.42 4.04 2.95 52.00 37.67 -14.33 -27.56* Based on Nominal GDPIntergenerational Impacts2023 2023 2050 2050Projections - Level Projections - Difference Projections - Level Projections - DifferenceDiseaseExpenditures(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 0.9Expenditures/PRC(Thousands)Heart 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) 9.00 21.37 25.42 27.08 1.66 6.52 31.77 37.28 5.51 17.33Capital stock (US$ Billions) 98.78 241.12 436.87 452.83 15.96 3.64 1169.07 1282.58 113.51 9.72Life expectancy at 65 (years) 14.43 17.12 18.72 19.80 1.08 5.77 21.41 23.47 2.06 9.62GDP* by state (US$ Billions) 30.02 139.92 227.25 243.33 16.08 7.07 355.54 417.92 62.38 17.55*Based on Real GDP[ 204 ]
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