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

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An Unhealthy AmericaMilken InstitutePercentage of Population Who SmokePercentage of Population Who Smoke, 20032003Top Five States Percent Expenditures Bottom PRC* Five States Expenditures/PRC PercentKentucky Disease30.8 (Billions) Utah (Millions) (Thousands) 11.9West Virginia Cancer 27.3 48.1 California 10.6 4.5 16.8MissouriBreast Cancer27.25.5Colorado1.1 4.818.6Louisiana 26.5 Connecticut 18.6Colon Cancer 3.9 0.3 11.5Alaska 26.2 Idaho 19.0Lung Cancer 6.3 0.4 17.1Source: Behavioral Risk Factor Surveillance System (CDC)Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes Percentage Percentage of of Population who 27.1Who Are Drink Drink Alcohol13.7Alcohol Regularly, Regularly 20032.0Hypertension 32.5 2003 36.8 0.9Heart Disease 64.7 19.2 3.4Top Five States Stroke Percent Expenditures 13.6 Bottom PRC* 2.4 Five States Expenditures/PRC 5.6 PercentRhode Island Disease Mental Disorders 8.2 (Billions) 45.8 Tennessee (Millions) 30.3 (Thousands) 1.5 2.2Wisconsin Cancer Total 8.1 277.0 48.1 Utah 162.2 10.6 4.5 1.7 3.1Vermont PRC: Breast Population Cancer Reporting Condition 7.8 5.5 North Carolina 1.1 4.8 3.2Delaware Colon Cancer 7.8 3.9 Kentucky 0.3 11.5 3.4New HampshireLung Cancer 7.2 6.3 West Virginia 0.4 17.1 3.7Source: Behavioral RiskProstateFactor SurveillanceCancerSystem (CDC)4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes Percentage of Population 27.1 Who 13.7 Are ObesePercentage of Population Who Are Obese, 2003 2.0Hypertension 32.5200336.8 0.9Heart Disease 64.7 19.2 3.4Top Five States PercentStrokeExpenditures Bottom13.6PRC* Five States2.4Expenditures/PRC Percent5.6Alabama Disease28.4Mental Disorders (Billions) Colorado45.8 (Millions) 30.3 (Thousands) 16.01.5Mississippi Cancer 28.1Total 277.0 48.1 Hawaii162.2 10.6 4.5 16.41.7West Virginia 27.7 Massachusetts 16.8PRC: Breast Population Cancer Reporting Condition 5.5 1.1 4.8Indiana 26.0 Rhode Island 18.4Colon Cancer 3.9 0.3 11.5Kentucky 25.6 Montana 18.8Lung Cancer 6.3 0.4 17.1Source: Behavioral Risk Factor Surveillance System (CDC)Prostate Cancer 4.3 1.0 4.1Other Cancers 28.0 7.7 3.6Pulmonary Conditions 45.2 49.2 0.9Diabetes Percentage of Population 27.1 Who Have 13.7 High CholesterolPercentage of Population Who Have High Cholesterol, 2003 2.0Hypertension 32.5 2003 36.8 0.9Heart Disease 64.7 19.2 3.4Top Five StatesStrokePercent Expenditures 13.6Bottom PRC* 2.4Five States Expenditures/PRC 5.6PercentMichigan Disease38.2Mental Disorders (Billions) Hawaii45.8 (Millions) 30.3 (Thousands) 27.01.5West Virginia Cancer 38.1Total 277.0 48.1 New Mexico162.2 10.6 4.5 27.21.7NevadaPRC: Breast Population Cancer 36.8Reporting Condition 5.5 Alaska 1.1 4.8 27.6KentuckyColon Cancer35.53.9Utah0.3 11.527.8Pennsylvania 35.2 Kansas 29.4Lung Cancer 6.3 0.4 17.1Source: Behavioral Risk Factor Surveillance System (CDC)Prostate 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 Condition[ 55 ]
An Unhealthy AmericaMilken InstituteSTATE COST VARIATIONSOne cannot just study disease prevalence data when considering the overall effect of health-care costs to the state.In many cases, a state showing high per capita treatment expenditures for a particular disease doesn’t have particularlyhigh prevalence of the disease. In Alaska, for example, health-care expenditures run 36 percent above the nationalaverage due to the state’s isolation and transportation costs. Yet Alaska ranks low overall in terms of prevalence. In othercases, state subsidies flatten overall treatment costs, as is the case in Hawaii, where health care would otherwise run7 percent above the national average. Massachusetts and Minnesota, both centers of specialized care and cutting-edgeresearch, show higher overall costs. The lower costs in New Hampshire may relate to its proximity to Massachusetts,where residents can go for specialized treatments.Mississippi and Oklahoma both show greater per capita health-care expenditures, caused by a higher prevalence ofdisease. But their overall costs are offset by a general lower cost of living.State Health Expenditures State Health - Percentage Expenditures of National Average, 2003Percentage of National Average, 2003Top Five States Percent ExpendituresBottom PRC* Five StatesExpenditures/PRCPercentAlaska 135.8 New Hampshire 84.9Delaware Disease122.4 (Billions) Utah (Millions) (Thousands) 86.2North Cancer Dakota 114.8 48.1 Idaho 10.6 4.5 87.0Minnesota Breast Cancer 112.7 5.5 New Mexico1.1 4.8 87.8Massachusetts Colon Cancer 110.8 3.9 Arizona 0.3 11.5 89.3Sources: Centers for Medicare & Medicaid Services (CMS), Milken InstituteLung 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 Condition[ 56 ]
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