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Diabetes
Costs in US 2002 – UP, UP and AWAY
The
costs of diabetes have spiked sharply in the United States over
the past 5 years, according to a new report published last week by
ADA.
The study's findings
were announced jointly today by Health and Human Services
Secretary Tommy G. Thompson and American Diabetes Association
President Francine R. Kaufman, M.D.
The
annual cost of the condition, which affects an estimated 17
million Americans, climbed from $98
billion in 1997 to $132 billion in 2002,
according to report by the American Diabetes Association.
The
ADA found that direct medical costs of diabetes more than doubled
from $44 billion in 1997 to $91.8 billion in 2002. Indirect costs
included lost work days, restricted activity days, death and
permanent disabilities and they totaled $39.8 billion.
The
nation spends $13,243 on each diabetes patient, compared to $2560
per person for people who do not have diabetes.
After adjusting for
differences in age, sex, and race/ethnicity between people with
and without diabetes, the study found that people with diabetes
incur medical expenses that are about 2.4 times higher. The
figures take into account spending by individuals, employers,
insurers and government programs such as Medicaid and Medicare. No
cost estimates were projected for the nearly six million people
believed to have diabetes but who have not yet been diagnosed.
"Diabetes
imposes a substantial cost burden to society and, in particular,
to those individuals with diabetes and their families," Dr.
Kaufman said. "Eliminating or reducing the health problems
caused by diabetes through factors such as better access to
preventive care, more widespread diagnosis, more intensive disease
management, and the advent of new medical technologies could
significantly improve the quality of life for people with diabetes
and their families while at the same time potentially reducing
national expenditures for health care services and increasing
productivity in the U.S. economy."
The study also
found:
-
Direct medical
expenditures of $91.8 billion included $23.2 billion for
diabetes care, $24.6 billion for chronic diabetes-related
complications and $44.1 billion for excess prevalence of
general medical conditions.
-
Indirect costs
resulting from lost work days, restricted activity days,
mortality and permanent disabilities due to diabetes totaled
$39.8 billion.
-
Cardiovascular
disease is the most costly complication of diabetes,
accounting for more than $17.6 billion of the $91.8 billion
annual direct medical costs for diabetes in 2002.
HHS'
Centers for Disease Control and Prevention estimates that 17
million Americans have diabetes, including many who are unaware of
their condition. In addition, an estimated 16 million additional
Americans have pre-diabetes and can reduce their risks of
developing the disease by losing a modest amount of weight and
increasing their activity levels.
To
help reduce the burden of diabetes across the nation, HHS has
teamed up with the private sector to develop a comprehensive
online resource kit addressing diabetes in the workplace. Diabetes
at Work is the first online resource to address diabetes in the
work place that is specifically designed for top-level managers,
occupational health providers, benefits and human resource
managers and employees.
"Diabetes
continues to be a huge financial burden on patients, their
families and society, a burden that continues to grow in parallel
with the obesity and diabetes epidemics in this country,"
Secretary Thompson said. "We must all work to fight this
disease that touches so many of our daily lives. Fighting diabetes
through research and public education on new treatments and
prevention is one of our top priorities at the Department of
Health and Human Services."
"We
must all work to fight this disease that touches so many of our
daily lives," Thompson said in a statement.
ADA March 2003
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