Silver Book

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An Unhealthy America: The economic burden of chronic disease

Reference

Publisher
The Milken Institute
Publication Date
October 2007
Authors
DeVol R, Bedroussian A, Charuworn A, et al
URL
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    • Avoidable Treatment Expenditures, 2023  
    • State Chronic Disease Index  
    • Projected Rise in Cases of Chronic Diseases, 2003-2023  
    • Population Projections: 65 and over
      Population Projections: 65 and over  
    • Number of People Reporting Selected Chronic Diseases, 2003  
    • Number of People Reporting Selected Cancers, 2003  
    • Lost Productivity by Source, 2003  
    • Lost Productivity by Chronic Disease, 2003  
    • Percent Growth in Number of People Reporting Chronic Diseases, 2003-2023: Current Path versus Alternative Path  
    • Economic Impact of Chronic Disease, 2003  
    • Current Path, Combined Value of Treatment Expenditures and Productivity Losses, 2003-2023  
    • Costs That Can Be Avoided, 2003-2023  
    • Avoidable Treatment Costs and Output Losses, 2023  
    • Avoidable Productivity Losses, 2023  
    • Projected Annual Costs of Chronic Diseases, 2023 (US$ Trillions)  
    • Following the current path, stroke cases will increase by 28.9% between 2003 and 2023 (estimates do not include strokes among the institutionalized population). If an alternative path is taken, there…  
    • Following the current path, heart disease cases will increase by 41.1% between 2003 and 2023.  
    • Following the current path, heart disease cases will increase by 41.1% between 2003 and 2023. If an alternative path is taken, there will be 34.6% (9.4 million) fewer heart disease…  
    • Following the current path, diabetes cases will increase by 52.9% between 2003 and 2023.  
    • Following the current path, diabetes cases will increase by 52.9% between 2003 and 2023. If an alternative path is taken, there will be 13.3% (2.8 million) fewer diabetes cases.  
    • Following the current path, pulmonary condition cases will increase by 31.3% between 2003 and 2023.  
    • Following the current path, pulmonary condition cases will increase by 31.3% between 2003 and 2023. If an alternative path is taken, there will be 9.1% fewer pulmonary condition cases.  
    • Following the current path, the colon cancer incidence rate will increase by 31.8% between 2003 and 2023 (447,000 people). If an alternative path is taken, there will be 17.7% (79,000…  
    • Following the current path, the lung cancer incidence rate will increase by 34% between 2003 and 2023. If an alternative path is taken, there will be 18.4% (92,000) fewer lung…  
    • Following the current path, the prostate cancer incidence rate will increase by 75.4% (786,000) between 2003 and 2023.  
    • Following the current path, the prostate cancer incidence rate will increase by 75.4% (786,000) between 2003 and 2023. If an alternative path is taken, there will be 21.5% (393,000) fewer…  
    • Following the current path, the lung cancer incidence rate will increase by 34% between 2003 and 2023.  
    • Following the current path, colon cancer incidence rate will increase by 31.8% (447,000 people) between 2003 and 2023.  
    • Following the current path, breast cancer incidence rate will increase by 50.8% between 2003 and 2023.  
    • Following the current path, breast cancer incidence rate will increase by 50.8% between 2003 and 2023. If an alternative path is taken, cases will increase by 32.2% between 2003 and…  
    • Changes in behavior, preventative measures and innovation could save $1.6 trillion in treatment costs.  
    • In an optimistic scenario, more effective prevention and management of disease could save $218 billion in treatment expenditures annually in 2023.  
    • The total annual economic burden of 7 major chronic diseases. including cost of expenditures, will be $4.2 trillion in 2023.  
    • The indirect impacts of 7 major chronic diseases will total $3.4 trillion in 2023– which is 4 times the cost of treatment.  
    • Increase in 65 and older population, 2003 to 2030
      The U.S. census bureau projects a rise in the 65 and older population, from 12.4% in 2003 to 17.4% in 2030.  
    • A man between 65 and 74 is 167.2 times more likely to develop prostate cancer than a male under age 50.  
    • Lost workdays and lower employee productivity because of hypertension cost $279.5 billion– the highest amount among chronic diseases.  
    • Chronic disease cost $42 trillion in treatment costs and economic output.  
    • In 2030 there will be a 42% increase in cases of chronic diseases– 230.7 million people.  
    • The most common chronic diseases are costing the U.S. more than $1 trillion per year– which is expected to increase to $6 trillion by the middle of the century.  
    • More than half of Americans suffer from one or more chronic diseases.