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

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An Unhealthy AmericaMilken InstituteVermontVermontDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Cancer 23 4,616 0.10 38 32 10,334 9,128 0.40 0.29 -7 -17.63 -1,206 -11.67 -0.11 -27.24Breast cancer 3 5,292 0.02 5 5 11,862 10,466 0.06 0.05 -1 -12.30 -1,396 -11.77 -0.01 -22.62Colon cancer 1 10,754 0.01 1 1 26,923 23,770 0.02 0.02 0 -17.67 -3,153 -11.71 -0.01 -27.31Lung cancer 1 17,269 0.01 1 1 38,828 34,258 0.04 0.03 0 -18.44 -4,570 -11.77 -0.01 -28.04Prostate cancer 2 4,648 0.01 4 3 10,718 9,458 0.05 0.03 -1 -21.48 -1,260 -11.76 -0.01 -30.71Other cancers 16 3,616 0.06 27 22 8,437 7,446 0.23 0.17 -5 -18.00 -991 -11.75 -0.06 -27.64Diabetes 26 1,903 0.05 45 39 4,401 3,884 0.20 0.15 -6 -13.30 -517 -11.75 -0.05 -23.49Heart disease 36 2,701 0.10 60 39 6,701 5,916 0.40 0.23 -21 -34.63 -785 -11.72 -0.17 -42.28Pulmonary conditions 110 797 0.09 148 127 1,920 1,695 0.28 0.22 -21 -14.05 -225 -11.73 -0.07 -24.14Hypertension 74 815 0.06 102 83 1,890 1,667 0.19 0.14 -19 -18.70 -222 -11.75 -0.05 -28.25Stroke 5 5,363 0.03 7 6 13,610 12,017 0.10 0.07 -1 -18.84 -1,593 -11.70 -0.03 -28.34Mental disorders 89 1,591 0.14 137 120 3,641 3,213 0.50 0.38 -17 -12.35 -428 -11.76 -0.11 -22.66Total 362 1,563 0.57 539 447 4,344 3,835 2.08 1.49 -92 -17.06 -510 -11.73 -0.59 -28.43Indirect Impacts* (US$ 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 0.58 0.11 0.09 1.85 1.10 0.008 0.006 0.18 0.12 2.15 1.31 -0.83 -38.74Breast cancer 0.09 0.02 0.01 0.29 0.18 0.001 0.001 0.03 0.02 0.33 0.22 -0.12 -34.86Colon cancer 0.04 0.01 0.01 0.11 0.06 0.000 0.000 0.01 0.01 0.13 0.08 -0.05 -38.80Lung cancer 0.07 0.01 0.01 0.17 0.10 0.001 0.001 0.02 0.01 0.20 0.12 -0.08 -39.42Prostate cancer 0.06 0.01 0.01 0.22 0.12 0.001 0.001 0.02 0.01 0.25 0.15 -0.10 -41.67Other cancers 0.32 0.06 0.05 1.06 0.63 0.005 0.004 0.10 0.07 1.23 0.75 -0.48 -39.08Diabetes 0.20 0.07 0.06 0.61 0.48 0.006 0.005 0.06 0.05 0.75 0.60 -0.16 -20.76Heart disease 0.20 0.14 0.09 0.51 0.28 0.014 0.009 0.05 0.03 0.71 0.40 -0.31 -43.01Asthma 0.21 0.12 0.11 0.44 0.35 0.009 0.008 0.04 0.03 0.61 0.50 -0.11 -17.74Hypertension 0.56 0.25 0.20 1.28 1.02 0.024 0.020 0.12 0.10 1.68 1.34 -0.35 -20.55Stroke 0.05 0.02 0.02 0.11 0.08 0.002 0.001 0.01 0.01 0.14 0.11 -0.03 -23.35Emotional disturbances 0.50 0.18 0.16 1.34 1.12 0.013 0.012 0.13 0.11 1.66 1.41 -0.26 -15.54Total 2.29 0.90 0.73 6.13 4.43 0.08 0.06 0.60 0.44 7.71 5.67 -2.04 -26.45* 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) 11.50 30.37 35.49 37.81 2.32 6.52 43.54 51.10 7.56 17.36Capital stock (US$ Billions) 14.57 44.43 84.23 87.31 3.08 3.64 236.13 259.10 22.97 9.72Life expectancy at 65 (years) 14.84 18.73 20.48 21.66 1.18 5.77 23.42 25.68 2.26 9.64GDP* by state (US$ Billions) 3.86 20.87 33.14 35.49 2.35 7.08 56.26 66.15 9.89 17.58*Based on Real GDP[ 231 ]
An Unhealthy AmericaMilken InstituteVirginiaVirginiaDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Cancer 279 3,991 1.11 493 405 7,832 7,046 3.86 2.85 -88 -17.80 -786 -10.04 -1.00 -26.05Breast cancer 30 4,096 0.12 50 44 8,135 7,311 0.41 0.32 -6 -12.30 -824 -10.12 -0.09 -21.18Colon cancer 9 10,653 0.09 12 10 23,251 20,907 0.29 0.21 -2 -17.67 -2,343 -10.08 -0.08 -25.97Lung cancer 9 15,641 0.14 13 10 31,148 27,995 0.39 0.29 -2 -18.44 -3,153 -10.12 -0.11 -26.70Prostate cancer 28 3,217 0.09 52 41 6,547 5,885 0.34 0.24 -11 -21.48 -662 -10.11 -0.10 -29.42Other cancers 204 3,231 0.66 365 300 6,641 5,970 2.43 1.79 -66 -18.00 -671 -10.11 -0.64 -26.29Diabetes 333 1,709 0.57 511 443 3,486 3,134 1.78 1.39 -68 -13.30 -352 -10.11 -0.39 -22.06Heart disease 424 3,004 1.27 660 432 6,506 5,850 4.30 2.53 -229 -34.63 -656 -10.08 -1.77 -41.22Pulmonary conditions 1,419 790 1.12 1,985 1,706 1,668 1,500 3.31 2.56 -279 -14.05 -168 -10.09 -0.75 -22.73Hypertension 891 843 0.75 1,280 1,041 1,722 1,548 2.20 1.61 -239 -18.70 -174 -10.11 -0.59 -26.92Stroke 60 5,317 0.32 84 68 11,739 10,557 0.98 0.72 -16 -18.84 -1,183 -10.07 -0.27 -27.02Mental disorders 739 1,111 0.82 1,212 1,062 2,247 2,020 2.72 2.15 -150 -12.35 -227 -10.12 -0.58 -21.21Total 4,146 1,432 5.94 6,224 5,156 3,531 3,175 19.16 13.80 -1,068 -17.16 -356 -10.09 -5.36 -27.97Indirect Impacts* (US$ 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 7.16 1.40 1.15 23.71 14.10 0.101 0.083 2.29 1.49 27.51 16.82 -10.69 -38.87Breast cancer 0.79 0.15 0.13 2.50 1.58 0.011 0.009 0.24 0.17 2.90 1.89 -1.01 -34.84Colon cancer 0.61 0.11 0.09 1.78 1.06 0.008 0.006 0.17 0.11 2.06 1.26 -0.80 -38.80Lung cancer 0.90 0.14 0.12 2.43 1.43 0.010 0.008 0.23 0.15 2.81 1.70 -1.11 -39.41Prostate cancer 0.59 0.12 0.10 2.10 1.19 0.009 0.007 0.20 0.13 2.44 1.42 -1.02 -41.66Other cancers 4.27 0.88 0.72 14.91 8.83 0.064 0.052 1.44 0.93 17.30 10.54 -6.76 -39.07Diabetes 2.54 0.84 0.73 6.88 5.39 0.067 0.058 0.73 0.57 8.52 6.75 -1.77 -20.76Heart disease 2.32 1.53 1.00 5.57 3.05 0.151 0.098 0.54 0.29 7.79 4.44 -3.35 -43.01Asthma 2.70 1.64 1.41 5.83 4.74 0.119 0.102 0.57 0.46 8.15 6.71 -1.45 -17.74Hypertension 6.78 3.09 2.51 16.05 12.69 0.304 0.247 1.56 1.23 21.00 16.68 -4.32 -20.55Stroke 0.55 0.28 0.23 1.22 0.93 0.020 0.016 0.12 0.09 1.65 1.26 -0.38 -23.35Emotional disturbances 4.16 1.63 1.43 11.87 9.98 0.118 0.104 1.14 0.96 14.76 12.47 -2.29 -15.54Total 26.21 10.42 8.46 71.14 50.87 0.88 0.71 6.95 5.09 89.38 65.13 -24.25 -27.13* 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) 12.30 33.13 38.54 41.05 2.51 6.50 46.82 54.95 8.13 17.36Capital stock (US$ Billions) 141.95 531.67 1154.14 1196.18 42.05 3.64 3816.57 4187.71 371.15 9.72Life expectancy at 65 (years) 14.71 18.05 19.74 20.88 1.14 5.75 22.57 24.75 2.18 9.64GDP* by state (US$ Billions) 47.30 304.50 518.91 555.52 36.61 7.05 970.89 1141.51 170.63 17.57*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[ 232 ]
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