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

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An Unhealthy AmericaMilken InstituteAs the preceding table shows, cancer incidence rates tend to progress aggressively as people age. The following tableshows that the prevalence rate for diabetes in 2003 was greatest in the 65–74 age group. Heart disease, hypertension,and stroke also occurred more frequently in the 75-and-over age group.Age-Specific PrevalenceAge-Specific Prevalence - Percent, 2003Percent, 2003Age Expenditures Age Age PRC* Expenditures/PRCAge AgeChronic Disease 25-44 (Billions) 45-49** (Millions) 50-64 65-74 (Thousands) 75 and overPulmonaryCancerConditions* 12.6 14.448.117.910.620.74.517.8Breast Cancer 5.5 1.1 4.8Diabetes 2.3 5.9 11.2 18.1 15.8Colon Cancer 3.9 0.3 11.5HypertensionLung Cancer8.9 19.26.335.10.449.317.154.8Heart Disease Prostate Cancer 4.5 7.8 4.3 14.61.0 27.3 4.1 36.8Stroke Other Cancers 0.5 1.1 28.0 3.07.7 7.1 3.6 11.6* Prevalence Pulmonary of pulmonary Conditions conditions includes those 45.2 with asthma, emphysema, 49.2 and chronic bronchitis. 0.9**Prevalence Diabetes specific to the age cohort 45-49 were constructed 27.1 using the 13.7 given age cohorts of 44-64 2.0 and 50-64.Source: Centers Hypertension for Disease Control and Prevention 32.5 36.8 0.9Heart Disease 64.7 19.2 3.4Stroke 13.6 2.4 5.6Mental Disorders 45.8 30.3 1.5The following two tables Total reflect projections of the 2003 277.0 incidence and 162.2 prevalence rates. No 1.7other variables are at play.We find that aging of PRC: the Population population, Reporting by itself, Condition will lead prostate cancer incidence rates to climb 36 percent over the twodecades: from 152 to 208 per 100,000 people. With respect to prevalence rates, age generates the greatest impacts onheart disease, hypertension, and stroke.[ 71 ]
An Unhealthy AmericaMilken InstituteIncidence ProjectionsIncidence Projections - Based on Aging, ThousandsBased on Aging, ThousandsCancerExpenditures PRC* Expenditures/PRCAge Age Age Age AgeYear* Disease 0-49 50-54 55-64(Billions)65-74 75 (Millions) and over All ages (Thousands) Incidence rate**2003 Cancer 196.3 122.8 288.2 48.1 351.7 10.6 408.1 1,367 4.5 470.12013 Breast 199.8 Cancer145.5 401.9 5.5 468.3 455.1 1.1 1,671 4.8 526.52023 Colon 208.9 Cancer133.6 434.3 3.9 657.3 599.0 0.3 2,033 11.5 622.7Breast CancerLung Cancer 6.3 0.4 17.1Year* Prostate 0-49 Cancer 50-54 55-64 65-74 4.3 75 and 1.0 over All ages Incidence 4.1 rate**2003 Other 43.5 Cancers 25.1 46.1 28.0 39.8 45.8 7.7 200.3 3.6 135.52013 44.3 29.7 64.2 52.1 50.3 240.5 149.3Pulmonary Conditions 45.2 49.2 0.92023 46.2 27.1 68.9 72.8 64.4 279.4 159.8Colon Cancer Diabetes 27.1 13.7 2.0Hypertension 32.5 36.8 0.9Year* 0-49 50-54 55-64 65-74 75 and over All ages Incidence rate**Heart Disease 64.7 19.2 3.42003 11.9 11.4 25.9 37.7 59.7 146.5 50.42013 Stroke12.1 13.6 36.1 13.6 50.1 66.4 2.4 178.2 5.6 56.22023 Mental 12.6 Disorders12.4 39.0 45.8 70.2 30.3 87.2 221.5 1.5 64.4Lung Cancer Total 277.0 162.2 1.7Year* PRC: Population 0-49 Reporting 50-54 Condition 55-64 65-74 75 and over All ages Incidence rate**2003 9.6 10.9 37.4 59.8 67.0 184.6 63.52013 9.7 12.9 52.2 79.4 74.6 228.8 72.22023 10.2 11.8 56.4 111.4 97.9 287.7 83.6Prostate CancerYear* 0-49 50-54 55-64 65-74 75 and over All ages Incidence rate**2003 5.9 17.2 60.8 78.2 55.1 217.1 151.82013 6.0 20.5 85.0 105.5 62.7 279.6 179.52023 6.3 18.9 92.3 148.8 85.5 351.8 208.1Other CancersYear* 0-49 50-54 55-64 65-74 75 and over All ages Incidence rate**2003 125.5 58.2 118.0 136.3 180.6 618.6 212.72013 127.7 69.0 164.5 181.1 201.1 743.4 234.52023 133.6 63.3 177.7 254.0 263.9 892.6 259.5*Selected years for twenty-year projection** New cases per 100,000 population (using female population for breast cancer, and male population for prostate cancer)Source: Milken Institute[ 72 ]
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