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

More documents

Recommendations

Info

An Unhealthy AmericaMilken InstituteWisconsinWisconsinDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6Mental Disorders 45.8 30.3 1.5Total 277.0 162.2 1.7Cancer 185 5,315 0.98 287 236 10,647 9,560 3.06 2.26 -51 -17.82 -1,086 -10.21 -0.80 -26.20Breast cancer 21 5,497 0.11 29 26 11,012 9,884 0.32 0.26 -4 -12.30 -1,128 -10.24 -0.07 -21.28Colon cancer 5 12,535 0.06 6 5 27,626 24,810 0.17 0.13 -1 -17.67 -2,817 -10.20 -0.05 -26.06Lung cancer 5 18,154 0.10 7 6 36,464 32,730 0.25 0.18 -1 -18.44 -3,734 -10.24 -0.07 -26.80Prostate cancer 19 5,002 0.10 33 26 10,268 9,217 0.34 0.24 -7 -21.48 -1,050 -10.23 -0.10 -29.51Other cancers 135 4,494 0.61 212 174 9,320 8,367 1.98 1.45 -38 -18.00 -953 -10.23 -0.52 -26.39Diabetes 192 2,248 0.43 286 248 4,626 4,153 1.33 1.03 -38 -13.30 -473 -10.23 -0.29 -22.17Heart disease 356 4,137 1.47 489 320 9,047 8,124 4.42 2.60 -169 -34.63 -923 -10.20 -1.83 -41.29Pulmonary conditions 928 1,169 1.09 1,173 1,009 2,492 2,238 2.92 2.26 -165 -14.05 -255 -10.21 -0.67 -22.83Hypertension 685 882 0.60 917 745 1,819 1,633 1.67 1.22 -171 -18.70 -186 -10.23 -0.45 -27.01Stroke 53 5,287 0.28 67 54 11,790 10,588 0.78 0.57 -13 -18.84 -1,201 -10.19 -0.21 -27.11Mental disorders 812 1,697 1.37 1,170 1,025 3,463 3,108 4.05 3.19 -144 -12.35 -354 -10.23 -0.86 -21.32Total 3,210 1,938 6.22 4,389 3,637 4,701 4,221 18.24 13.12 -752 -17.13 -480 -10.22 -5.12 -28.06Indirect Impacts* (US$ 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 PercentPRC: Population Reporting ConditionLevelChronic DiseaseCancer 4.75 0.82 0.67 13.83 8.22 0.059 0.048 1.34 0.87 16.05 9.81 -6.24 -38.88Breast cancer 0.55 0.09 0.08 1.47 0.93 0.006 0.005 0.14 0.10 1.70 1.11 -0.59 -34.81Colon cancer 0.31 0.05 0.04 0.78 0.47 0.003 0.003 0.08 0.05 0.91 0.56 -0.35 -38.77Lung cancer 0.48 0.07 0.05 1.13 0.66 0.005 0.004 0.11 0.07 1.31 0.79 -0.51 -39.38Prostate cancer 0.47 0.09 0.07 1.52 0.86 0.006 0.005 0.15 0.09 1.76 1.03 -0.73 -41.62Other cancers 2.94 0.53 0.43 8.94 5.30 0.038 0.031 0.86 0.56 10.37 6.32 -4.05 -39.04Diabetes 1.46 0.47 0.41 3.86 3.02 0.038 0.032 0.41 0.32 4.78 3.79 -0.99 -20.76Heart disease 1.95 1.13 0.74 4.13 2.26 0.111 0.073 0.40 0.22 5.77 3.29 -2.48 -43.01Asthma 1.77 0.97 0.83 3.45 2.80 0.070 0.061 0.33 0.27 4.82 3.97 -0.86 -17.74Hypertension 5.21 2.21 1.80 11.49 9.09 0.217 0.177 1.11 0.88 15.03 11.94 -3.09 -20.55Stroke 0.48 0.22 0.18 0.97 0.74 0.016 0.013 0.09 0.07 1.31 1.00 -0.31 -23.35Emotional disturbances 4.57 1.57 1.38 11.46 9.63 0.114 0.100 1.10 0.92 14.25 12.03 -2.21 -15.54Total 20.19 7.40 6.01 49.18 35.75 0.63 0.50 4.79 3.56 62.00 45.83 -16.18 -26.09* Based on Nominal GDPExpenditures/PRC(Thousands)Intergenerational Impacts2023 2023 2050 2050Projections - LevelProjections - Difference Projections - Level Projections - DifferencePercentBaseline Optimistic Absolute Percent Baseline Optimistic Absolute1970 2003VariablesBachelor's degrees (percent) 9.80 24.57 27.53 29.33 1.80 6.53 34.36 40.34 5.98 17.40Capital stock (US$ Billions) 135.92 398.27 797.56 826.72 29.17 3.64 2209.32 2424.72 215.40 9.72Life expectancy at 65 (years) 15.32 18.95 20.72 21.92 1.20 5.77 23.69 25.98 2.29 9.66GDP* by state (US$ Billions) 35.91 191.81 288.88 309.34 20.46 7.08 482.75 567.81 85.06 17.62*Based on Real GDP[ 235 ]
An Unhealthy AmericaMilken InstituteWyomingWyomingDirect 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($)PRC(Thousands)Chronic DiseaseDiseaseExpenditures(Billions)PRC*(Millions)Cancer 48.1 10.6 4.5Breast Cancer 5.5 1.1 4.8Colon Cancer 3.9 0.3 11.5Lung Cancer 6.3 0.4 17.1Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Cancer 17 3,827 0.07 27 22 8,579 7,619 0.23 0.17 -5 -17.90 -960 -11.19 -0.06 -27.09Breast cancer 1 4,021 0.01 3 2 8,673 7,697 0.02 0.02 0 -12.30 -976 -11.25 0.00 -22.16Colon cancer 1 10,973 0.01 1 1 26,295 23,352 0.03 0.02 0 -17.67 -2,943 -11.19 -0.01 -26.88Lung cancer 1 14,583 0.01 1 1 31,543 27,995 0.03 0.02 0 -18.44 -3,548 -11.25 -0.01 -27.62Prostate cancer 2 3,441 0.01 3 3 7,624 6,767 0.03 0.02 -1 -21.48 -857 -11.24 -0.01 -30.30Other cancers 12 2,904 0.04 19 16 6,507 5,776 0.13 0.09 -3 -18.00 -731 -11.23 -0.03 -27.21Diabetes 18 1,814 0.03 32 28 4,030 3,577 0.13 0.10 -4 -13.30 -453 -11.23 -0.03 -23.04Heart disease 26 3,272 0.09 49 32 7,772 6,902 0.38 0.22 -17 -34.63 -870 -11.20 -0.16 -41.95Pulmonary conditions 67 822 0.05 80 69 1,899 1,686 0.15 0.12 -11 -14.05 -213 -11.21 -0.04 -23.69Hypertension 53 812 0.04 73 60 1,808 1,605 0.13 0.10 -14 -18.70 -203 -11.23 -0.04 -27.83Stroke 3 5,637 0.02 5 4 13,684 12,153 0.07 0.05 -1 -18.84 -1,531 -11.19 -0.02 -27.92Mental disorders 51 1,588 0.08 75 66 3,493 3,101 0.26 0.20 -9 -12.35 -393 -11.24 -0.06 -22.20Total 235 1,637 0.39 342 280 4,349 3,861 1.36 0.96 -61 -17.92 -488 -11.22 -0.40 -29.63Indirect Impacts* (US$ 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 0.44 0.08 0.06 1.31 0.78 0.0056 0.0046 0.13 0.08 1.52 0.93 -0.59 -38.95Breast cancer 0.04 0.01 0.01 0.12 0.08 0.0005 0.0005 0.01 0.01 0.14 0.09 -0.05 -34.82Colon cancer 0.06 0.01 0.01 0.16 0.09 0.0007 0.0006 0.02 0.01 0.18 0.11 -0.07 -38.78Lung cancer 0.08 0.01 0.01 0.18 0.11 0.0008 0.0006 0.02 0.01 0.21 0.13 -0.08 -39.39Prostate cancer 0.04 0.01 0.01 0.15 0.08 0.0006 0.0005 0.01 0.01 0.17 0.10 -0.07 -41.64Other cancers 0.23 0.04 0.03 0.70 0.42 0.0030 0.0024 0.07 0.04 0.81 0.50 -0.32 -39.05Diabetes 0.14 0.05 0.05 0.43 0.34 0.0042 0.0036 0.05 0.04 0.53 0.42 -0.11 -20.76Heart disease 0.14 0.11 0.07 0.41 0.22 0.0111 0.0072 0.04 0.02 0.57 0.33 -0.25 -43.01Asthma 0.13 0.07 0.06 0.24 0.19 0.0048 0.0041 0.02 0.02 0.33 0.27 -0.06 -17.74Hypertension 0.40 0.18 0.14 0.92 0.73 0.0174 0.0141 0.09 0.07 1.20 0.95 -0.25 -20.55Stroke 0.03 0.02 0.01 0.08 0.06 0.0013 0.0010 0.01 0.01 0.10 0.08 -0.02 -23.35Emotional disturbances 0.29 0.10 0.09 0.74 0.62 0.0074 0.0064 0.07 0.06 0.92 0.77 -0.14 -15.54Total 1.57 0.60 0.49 4.12 2.93 0.05 0.04 0.40 0.29 5.18 3.76 -1.42 -27.47* Based on Nominal GDPIntergenerational Impacts2023 2023 2050 2050Projections - Level Projections - Difference Projections - Level Projections - DifferenceExpenditures/PRC(Thousands)Baseline Optimistic Absolute PercentBaseline Optimistic Absolute Percent1970 2003VariablesBachelor's degrees (percent) 11.80 19.83 24.34 25.93 1.59 6.51 31.50 36.96 5.46 17.34Capital stock (US$ Billions) 13.09 63.84 109.03 113.01 3.98 3.64 271.20 297.55 26.34 9.72Life expectancy at 65 (years) 15.30 18.28 19.99 21.14 1.15 5.76 22.86 25.06 2.20 9.63GDP* by state (US$ Billions) 2.84 20.11 32.56 34.86 2.30 7.06 52.23 61.40 9.17 17.55*Based on Real GDPHeart 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[ 236 ]
Page 8:
An Unhealthy AmericaMilken Institut
Page 11 and 12:
iitime of the analysis show that th
Page 13 and 14:
Existing estimates of the economic
Page 16 and 17:
Page 18 and 19:
Page 20:
Page 23 and 24:
Page 25 and 26:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36:
Page 39 and 40:
Page 42 and 43:
Page 44:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 160 and 161:
Page 162:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 180 and 181:
Page 182 and 183:
Page 184 and 185:
Page 186 and 187:
Page 188 and 189:
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
Page 196 and 197:
Page 198 and 199: An Unhealthy AmericaMilken Institut
Page 252: 1250 Fourth Street • Santa Monica
show all

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

Create successful ePaper yourself

Delete template?

Save as template?