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

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An Unhealthy AmericaMilken InstituteNew HampshireNew HampshireDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Cancer 50 4,293 0.22 88 73 8,586 7,715 0.76 0.56 -16 -17.67 -871 -10.15 -0.20 -26.03Breast cancer 7 4,916 0.03 11 10 9,846 8,838 0.11 0.09 -1 -12.30 -1,008 -10.24 -0.02 -21.28Colon cancer 1 10,039 0.01 2 2 22,117 19,863 0.04 0.03 0 -17.67 -2,254 -10.19 -0.01 -26.06Lung cancer 2 16,000 0.03 2 2 32,127 28,838 0.08 0.06 0 -18.44 -3,289 -10.24 -0.02 -26.79Prostate cancer 5 4,320 0.02 10 8 8,866 7,960 0.09 0.06 -2 -21.48 -907 -10.23 -0.03 -29.51Other cancers 36 3,363 0.12 63 51 6,973 6,260 0.44 0.32 -11 -18.00 -713 -10.22 -0.12 -26.38Diabetes 52 1,788 0.09 94 82 3,679 3,303 0.35 0.27 -13 -13.30 -376 -10.22 -0.08 -22.16Heart disease 73 2,525 0.18 121 79 5,520 4,957 0.67 0.39 -42 -34.63 -563 -10.20 -0.27 -41.29Pulmonary conditions 231 749 0.17 325 280 1,595 1,432 0.52 0.40 -46 -14.05 -163 -10.21 -0.12 -22.83Hypertension 149 769 0.11 221 180 1,585 1,423 0.35 0.26 -41 -18.70 -162 -10.22 -0.09 -27.01Stroke 9 5,015 0.04 13 11 11,178 10,039 0.15 0.11 -2 -18.84 -1,139 -10.19 -0.04 -27.11Mental disorders 117 1,491 0.17 189 166 3,041 2,730 0.58 0.45 -23 -12.35 -311 -10.23 -0.12 -21.31Total 681 1,465 1.00 1,052 869 3,714 3,335 3.36 2.44 -183 -17.37 -379 -10.20 -0.92 -27.50Indirect Impacts* (US$ 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 1.29 0.25 0.21 4.25 2.53 0.018 0.015 0.41 0.27 4.93 3.02 -1.91 -38.78Breast cancer 0.19 0.04 0.03 0.62 0.39 0.003 0.002 0.06 0.04 0.72 0.47 -0.25 -34.85Colon cancer 0.08 0.01 0.01 0.24 0.14 0.001 0.001 0.02 0.02 0.28 0.17 -0.11 -38.80Lung cancer 0.17 0.03 0.02 0.44 0.26 0.002 0.002 0.04 0.03 0.51 0.31 -0.20 -39.41Prostate cancer 0.13 0.03 0.02 0.50 0.28 0.002 0.002 0.05 0.03 0.57 0.34 -0.24 -41.66Other cancers 0.72 0.14 0.12 2.45 1.45 0.010 0.009 0.24 0.15 2.84 1.73 -1.11 -39.07Diabetes 0.39 0.16 0.13 1.27 1.00 0.012 0.011 0.14 0.11 1.57 1.25 -0.33 -20.76Heart disease 0.40 0.28 0.18 1.02 0.56 0.027 0.018 0.10 0.05 1.42 0.81 -0.61 -43.01Asthma 0.44 0.27 0.23 0.96 0.78 0.020 0.017 0.09 0.08 1.34 1.10 -0.24 -17.74Hypertension 1.13 0.53 0.43 2.77 2.19 0.052 0.043 0.27 0.21 3.62 2.88 -0.74 -20.55Stroke 0.08 0.04 0.04 0.19 0.15 0.003 0.003 0.02 0.01 0.26 0.20 -0.06 -23.35Emotional disturbances 0.66 0.26 0.22 1.86 1.56 0.019 0.016 0.18 0.15 2.31 1.95 -0.36 -15.54Total 4.40 1.79 1.45 12.31 8.75 0.15 0.12 1.20 0.88 15.45 11.20 -4.25 -27.51* 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) 10.90 31.90 38.12 40.61 2.49 6.52 46.04 54.04 8.00 17.38Capital stock (US$ Billions) 22.79 108.17 218.30 226.28 7.98 3.64 692.34 759.76 67.42 9.72Life expectancy at 65 (years) 14.73 18.94 20.71 21.90 1.19 5.77 23.68 25.97 2.29 9.65GDP* by state (US$ Billions) 6.35 48.07 79.48 85.10 5.62 7.08 145.80 171.46 25.66 17.60*Based on Real GDP[ 215 ]
An Unhealthy AmericaMilken InstituteNew JerseyNew JerseyDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Cancer 353 4,434 1.57 526 432 7,867 7,199 4.14 3.11 -94 -17.83 -669 -8.50 -1.03 -24.81Breast cancer 42 5,242 0.22 58 51 9,330 8,528 0.54 0.43 -7 -12.30 -802 -8.60 -0.11 -19.84Colon cancer 11 10,023 0.11 13 10 19,316 17,662 0.24 0.18 -2 -17.67 -1,654 -8.56 -0.06 -24.72Lung cancer 12 16,670 0.19 14 12 29,738 27,182 0.42 0.32 -3 -18.44 -2,556 -8.60 -0.11 -25.46Prostate cancer 42 4,491 0.19 67 53 8,159 7,458 0.55 0.40 -14 -21.48 -701 -8.59 -0.16 -28.22Other cancers 247 3,474 0.86 374 307 6,364 5,818 2.38 1.78 -67 -18.00 -546 -8.59 -0.60 -25.04Diabetes 440 1,980 0.87 623 541 3,604 3,295 2.25 1.78 -83 -13.30 -310 -8.59 -0.47 -20.74Heart disease 589 2,552 1.50 763 499 4,886 4,468 3.73 2.23 -264 -34.63 -419 -8.57 -1.50 -40.23Pulmonary conditions 1,295 793 1.02 1,582 1,360 1,487 1,360 2.35 1.85 -222 -14.05 -128 -8.58 -0.50 -21.42Hypertension 1,137 870 0.99 1,494 1,214 1,586 1,450 2.37 1.76 -279 -18.70 -136 -8.59 -0.61 -25.68Stroke 65 4,977 0.32 75 61 9,686 8,857 0.73 0.54 -14 -18.84 -829 -8.56 -0.19 -25.79Mental disorders 742 1,650 1.22 1,055 925 2,981 2,725 3.14 2.52 -130 -12.35 -256 -8.59 -0.63 -19.88Total 4,620 1,622 7.49 6,118 5,031 3,605 3,296 18.71 13.79 -1,087 -17.76 -309 -8.57 -4.92 -26.29Indirect Impacts* (US$ 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 9.05 1.50 1.22 25.33 15.05 0.108 0.088 2.45 1.59 29.38 17.96 -11.43 -38.89Breast cancer 1.27 0.20 0.17 3.30 2.09 0.014 0.012 0.32 0.22 3.83 2.50 -1.34 -34.85Colon cancer 0.61 0.09 0.07 1.50 0.89 0.006 0.005 0.14 0.09 1.74 1.06 -0.67 -38.82Lung cancer 1.11 0.15 0.12 2.60 1.53 0.011 0.009 0.25 0.16 3.02 1.83 -1.19 -39.42Prostate cancer 1.09 0.20 0.16 3.37 1.91 0.014 0.011 0.33 0.20 3.91 2.28 -1.63 -41.66Other cancers 4.96 0.86 0.70 14.56 8.62 0.062 0.051 1.41 0.91 16.89 10.29 -6.60 -39.08Diabetes 3.35 1.03 0.89 8.39 6.58 0.082 0.071 0.90 0.70 10.40 8.24 -2.16 -20.76Heart disease 3.22 1.77 1.16 6.44 3.52 0.174 0.114 0.62 0.34 9.01 5.13 -3.87 -43.01Asthma 2.47 1.31 1.12 4.65 3.78 0.095 0.082 0.45 0.37 6.50 5.35 -1.15 -17.74Hypertension 8.65 3.61 2.93 18.72 14.81 0.354 0.288 1.82 1.44 24.50 19.46 -5.04 -20.55Stroke 0.59 0.25 0.21 1.10 0.83 0.018 0.015 0.11 0.08 1.48 1.13 -0.35 -23.35Emotional disturbances 4.18 1.42 1.24 10.33 8.68 0.103 0.090 0.99 0.83 12.85 10.85 -2.00 -15.54Total 31.50 10.88 8.78 74.96 53.25 0.93 0.75 7.33 5.35 94.11 68.12 -25.99 -27.62* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - Level Projections - Difference Projections - Level Projections - DifferenceLung 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 5.6Mental 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) 11.80 31.83 37.69 40.14 2.45 6.50 45.89 53.86 7.97 17.36Capital stock (US$ Billions) 227.37 758.53 1420.60 1472.35 51.75 3.64 4043.82 4437.12 393.30 9.72Life expectancy at 65 (years) 14.62 18.69 20.44 21.62 1.18 5.75 23.37 25.62 2.25 9.64GDP* by state (US$ Billions) 78.61 375.85 571.63 611.95 40.32 7.05 951.73 1119.01 167.28 17.58*Based on Real GDP[ 216 ]
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