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Cancer and heart disease costs to skyrocket hundreds of billions of dollars

By | January 26, 2011, 7:45 AM PST

Two decades from now, the costs of treating heart disease will triple by 2030, hitting $818 billion, predicts an American Heart Association (AHA) study.

That’s over a half-trillion-dollar increase from the $273 billion now.

“Despite the successes in reducing and treating heart disease over the last half century, even if we just maintain our current rates, we will have an enormous financial burden on top of the disease itself,” says Paul Heidenreich, chair of the AHA panel.

Here are some other figures from the report:

  • Currently, 1 in 3 Americans (36.9%) have some form of heart disease, including high blood pressure, coronary heart disease, heart failure and stroke. By 2030, approximately 116 million people (40.5%) will have some form of cardiovascular disease.
  • The largest increases are anticipated in stroke (up 24.9%) and heart failure (up 25%).
  • Heart disease will also cost the nation billions more in lost productivity, from $172 billion in 2010 to $276 billion in 2030.

“Unhealthy behaviors and unhealthy environments have contributed to a tidal wave of risk factors among many Americans,” says AHA’s Nancy Brown. “Early intervention and evidence-based public policies are absolute musts to significantly reduce alarming rates of obesity, hypertension, tobacco use and cholesterol levels.”

Most heart disease is preventable with better diet and more exercise, according to the AHA, and one easy fix would be for Americans to eat less salt.

The study calls upon policymakers to shift focus to prevention: “The US healthcare system often rewards practices that treat disease and injury rather than those that prevent them.”

The results appear in Circulation this week.

In the nearer future, ten years from now, medical expenses for cancer will soar to at least $158 billion, according to projections from the National Cancer Institute (NCI) last week.

That’s a 27% increase from current costs of $124.6 billion.

What’s more, if new tools for diagnosis, treatment and follow-up continue to be more expensive, the costs could get as high as $207 billion – illustrating the importance of advancing the science of cancer prevention and treatment, says Robert Croyle of the NCI.

Here’re more key numbers:

  • The highest costs were with breast cancer ($16.5 billion), colorectal cancer ($14 billion), lymphoma ($12 billion), lung cancer ($12 billion) and prostate cancer ($12 billion).
  • There were 13.8 million cancer survivors alive in 2010, and 58% of them were 65 or older. If cancer rates remain stable, the number of survivors in 2020 will increase to about 18.1 million.
  • For all types of cancer, costs of care per patient were highest in the final year of life.
  • Because of the aging of the US population, the largest increase in survivors over the next decade are expected to age 65 and older.

“We thought that, given the aging of the US population, we should try to provide some numbers for policymakers and health planners so they could prepare for the future,” says study author Angela Mariotto of the NCI.

One way to reign in the costs, according to Jay Wolfson, professor of public health and medicine at the University of South Florida, is to change consumer expectations of care and the deployment tactics for providers to reduce unnecessary, inappropriate or wasteful service. “This is easy to say from a distance, but when a family is notified that a member has a cancer, their first goal is to get the best and most care possible – and our system tends to oblige.”

The analysis appeared in the Journal of the National Cancer Institute last week.

Image: 1955 open-heart surgery by R. Perry / National Library of Medicine

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Janet Fang

About Janet Fang

Janet Fang is a contributing editor for SmartPlanet.

Janet Fang

Janet Fang
Contributing Editor

Janet Fang has written for Nature, Discover and the Point Reyes Light. She is currently a lab technician at Lamont-Doherty Earth Observatory. She holds degrees from the University of California, Berkeley and Columbia University. She is based in New York.

Follow her on Twitter.

Janet Fang

Janet Fang

Janet does not have financial holdings that would influence how or what she covers.

She writes for SmartPlanet and is not an employee of CBS.

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+1 Vote
+ -
Eat less salt
While I'm not quite sure how anyone can use the phrase "one
easy solution is to eat less salt", I am certain that that person fails
to acknowledge the limitations of us Americans stuck with only
products filled with sodium.

Salt it not the problem. Sodium is the problem. Our most
common form of salt happens to be Sodium-Chloride, which is
one of many types of salt. Many other types of salt do not contain
sodium.

Processed food hits hard when it comes to sodium content. Just
look at frozen chicken breast meat. It's treated with salt water.

Tomatoes sold in the U.S. also contain some of the highest
sodium concentrations based on the environment they were
grown in, not because of additional salt. Celery is yet another
source of sodium without adding salt.

I do dislike calling people idiots, but my confidence is high that
the original quote I commented on came from someone without
high blood pressure and quite possibly someone who also does
not have a family history of it either.

Additionally, high blood pressure is also linked to stress. In my job
(I.T.) I have urges daily to scream at people.

Just remember to include HOW when bragging how "simple" it
is.
Posted by ct2193@...
26th Jan 2011
+1 Vote
+ -
RE: Cancer and heart disease costs to skyrocket hundreds of billions of dollars
?Early intervention and evidence-based public policies are
absolute musts to significantly reduce alarming rates of obesity,
hypertension, tobacco use and cholesterol levels.?

So much for "the land of the free!" Just keep injecting the
government into every facet of our lives.

I am getting sick and tired of this bleating about "lost productivity."
Christs sake, we have 10% unemployment. What to hell are you
idiots talking about lost productivity for? The best thing we can do
is rid this society of the nannyists and the "body parts"
associations.
Posted by Rodo1
26th Jan 2011
+1 Vote
+ -
RE: Cancer and heart disease costs to skyrocket hundreds of billions of dollars
"change consumer expectations of care and the deployment tactics for providers to reduce unnecessary, inappropriate or wasteful service"..... Is this a death panel?
Posted by WayneGoodin@...
27th Jan 2011
+1 Vote
+ -
The posters make sense...
People and organizations who like to talk about "intervention" and "public policy" want to use government force against us "for our own good." How about persuasion? That's how you change individual behavior in a free society.

I'm glad I am not the only one who sees the hypocrisy in these public policies when processed foods (not to mention our workplaces, our air and water, the prescription drugs we take) poison us every day. But then I forget that these poisons are administered by corporations and people with money; they are not administered by poor slobs like us who just want to be left alone -- not controlled by every do-gooder using the muscle of government to "convince" us.
Posted by sissy sue
27th Jan 2011
+1 Vote
+ -
RE: Cancer and heart disease costs to skyrocket hundreds of billions of dollars
And so begins the sweet song..."We will take care of you....but in exchange you have to let us control this little piece of your life, it's just a little piece"...
Posted by GregGold
27th Jan 2011
+1 Vote
+ -
Health care costs increasing
My take on the article is that the costs for dealing with cancer and heart disease will go up; as they are going up now. The article has a few bits of advice; take measures to prevent diseases and to work at living a healthy life style.

Reduce sodium by avoiding processed foods and eat more fresh food. Stay active both physically and mentally. Choose a healthy environment and stay informed about health issues as well as inherited diseases. These are things people can choose if they want to improve their future health.

The final paragraph states the health care conundrum in a nutshell; it is easy to advise people that they need to prepare and scale back to what they can afford; but people will want the best care when they get cancer or heart disease. Establishing realistic expectations in these situations is very difficult; especially since we are all mortal and desire to live like immortals.
Posted by sboverie
28th Jan 2011
+1 Vote
+ -
RE: Cancer and heart disease costs to skyrocket hundreds of billions of dollars
'And so begins..."We will take care of you....but in exchange you have to let us control this little piece of your life, " '

'reduce unnecessary, inappropriate or wasteful service"..... Is this a death panel?'

If you want to spend $1MM prolonging your life by 6 months - go ahead, it's your money. But don't expect me to contribute.
Posted by 0David
3rd Feb 2011
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