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

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An Unhealthy AmericaMilken InstituteMinnesotaMinnesotaDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Cancer 175 5,568 0.98 289 238 11,335 10,150 3.28 2.41 -52 -17.88 -1,185 -10.46 -0.87 -26.46Breast cancer 20 5,870 0.12 30 26 11,991 10,731 0.36 0.28 -4 -12.30 -1,260 -10.51 -0.08 -21.52Colon cancer 5 12,779 0.06 6 5 28,796 25,783 0.18 0.13 -1 -17.67 -3,013 -10.46 -0.05 -26.28Lung cancer 5 19,152 0.09 6 5 39,232 35,109 0.24 0.18 -1 -18.44 -4,123 -10.51 -0.07 -27.02Prostate cancer 21 5,259 0.11 38 30 11,018 9,861 0.42 0.29 -8 -21.48 -1,157 -10.50 -0.12 -29.72Other cancers 125 4,708 0.59 209 172 9,967 8,921 2.09 1.53 -38 -18.00 -1,046 -10.49 -0.56 -26.61Diabetes 163 2,324 0.38 254 220 4,881 4,368 1.24 0.96 -34 -13.30 -512 -10.50 -0.28 -22.40Heart disease 232 4,212 0.98 327 214 9,415 8,430 3.08 1.80 -113 -34.63 -985 -10.47 -1.28 -41.47Pulmonary conditions 778 1,197 0.93 1,059 910 2,606 2,333 2.76 2.12 -149 -14.05 -273 -10.48 -0.64 -23.06Hypertension 579 912 0.53 807 656 1,920 1,718 1.55 1.13 -151 -18.70 -201 -10.50 -0.42 -27.23Stroke 42 5,328 0.22 55 45 12,152 10,881 0.67 0.49 -10 -18.84 -1,271 -10.46 -0.18 -27.33Mental disorders 750 1,767 1.32 1,153 1,011 3,677 3,291 4.24 3.33 -142 -12.35 -386 -10.50 -0.91 -21.55Total 2,719 1,957 5.32 3,944 3,293 4,930 4,413 16.81 12.24 -651 -16.51 -517 -10.48 -4.58 -27.22Indirect Impacts* (US$ Billions)2023Individual Caregiver TotalLost Work Days Presenteeism Lost Work Days PresenteeismProjections - Level Projections - DifferenceBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent2003TotalLevelChronic DiseaseCancer 4.49 0.82 0.67 13.93 8.28 0.059 0.049 1.35 0.88 16.17 9.87 -6.29 -38.93Breast cancer 0.55 0.09 0.08 1.52 0.96 0.006 0.006 0.15 0.10 1.76 1.15 -0.61 -34.82Colon cancer 0.28 0.04 0.04 0.75 0.45 0.003 0.003 0.07 0.05 0.87 0.53 -0.34 -38.78Lung cancer 0.41 0.06 0.05 1.03 0.61 0.004 0.004 0.10 0.06 1.19 0.72 -0.47 -39.39Prostate cancer 0.52 0.11 0.08 1.78 1.01 0.008 0.006 0.17 0.11 2.07 1.21 -0.86 -41.63Other cancers 2.73 0.52 0.43 8.86 5.25 0.038 0.031 0.86 0.56 10.28 6.27 -4.01 -39.05Diabetes 1.24 0.42 0.36 3.42 2.68 0.033 0.029 0.36 0.28 4.24 3.36 -0.88 -20.76Heart disease 1.27 0.76 0.50 2.76 1.51 0.074 0.049 0.27 0.15 3.86 2.20 -1.66 -43.01Asthma 1.48 0.87 0.75 3.11 2.53 0.063 0.055 0.30 0.25 4.35 3.58 -0.77 -17.74Hypertension 4.40 1.95 1.58 10.12 8.00 0.191 0.156 0.98 0.78 13.24 10.52 -2.72 -20.55Stroke 0.38 0.18 0.15 0.80 0.61 0.013 0.011 0.08 0.06 1.08 0.83 -0.25 -23.35Emotional disturbances 4.22 1.55 1.36 11.30 9.49 0.113 0.099 1.08 0.91 14.04 11.86 -2.18 -15.54Total 17.49 6.56 5.38 45.44 33.10 0.55 0.45 4.42 3.30 56.97 42.21 -14.76 -25.90* 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) 11.10 31.53 36.77 39.16 2.39 6.49 44.63 52.38 7.75 17.36Capital stock (US$ Billions) 139.43 361.22 739.58 766.49 26.91 3.64 2288.09 2510.66 222.57 9.72Life expectancy at 65 (years) 15.73 19.53 21.36 22.59 1.23 5.75 24.42 26.77 2.35 9.64GDP* by state (US$ Billions) 33.95 205.44 318.13 340.54 22.41 7.05 574.65 675.67 101.02 17.58*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[ 209 ]
An Unhealthy AmericaMilken InstituteMississippiMississippiDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Cancer 127 3,971 0.50 197 162 8,022 7,159 1.58 1.16 -35 -17.91 -863 -10.75 -0.42 -26.74Breast cancer 13 3,835 0.05 18 16 8,020 7,151 0.14 0.11 -2 -12.30 -869 -10.83 -0.03 -21.80Colon cancer 4 11,371 0.04 5 4 26,311 23,475 0.12 0.09 -1 -17.67 -2,836 -10.78 -0.03 -26.54Lung cancer 3 15,482 0.05 4 3 32,466 28,951 0.13 0.10 -1 -18.44 -3,516 -10.83 -0.04 -27.28Prostate cancer 15 3,171 0.05 24 19 6,804 6,068 0.16 0.11 -5 -21.48 -736 -10.82 -0.05 -29.97Other cancers 92 3,214 0.30 146 120 6,973 6,219 1.02 0.75 -26 -18.00 -754 -10.81 -0.27 -26.87Diabetes 199 1,736 0.34 289 250 3,735 3,331 1.08 0.83 -38 -13.30 -404 -10.82 -0.24 -22.67Heart disease 250 3,209 0.80 341 223 7,362 6,569 2.51 1.47 -118 -34.63 -794 -10.78 -1.05 -41.67Pulmonary conditions 503 823 0.41 632 543 1,837 1,639 1.16 0.89 -89 -14.05 -198 -10.80 -0.27 -23.33Hypertension 476 847 0.40 634 515 1,825 1,627 1.16 0.84 -119 -18.70 -197 -10.81 -0.32 -27.49Stroke 27 5,838 0.15 32 26 13,679 12,205 0.43 0.31 -6 -18.84 -1,473 -10.77 -0.12 -27.59Mental disorders 240 1,114 0.27 334 293 2,374 2,117 0.79 0.62 -41 -12.35 -257 -10.82 -0.17 -21.83Total 1,821 1,571 2.86 2,458 2,012 4,052 3,615 8.72 6.12 -446 -18.15 -437 -10.79 -2.60 -29.78Indirect Impacts* (US$ 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 3.25 0.56 0.46 9.48 5.63 0.040 0.033 0.92 0.60 11.00 6.71 -4.28 -38.95Breast cancer 0.33 0.05 0.04 0.87 0.55 0.004 0.003 0.08 0.06 1.01 0.66 -0.35 -34.84Colon cancer 0.28 0.04 0.03 0.71 0.42 0.003 0.002 0.07 0.04 0.82 0.50 -0.32 -38.79Lung cancer 0.35 0.05 0.04 0.80 0.47 0.003 0.003 0.08 0.05 0.93 0.56 -0.37 -39.40Prostate cancer 0.31 0.06 0.05 0.98 0.56 0.004 0.003 0.10 0.06 1.14 0.67 -0.48 -41.65Other cancers 1.97 0.36 0.29 6.12 3.62 0.026 0.021 0.59 0.38 7.09 4.32 -2.77 -39.06Diabetes 1.51 0.48 0.41 3.89 3.05 0.038 0.033 0.41 0.32 4.82 3.82 -1.00 -20.76Heart disease 1.36 0.79 0.52 2.88 1.57 0.078 0.051 0.28 0.15 4.03 2.29 -1.73 -43.01Asthma 0.96 0.52 0.45 1.86 1.51 0.038 0.033 0.18 0.15 2.59 2.13 -0.46 -17.74Hypertension 3.62 1.53 1.24 7.95 6.28 0.150 0.122 0.77 0.61 10.40 8.26 -2.14 -20.55Stroke 0.24 0.11 0.09 0.46 0.35 0.008 0.006 0.05 0.03 0.62 0.48 -0.15 -23.35Emotional disturbances 1.35 0.45 0.39 3.28 2.75 0.033 0.029 0.31 0.26 4.07 3.44 -0.63 -15.54Total 12.30 4.44 3.56 29.79 21.15 0.38 0.31 2.92 2.12 37.53 27.14 -10.39 -27.69* 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) 8.10 21.17 22.18 23.63 1.45 6.52 28.13 33.01 4.88 17.33Capital stock (US$ Billions) 55.03 110.93 210.08 217.75 7.68 3.64 563.46 618.17 54.71 9.72Life expectancy at 65 (years) 14.63 17.12 18.72 19.80 1.08 5.77 21.41 23.47 2.06 9.62GDP* by state (US$ Billions) 13.10 72.54 105.09 112.52 7.43 7.07 167.22 196.56 29.34 17.55*Based on Real GDP[ 210 ]
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