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

An Unhealthy AmericaMilken InstituteNew MexicoNew MexicoDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Cancer 56 3,277 0.18 91 75 6,187 5,599 0.57 0.42 -16 -17.75 -588 -9.51 -0.14 -25.57Breast cancer 5 3,350 0.02 10 9 6,387 5,777 0.06 0.05 -1 -12.30 -610 -9.56 -0.01 -20.68Colon cancer 2 9,547 0.02 3 2 19,891 17,998 0.06 0.04 0 -17.67 -1,893 -9.52 -0.01 -25.50Lung cancer 2 12,996 0.03 3 2 24,838 22,464 0.07 0.05 0 -18.44 -2,374 -9.56 -0.02 -26.24Prostate cancer 5 2,950 0.02 10 8 5,753 5,204 0.06 0.04 -2 -21.48 -549 -9.55 -0.02 -28.97Other cancers 41 2,487 0.10 66 54 4,896 4,429 0.32 0.24 -12 -18.00 -467 -9.54 -0.08 -25.83Diabetes 66 1,561 0.10 120 104 3,051 2,760 0.37 0.29 -16 -13.30 -291 -9.55 -0.08 -21.57Heart disease 92 2,845 0.26 171 112 5,885 5,324 1.01 0.60 -59 -34.63 -560 -9.52 -0.41 -40.85Pulmonary conditions 224 700 0.16 270 232 1,414 1,279 0.38 0.30 -38 -14.05 -135 -9.53 -0.09 -22.25Hypertension 175 682 0.12 259 211 1,336 1,208 0.35 0.25 -48 -18.70 -127 -9.55 -0.09 -26.46Stroke 11 4,972 0.05 16 13 10,472 9,476 0.17 0.13 -3 -18.84 -996 -9.51 -0.05 -26.56Mental disorders 264 1,371 0.37 410 359 2,659 2,405 1.09 0.86 -51 -12.35 -254 -9.55 -0.23 -20.72Total 887 1,396 1.24 1,338 1,107 3,162 2,861 3.93 2.85 -232 -17.31 -301 -9.53 -1.08 -27.57Indirect Impacts* (US$ 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 1.43 0.26 0.21 4.40 2.62 0.019 0.015 0.425 0.277 5.10 3.12 -1.98 -38.84Breast cancer 0.14 0.03 0.03 0.50 0.31 0.002 0.002 0.048 0.033 0.58 0.38 -0.20 -34.81Colon cancer 0.15 0.03 0.02 0.43 0.26 0.002 0.002 0.042 0.027 0.50 0.31 -0.20 -38.78Lung cancer 0.20 0.03 0.02 0.51 0.30 0.002 0.002 0.049 0.032 0.59 0.36 -0.23 -39.38Prostate cancer 0.12 0.03 0.02 0.43 0.25 0.002 0.001 0.042 0.026 0.50 0.29 -0.21 -41.63Other cancers 0.82 0.15 0.12 2.52 1.50 0.011 0.009 0.244 0.158 2.93 1.78 -1.14 -39.05Diabetes 0.50 0.20 0.17 1.61 1.26 0.016 0.014 0.172 0.134 2.00 1.58 -0.41 -20.76Heart disease 0.50 0.40 0.26 1.45 0.79 0.039 0.026 0.140 0.076 2.02 1.15 -0.87 -43.01Asthma 0.43 0.22 0.19 0.79 0.65 0.016 0.014 0.077 0.063 1.11 0.91 -0.20 -17.74Hypertension 1.33 0.63 0.51 3.25 2.57 0.061 0.050 0.315 0.249 4.25 3.38 -0.87 -20.55Stroke 0.10 0.05 0.04 0.24 0.18 0.004 0.003 0.023 0.018 0.32 0.25 -0.07 -23.35Emotional disturbances 1.49 0.55 0.48 4.02 3.38 0.040 0.035 0.385 0.324 4.99 4.22 -0.78 -15.54Total 5.78 2.31 1.87 15.76 11.44 0.20 0.16 1.54 1.14 19.80 14.61 -5.19 -26.20* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferenceHeart 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 ConditionPercentBaseline Optimistic Absolute Percent Baseline Optimistic Absolute1970 2003VariablesBachelor's degrees (percent) 12.70 23.70 27.58 29.38 1.80 6.51 35.12 41.21 6.09 17.34Capital stock (US$ Billions) 31.78 172.50 341.49 353.94 12.46 3.64 889.35 975.74 86.40 9.72Life expectancy at 65 (years) 15.46 18.92 20.69 21.88 1.19 5.76 23.66 25.94 2.28 9.63GDP* by state (US$ Billions) 6.90 56.92 88.79 95.06 6.27 7.06 148.54 174.62 26.08 17.56*Based on Real GDP[ 217 ]