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

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An Unhealthy AmericaMilken InstituteMassachusettsMassachusettsDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Cancer 257 5,723 1.47 375 309 10,304 9,396 3.87 2.90 -66 -17.71 -909 -8.82 -0.97 -24.97Breast cancer 33 6,258 0.20 44 38 11,354 10,347 0.50 0.40 -5 -12.30 -1,007 -8.87 -0.10 -20.07Colon cancer 8 14,029 0.11 9 7 27,632 25,192 0.24 0.18 -2 -17.67 -2,441 -8.83 -0.06 -24.94Lung cancer 9 21,366 0.19 11 9 38,856 35,411 0.42 0.32 -2 -18.44 -3,445 -8.87 -0.11 -25.68Prostate cancer 25 5,720 0.14 40 31 10,599 9,660 0.42 0.30 -9 -21.48 -939 -8.86 -0.12 -28.43Other cancers 182 4,483 0.82 272 223 8,380 7,638 2.28 1.70 -49 -18.00 -742 -8.85 -0.58 -25.26Diabetes 285 2,322 0.66 396 343 4,312 3,930 1.71 1.35 -53 -13.30 -382 -8.86 -0.36 -20.98Heart disease 391 3,510 1.37 487 319 6,867 6,261 3.35 1.99 -169 -34.63 -607 -8.83 -1.35 -40.40Pulmonary conditions 1,342 1,003 1.34 1,624 1,395 1,919 1,749 3.12 2.44 -228 -14.05 -170 -8.84 -0.67 -21.65Hypertension 762 978 0.75 956 777 1,818 1,657 1.74 1.29 -179 -18.70 -161 -8.86 -0.45 -25.90Stroke 56 7,126 0.40 66 53 14,177 12,926 0.93 0.69 -12 -18.84 -1,252 -8.83 -0.24 -26.01Mental disorders 1,089 1,928 2.09 1,509 1,322 3,553 3,238 5.36 4.28 -186 -12.35 -315 -8.86 -1.08 -20.11Total 4,181 1,931 8.07 5,412 4,519 4,282 3,903 20.07 14.95 -893 -16.51 -379 -8.85 -5.12 -25.52Indirect Impacts* (US$ Billions)2023Individual Caregiver Total2003TotalLost Work Days Presenteeism Lost Work Days PresenteeismProjections - Level Projections - DifferenceBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute PercentLevelChronic DiseaseCancer 6.58 1.07 0.87 18.06 10.75 0.077 0.063 1.75 1.14 20.96 12.82 -8.13 -38.81Breast cancer 0.92 0.14 0.12 2.32 1.47 0.010 0.009 0.22 0.16 2.70 1.76 -0.94 -34.82Colon cancer 0.47 0.07 0.06 1.14 0.68 0.005 0.004 0.11 0.07 1.33 0.81 -0.51 -38.78Lung cancer 0.87 0.12 0.09 1.98 1.17 0.008 0.007 0.19 0.12 2.30 1.39 -0.91 -39.38Prostate cancer 0.65 0.12 0.09 1.98 1.12 0.008 0.007 0.19 0.12 2.30 1.34 -0.96 -41.63Other cancers 3.67 0.63 0.51 10.64 6.30 0.045 0.037 1.03 0.67 12.34 7.52 -4.82 -39.05Diabetes 2.18 0.65 0.57 5.33 4.18 0.052 0.045 0.57 0.44 6.61 5.24 -1.37 -20.76Heart disease 2.14 1.13 0.74 4.11 2.25 0.111 0.073 0.40 0.22 5.75 3.28 -2.47 -43.01Asthma 2.55 1.34 1.15 4.77 3.88 0.097 0.084 0.46 0.38 6.67 5.49 -1.18 -17.74Hypertension 5.79 2.31 1.88 11.98 9.47 0.227 0.184 1.16 0.92 15.67 12.45 -3.22 -20.55Stroke 0.51 0.22 0.18 0.96 0.73 0.016 0.013 0.09 0.07 1.29 0.99 -0.30 -23.35Emotional disturbances 6.13 2.03 1.78 14.78 12.42 0.147 0.129 1.42 1.19 18.37 15.52 -2.85 -15.54Total 25.88 8.75 7.17 60.00 43.67 0.73 0.59 5.85 4.35 75.32 55.78 -19.54 -25.94* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferencePercentBaseline Optimistic Absolute Percent Baseline Optimistic Absolute1970 2003VariablesBachelor's degrees (percent) 12.60 34.80 42.24 44.99 2.75 6.52 51.01 59.88 8.87 17.38Capital stock (US$ Billions) 205.24 590.77 1185.78 1229.06 43.28 3.64 3181.82 3491.66 309.84 9.72Life expectancy at 65 (years) 15.08 18.82 20.58 21.77 1.19 5.76 23.53 25.80 2.27 9.65GDP* by state (US$ Billions) 56.50 298.07 406.65 435.39 28.74 7.07 618.85 727.76 108.91 17.60*Based on Real GDPStroke 13.6 2.4 5.6Mental Disorders 45.8 30.3 1.5Total 277.0 162.2 1.7PRC: Population Reporting Condition[ 207 ]
An Unhealthy AmericaMilken InstituteMichiganMichiganDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Cancer 359 4,463 1.60 537 441 7,604 6,989 4.08 3.08 -96 -17.89 -615 -8.09 -1.00 -24.54Breast cancer 38 4,427 0.17 52 45 7,608 6,992 0.39 0.32 -6 -12.30 -616 -8.10 -0.08 -19.40Colon cancer 10 11,145 0.11 11 9 20,642 18,975 0.23 0.18 -2 -17.67 -1,666 -8.07 -0.06 -24.31Lung cancer 11 15,109 0.17 13 11 26,021 23,913 0.34 0.26 -2 -18.44 -2,108 -8.10 -0.09 -25.05Prostate cancer 42 4,171 0.18 67 53 7,307 6,716 0.49 0.36 -14 -21.48 -592 -8.10 -0.14 -27.84Other cancers 258 3,774 0.97 394 323 6,664 6,125 2.62 1.98 -71 -18.00 -539 -8.09 -0.65 -24.64Diabetes 465 2,022 0.94 638 553 3,549 3,262 2.26 1.80 -85 -13.30 -287 -8.09 -0.46 -20.32Heart disease 742 3,710 2.75 965 631 6,830 6,278 6.59 3.96 -334 -34.63 -552 -8.08 -2.63 -39.90Pulmonary conditions 2,119 1,055 2.24 2,593 2,229 1,903 1,749 4.94 3.90 -364 -14.05 -154 -8.08 -1.04 -21.00Hypertension 1,391 799 1.11 1,769 1,439 1,404 1,291 2.48 1.86 -331 -18.70 -114 -8.09 -0.63 -25.28Stroke 90 4,831 0.43 106 86 9,030 8,301 0.96 0.71 -20 -18.84 -729 -8.07 -0.24 -25.39Mental disorders 998 1,501 1.49 1,375 1,206 2,616 2,405 3.60 2.90 -170 -12.35 -212 -8.10 -0.70 -19.45Total 6,164 1,713 10.56 7,984 6,584 3,513 3,229 24.91 18.22 -1,400 -17.54 -284 -8.09 -6.70 -26.89Indirect Impacts* (US$ 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 9.19 1.53 1.25 25.85 15.35 0.110 0.090 2.50 1.62 29.99 18.31 -11.68 -38.94Breast cancer 0.97 0.15 0.13 2.49 1.58 0.011 0.009 0.24 0.17 2.89 1.88 -1.01 -34.79Colon cancer 0.61 0.09 0.07 1.46 0.87 0.006 0.005 0.14 0.09 1.70 1.04 -0.66 -38.76Lung cancer 0.96 0.13 0.10 2.18 1.28 0.009 0.008 0.21 0.14 2.53 1.53 -0.99 -39.36Prostate cancer 1.02 0.18 0.14 3.12 1.77 0.013 0.010 0.30 0.19 3.61 2.11 -1.50 -41.61Other cancers 5.63 0.98 0.80 16.60 9.84 0.071 0.058 1.61 1.04 19.26 11.74 -7.52 -39.02Diabetes 3.55 1.05 0.91 8.59 6.74 0.084 0.072 0.92 0.71 10.64 8.43 -2.21 -20.76Heart disease 4.06 2.24 1.46 8.14 4.45 0.220 0.144 0.79 0.43 11.39 6.49 -4.90 -43.01Asthma 4.03 2.14 1.84 7.62 6.19 0.156 0.134 0.74 0.60 10.66 8.77 -1.89 -17.74Hypertension 10.58 4.27 3.47 22.18 17.54 0.420 0.341 2.15 1.70 29.02 23.05 -5.96 -20.55Stroke 0.82 0.36 0.29 1.55 1.17 0.026 0.021 0.15 0.11 2.08 1.60 -0.49 -23.35Emotional disturbances 5.62 1.85 1.62 13.47 11.32 0.134 0.118 1.29 1.09 16.75 14.15 -2.60 -15.54Total 37.85 13.44 10.85 87.40 62.76 1.15 0.92 8.54 6.27 110.53 80.80 -29.73 -26.90* 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) 9.40 23.27 26.56 28.30 1.74 6.54 33.13 38.90 5.77 17.40Capital stock (US$ Billions) 258.65 691.59 1357.21 1406.96 49.76 3.64 3502.48 3843.95 341.47 9.72Life expectancy at 65 (years) 14.71 18.23 19.93 21.08 1.15 5.79 22.79 24.99 2.20 9.66GDP* by state (US$ Billions) 78.74 356.47 535.50 573.52 38.02 7.10 827.66 973.49 145.83 17.62*Based on Real GDP[ 208 ]
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An Unhealthy America: The Economic Burden of ... - Milken Institute

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