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

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An Unhealthy AmericaMilken InstituteSouth DakotaSouth DakotaDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Cancer 29 5,495 0.16 42 35 11,756 10,481 0.50 0.36 -8 -17.97 -1,276 -10.85 -0.13 -26.87Breast cancer 3 5,257 0.01 4 3 11,008 9,814 0.04 0.03 0 -12.30 -1,194 -10.85 -0.01 -21.81Colon cancer 1 14,197 0.01 1 1 32,903 29,350 0.04 0.03 0 -17.67 -3,553 -10.80 -0.01 -26.56Lung cancer 1 18,220 0.02 1 1 38,262 34,111 0.05 0.04 0 -18.44 -4,151 -10.85 -0.01 -27.29Prostate cancer 3 5,090 0.02 5 4 10,940 9,755 0.06 0.04 -1 -21.48 -1,185 -10.84 -0.02 -29.99Other cancers 21 4,647 0.10 31 25 10,095 9,001 0.31 0.23 -6 -18.00 -1,093 -10.83 -0.08 -26.88Diabetes 32 2,191 0.07 50 43 4,722 4,210 0.24 0.18 -7 -13.30 -512 -10.83 -0.05 -22.69Heart disease 55 4,639 0.26 72 47 10,663 9,511 0.77 0.45 -25 -34.63 -1,152 -10.80 -0.32 -41.69Pulmonary conditions 126 1,233 0.16 156 134 2,757 2,459 0.43 0.33 -22 -14.05 -298 -10.82 -0.10 -23.35Hypertension 98 837 0.08 124 101 1,807 1,611 0.22 0.16 -23 -18.70 -196 -10.83 -0.06 -27.50Stroke 8 6,152 0.05 9 8 14,435 12,878 0.13 0.10 -2 -18.84 -1,558 -10.79 -0.04 -27.60Mental disorders 89 1,632 0.14 121 106 3,484 3,106 0.42 0.33 -15 -12.35 -378 -10.84 -0.09 -21.85Total 436 2,101 0.92 575 474 5,434 4,846 2.71 1.91 -101 -17.57 -588 -10.82 -0.80 -29.44Indirect Impacts* (US$ 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 0.73 0.12 0.10 2.03 1.20 0.009 0.007 0.20 0.13 2.35 1.43 -0.92 -39.00Breast cancer 0.06 0.01 0.01 0.16 0.10 0.001 0.001 0.02 0.01 0.18 0.12 -0.06 -34.78Colon cancer 0.06 0.01 0.01 0.14 0.09 0.001 0.001 0.01 0.01 0.17 0.10 -0.06 -38.74Lung cancer 0.09 0.01 0.01 0.21 0.12 0.001 0.001 0.02 0.01 0.24 0.15 -0.10 -39.35Prostate cancer 0.07 0.01 0.01 0.24 0.14 0.001 0.001 0.02 0.01 0.28 0.16 -0.11 -41.60Other cancers 0.44 0.08 0.06 1.28 0.76 0.005 0.004 0.12 0.08 1.48 0.90 -0.58 -39.01Diabetes 0.24 0.08 0.07 0.67 0.53 0.007 0.006 0.07 0.06 0.83 0.66 -0.17 -20.76Heart disease 0.30 0.17 0.11 0.61 0.33 0.016 0.011 0.06 0.03 0.85 0.48 -0.36 -43.01Asthma 0.24 0.13 0.11 0.46 0.37 0.009 0.008 0.04 0.04 0.64 0.53 -0.11 -17.74Hypertension 0.74 0.30 0.24 1.56 1.23 0.029 0.024 0.15 0.12 2.04 1.62 -0.42 -20.55Stroke 0.07 0.03 0.03 0.14 0.10 0.002 0.002 0.01 0.01 0.18 0.14 -0.04 -23.35Emotional disturbances 0.50 0.16 0.14 1.19 1.00 0.012 0.010 0.11 0.10 1.47 1.24 -0.23 -15.54Total 2.83 0.99 0.80 6.64 4.76 0.08 0.07 0.65 0.48 8.37 6.11 -2.26 -26.99* 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) 8.60 23.70 27.13 28.90 1.77 6.53 33.65 39.49 5.84 17.36Capital stock (US$ Billions) 18.78 80.52 147.15 152.54 5.38 3.64 368.21 404.02 35.81 9.72Life expectancy at 65 (years) 15.82 19.17 20.96 22.17 1.21 5.78 23.97 26.28 2.31 9.64GDP* by state (US$ Billions) 4.20 27.18 39.26 42.05 2.78 7.08 56.30 66.20 9.90 17.58*Based on Real GDP[ 227 ]
An Unhealthy AmericaMilken InstituteTennesseeTennesseeDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Cancer 260 4,812 1.25 436 358 9,198 8,315 4.01 2.98 -78 -17.82 -883 -9.60 -1.03 -25.71Breast cancer 26 5,079 0.13 39 34 9,771 8,825 0.38 0.30 -5 -12.30 -946 -9.68 -0.08 -20.79Colon cancer 8 12,420 0.10 10 8 26,145 23,624 0.27 0.20 -2 -17.67 -2,521 -9.64 -0.07 -25.61Lung cancer 10 18,986 0.18 13 10 36,617 33,072 0.47 0.34 -2 -18.44 -3,545 -9.68 -0.12 -26.34Prostate cancer 23 3,900 0.09 41 32 7,678 6,935 0.31 0.22 -9 -21.48 -743 -9.67 -0.09 -29.07Other cancers 193 3,895 0.75 333 273 7,742 6,994 2.58 1.91 -60 -18.00 -749 -9.67 -0.67 -25.93Diabetes 344 2,134 0.73 498 431 4,211 3,804 2.10 1.64 -66 -13.30 -407 -9.67 -0.45 -21.68Heart disease 458 3,527 1.60 636 416 7,368 6,658 4.69 2.77 -220 -34.63 -711 -9.65 -1.92 -40.93Pulmonary conditions 1,167 957 1.11 1,600 1,375 1,953 1,764 3.12 2.43 -225 -14.05 -189 -9.66 -0.70 -22.35Hypertension 876 1,066 0.93 1,185 964 2,107 1,904 2.50 1.83 -222 -18.70 -204 -9.67 -0.66 -26.56Stroke 59 6,141 0.36 75 61 13,070 11,811 0.98 0.72 -14 -18.84 -1,260 -9.64 -0.26 -26.66Mental disorders 624 1,391 0.86 964 845 2,722 2,458 2.62 2.08 -119 -12.35 -263 -9.68 -0.55 -20.83Total 3,788 1,810 6.86 5,394 4,450 4,300 3,885 20.02 14.44 -944 -17.50 -415 -9.65 -5.57 -27.84Indirect Impacts* (US$ 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 6.66 1.24 1.01 20.98 12.47 0.089 0.073 2.03 1.32 24.34 14.88 -9.47 -38.89Breast cancer 0.70 0.12 0.10 2.01 1.27 0.009 0.007 0.19 0.13 2.33 1.52 -0.81 -34.84Colon cancer 0.51 0.08 0.07 1.40 0.83 0.006 0.005 0.14 0.09 1.62 0.99 -0.63 -38.80Lung cancer 0.96 0.14 0.12 2.45 1.44 0.010 0.008 0.24 0.15 2.84 1.72 -1.12 -39.41Prostate cancer 0.48 0.10 0.08 1.64 0.93 0.007 0.005 0.16 0.10 1.90 1.11 -0.79 -41.65Other cancers 4.00 0.80 0.65 13.49 7.99 0.058 0.047 1.30 0.85 15.65 9.53 -6.11 -39.07Diabetes 2.62 0.82 0.71 6.70 5.25 0.066 0.056 0.71 0.56 8.30 6.58 -1.72 -20.76Heart disease 2.50 1.48 0.97 5.37 2.94 0.145 0.095 0.52 0.28 7.51 4.28 -3.23 -43.01Asthma 2.22 1.32 1.14 4.70 3.82 0.096 0.083 0.46 0.37 6.57 5.41 -1.17 -17.74Hypertension 6.66 2.86 2.33 14.86 11.75 0.281 0.229 1.44 1.14 19.44 15.45 -4.00 -20.55Stroke 0.54 0.25 0.20 1.09 0.83 0.018 0.015 0.11 0.08 1.47 1.12 -0.34 -23.35Emotional disturbances 3.52 1.30 1.14 9.44 7.94 0.094 0.082 0.91 0.76 11.74 9.92 -1.82 -15.54Total 24.72 9.27 7.49 63.15 44.99 0.79 0.63 6.17 4.51 79.38 57.63 -21.75 -27.40* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - Level Projections - Difference Projections - Level Projections - DifferenceBaseline Optimistic Absolute PercentBaseline Optimistic Absolute Percent1970 2003VariablesBachelor's degrees (percent) 7.90 22.00 26.38 28.09 1.71 6.50 32.34 37.97 5.63 17.40Capital stock (US$ Billions) 115.25 315.80 647.21 670.78 23.57 3.64 2020.69 2217.67 196.99 9.72Life expectancy at 65 (years) 14.89 17.19 18.80 19.88 1.08 5.75 21.49 23.57 2.08 9.66GDP* by state (US$ Billions) 30.62 198.56 306.34 327.93 21.60 7.05 527.65 620.61 92.96 17.62*Based on Real GDPOther 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 Condition[ 228 ]
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