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

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An Unhealthy AmericaMilken InstituteState Chronic Disease IndexState Chronic Disease 2006 Index, 2006Composite Expenditures PRC* Expenditures/PRC CompositeState Disease Rank Score (Billions) State (Millions) (Thousands)Rank ScoreUtah Cancer 1 100.00 48.1 Vermont10.6 26 4.5 75.62Alaska Breast Cancer 2 96.58 5.5 Maryland 1.1 27 4.8 75.05ColoradoColon Cancer 3 95.29 3.9 Michigan 0.3 28 11.5 74.82New Mexico Lung Cancer 4 93.50 6.3 Ohio 0.4 29 17.1 74.71Arizona Prostate Cancer5 91.50 4.3 Oregon 1.0 30 4.1 74.48California Other Cancers 6 89.83 28.0 Georgia 7.7 31 3.6 74.12Hawaii Pulmonary Conditions 7 88.38 45.2 New Jersey 49.2 32 0.9 74.10IdahoDiabetes8 87.6827.1North Carolina13.7332.074.08WashingtonHypertension9 86.4332.5Connecticut36.8340.973.28WyomingHeart Disease10 83.1364.7Delaware19.2353.473.18Stroke 13.6 2.4 5.6Minnesota 11 82.59 South Dakota 36 72.20Mental Disorders 45.8 30.3 1.5Texas 12 82.26 Louisiana 37 70.55Total 277.0 162.2 1.7Nevada 13 80.80 Florida 38 70.15PRC: Population Reporting ConditionNorth Dakota 14 80.64 South Carolina 39 68.76Illinois 15 80.04 Massachusetts 40 68.65Kansas 16 79.87 Alabama 41 68.59Nebraska 17 79.61 Oklahoma 42 67.76New Hampshire 18 79.29 Maine 43 67.60Montana 19 79.05 Rhode Island 44 66.76Virginia 20 77.68 Pennsylvania 45 66.37Wisconsin 21 77.29 Mississippi 46 66.17New York 22 77.26 Kentucky 47 65.98Indiana 23 77.14 Arkansas 48 65.68Iowa 24 76.91 Tennessee 49 65.31Missouri 25 76.12 West Virginia 50 62.19Sources: Medical Expenditure Panel Survey, Behavioral Risk Factor Surveillance System (CDC),National Cancer Institute, Milken Institute[ 53 ]
An Unhealthy AmericaMilken InstituteSTATE-LEVEL RISK FACTORSThe most significant factor determining disease rates, particularly cancers, across states may be the number of people65 and older. At retirement age, individuals often move and change lifestyles and dietary habits. The aging body doesn’tfend off disease as easily as it once did. Cancers, heart disease, and stroke all show increased prevalence among seniors;even diabetes has a clear age component. As the overall median age of the population rises, this demographic trend willplay a significant role across the country. And states like Florida, Arizona, and Arkansas that attract retirees will bearunusually high cost burdens.Percentage of Population 65 and Older By State, 2003DiseaseExpenditures(Billions)PRC*(Millions)Expenditures/PRC(Thousands)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 1.7PRC: Population Reporting ConditionLowestThird TierSecond TierHighestStates that show high levels in one or more of four significant and avoidable risk factors—smoking, alcohol consumption,poor diet, and low exercise rates—consistently demonstrate high incidence/prevalence rates and PRC levels for morethan one disease. Kentucky and West Virginia, for example, rank among the top five states for multiple risk factors andcan expect to see higher health-care costs and avoidable indirect impacts, such as lower worker productivity and missedworkdays. States reporting high exercise rates—Minnesota (85.0 percent), Colorado (83.2 percent), and Utah (82.7percent)—are likely to face lower treatment expenditures for many cancers, and heart and circulatory problems.[ 54 ]
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1250 Fourth Street • Santa Monica
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