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

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An Unhealthy AmericaMilken InstituteRhode IslandRhode IslandDirect Costs2003 2023Projections - Level Projections - DifferenceAvoidable Costs(US$ Billions)Expenditure perPRC ($)PRC (Thousands)Total Expenditure(US$ Billions)Expenditure per PRC ($)PRC (Thousands)Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute Percent Absolute Percent Absolute PercentTotal Expenditure(US$ Billions)Expenditure per PRC($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Cancer 44 4,734 0.21 63 52 8,993 8,142 0.57 0.42 -11 -17.77 -852 -9.47 -0.14 -25.56Breast cancer 5 5,202 0.03 7 6 9,889 8,948 0.07 0.05 -1 -12.30 -941 -9.52 -0.01 -20.64Colon cancer 1 11,733 0.02 1 1 24,364 22,055 0.04 0.03 0 -17.67 -2,309 -9.48 -0.01 -25.47Lung cancer 2 17,331 0.03 2 2 33,024 29,882 0.07 0.05 0 -18.44 -3,142 -9.52 -0.02 -26.21Prostate cancer 4 4,727 0.02 7 5 9,192 8,318 0.06 0.05 -1 -21.48 -874 -9.51 -0.02 -28.94Other cancers 31 3,709 0.12 46 37 7,280 6,588 0.33 0.25 -8 -18.00 -692 -9.50 -0.09 -25.79Diabetes 52 2,129 0.11 72 63 4,148 3,754 0.30 0.24 -10 -13.30 -394 -9.51 -0.06 -21.54Heart disease 80 2,980 0.24 100 65 6,143 5,561 0.61 0.36 -34 -34.63 -582 -9.48 -0.25 -40.82Pulmonary conditions 218 894 0.19 262 225 1,800 1,629 0.47 0.37 -37 -14.05 -171 -9.49 -0.10 -22.21Hypertension 160 927 0.15 201 163 1,809 1,637 0.36 0.27 -38 -18.70 -172 -9.50 -0.10 -26.42Stroke 9 6,014 0.06 11 9 12,624 11,428 0.14 0.10 -2 -18.84 -1,196 -9.47 -0.04 -26.53Mental disorders 149 1,742 0.26 206 180 3,367 3,047 0.69 0.55 -25 -12.35 -320 -9.51 -0.14 -20.68Total 713 1,705 1.22 914 757 3,943 3,569 3.14 2.30 -157 -17.18 -374 -9.49 -0.84 -26.71Indirect Impacts* (US$ 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 1.12 0.18 0.15 3.03 1.80 0.013 0.011 0.29 0.19 3.52 2.15 -1.37 -38.85Breast cancer 0.15 0.02 0.02 0.36 0.23 0.002 0.001 0.04 0.02 0.42 0.27 -0.15 -34.81Colon cancer 0.08 0.01 0.01 0.19 0.12 0.001 0.001 0.02 0.01 0.23 0.14 -0.09 -38.78Lung cancer 0.16 0.02 0.02 0.35 0.21 0.002 0.001 0.03 0.02 0.41 0.25 -0.16 -39.38Prostate cancer 0.11 0.02 0.02 0.34 0.19 0.001 0.001 0.03 0.02 0.40 0.23 -0.16 -41.63Other cancers 0.62 0.11 0.09 1.78 1.06 0.008 0.006 0.17 0.11 2.07 1.26 -0.81 -39.04Diabetes 0.40 0.12 0.10 0.97 0.76 0.010 0.008 0.10 0.08 1.21 0.96 -0.25 -20.76Heart disease 0.44 0.23 0.15 0.84 0.46 0.023 0.015 0.08 0.04 1.18 0.67 -0.51 -43.01Asthma 0.42 0.22 0.19 0.77 0.63 0.016 0.014 0.07 0.06 1.08 0.89 -0.19 -17.74Hypertension 1.22 0.48 0.39 2.52 1.99 0.048 0.039 0.24 0.19 3.29 2.62 -0.68 -20.55Stroke 0.08 0.04 0.03 0.16 0.12 0.003 0.002 0.02 0.01 0.22 0.17 -0.05 -23.35Emotional disturbances 0.84 0.28 0.24 2.01 1.69 0.020 0.018 0.19 0.16 2.50 2.12 -0.39 -15.54Total 4.52 1.54 1.25 10.31 7.46 0.13 0.11 1.01 0.74 12.99 9.56 -3.43 -26.40* 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) 9.40 28.37 31.25 33.28 2.03 6.49 38.45 45.13 6.68 17.36Capital stock (US$ Billions) 27.77 292.98 561.46 581.89 20.43 3.64 1432.32 1571.63 139.31 9.72Life expectancy at 65 (years) 14.96 18.89 20.66 21.85 1.19 5.75 23.62 25.90 2.28 9.64GDP* by state (US$ Billions) 9.03 38.19 71.73 76.78 5.05 7.05 110.52 129.94 19.43 17.58*Based on Real GDP[ 225 ]
An Unhealthy AmericaMilken InstituteSouth CarolinaSouth CarolinaDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Cancer 164 4,206 0.69 285 234 8,864 7,894 2.53 1.85 -51 -17.85 -970 -10.95 -0.68 -26.85Breast cancer 16 4,181 0.07 28 24 8,866 7,889 0.25 0.19 -3 -12.30 -977 -11.02 -0.05 -21.96Colon cancer 5 11,688 0.06 7 6 27,474 24,461 0.20 0.15 -1 -17.67 -3,013 -10.97 -0.05 -26.70Lung cancer 6 16,370 0.09 8 6 34,811 30,976 0.27 0.19 -1 -18.44 -3,835 -11.02 -0.07 -27.43Prostate cancer 18 3,372 0.06 33 26 7,341 6,533 0.24 0.17 -7 -21.48 -808 -11.01 -0.07 -30.12Other cancers 119 3,405 0.40 210 172 7,495 6,670 1.57 1.15 -38 -18.00 -824 -11.00 -0.42 -27.02Diabetes 242 1,839 0.44 384 333 4,016 3,574 1.54 1.19 -51 -13.30 -442 -11.00 -0.35 -22.84Heart disease 273 3,302 0.90 442 289 7,696 6,852 3.40 1.98 -153 -34.63 -844 -10.97 -1.42 -41.80Pulmonary conditions 640 861 0.55 872 750 1,952 1,737 1.70 1.30 -123 -14.05 -214 -10.98 -0.40 -23.49Hypertension 591 905 0.53 861 700 1,980 1,762 1.70 1.23 -161 -18.70 -218 -11.00 -0.47 -27.64Stroke 42 5,932 0.25 59 48 14,121 12,573 0.83 0.60 -11 -18.84 -1,548 -10.96 -0.23 -27.74Mental disorders 564 1,185 0.66 894 783 2,563 2,281 2.29 1.79 -110 -12.35 -282 -11.01 -0.50 -22.00Total 2,516 1,598 4.02 3,797 3,137 4,171 3,713 14.00 9.94 -660 -17.38 -458 -10.98 -4.06 -28.98Indirect Impacts* (US$ Billions)2023Individual Caregiver Total2003TotalLost Work Days Presenteeism Lost Work Days Presenteeism Projections - LevelProjections - DifferenceBaseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Baseline Optimistic Absolute PercentLevelChronic DiseaseCancer 4.20 0.81 0.66 13.74 8.16 0.059 0.048 1.33 0.86 15.93 9.73 -6.20 -38.91Breast cancer 0.42 0.08 0.07 1.33 0.84 0.006 0.005 0.13 0.09 1.54 1.01 -0.54 -34.83Colon cancer 0.38 0.07 0.05 1.10 0.66 0.005 0.004 0.11 0.07 1.28 0.78 -0.50 -38.79Lung cancer 0.56 0.09 0.07 1.46 0.86 0.006 0.005 0.14 0.09 1.69 1.02 -0.67 -39.40Prostate cancer 0.37 0.08 0.06 1.31 0.74 0.006 0.004 0.13 0.08 1.52 0.89 -0.63 -41.65Other cancers 2.47 0.50 0.41 8.54 5.06 0.036 0.030 0.83 0.54 9.90 6.04 -3.87 -39.06Diabetes 1.84 0.63 0.55 5.17 4.06 0.051 0.044 0.55 0.43 6.41 5.08 -1.33 -20.76Heart disease 1.49 1.02 0.67 3.73 2.04 0.101 0.066 0.36 0.20 5.21 2.97 -2.24 -43.01Asthma 1.22 0.72 0.62 2.56 2.08 0.052 0.045 0.25 0.20 3.58 2.95 -0.64 -17.74Hypertension 4.49 2.08 1.69 10.79 8.54 0.204 0.166 1.05 0.83 14.12 11.22 -2.90 -20.55Stroke 0.38 0.20 0.16 0.86 0.65 0.014 0.011 0.08 0.06 1.16 0.89 -0.27 -23.35Emotional disturbances 3.18 1.20 1.05 8.75 7.36 0.087 0.076 0.84 0.71 10.88 9.19 -1.69 -15.54Total 16.81 6.67 5.41 45.61 32.88 0.57 0.46 4.46 3.29 57.31 42.03 -15.27 -26.65* 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) 9.00 23.00 25.40 27.05 1.65 6.51 31.72 37.23 5.51 17.38Capital stock (US$ Billions) 61.31 262.50 490.27 508.14 17.88 3.64 1474.89 1618.49 143.60 9.72Life expectancy at 65 (years) 14.47 17.74 19.40 20.52 1.12 5.76 22.18 24.32 2.14 9.65GDP* by state (US$ Billions) 21.65 127.27 217.40 232.75 15.35 7.06 376.47 442.71 66.24 17.60*Based on Real GDP[ 226 ]
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