• In 2005, 133 million people, almost half of all Americans lived with at least one chronic condition.

  • Chronic diseases account for one-third of the years of potential life lost before age 65.

  • Chronic diseases account for 70% of all deaths in the United States.

Costs, Nationally

  • The medical care costs of people with chronic diseases account for more than 75% of the nation's $2 trillion medical care costs.

  • The direct and indirect costs of diabetes is $174 billion a year.

  • Each year, arthritis results in estimated medical care costs of nearly $81 billion, and estimated total costs (medical care and lost productivity) of $128 billion.

  • In 2008, the cost of heart disease and stroke in the U.S. is projected to be $448 billion.

  • Cancer costs the nation an estimated $89 billion annually in direct medical costs.


  • In 2003, nearly 4.2 million cases of seven common chronic diseases - cancers, diabetes, heart disease, hypertension, stroke, mental disorders, and pulmonary conditions were reported.

  • In 2003, treatment expenditures were $8.1 million.

  • In 2003, lost productivity was $25.9 million.

Number of Reported Cases of Chronic Disease in 2003

  • Cancers: 257,000 cases or 4.1% of Massachusetts population

  • Diabetes: 285,000 cases or 4.6% of Massachusetts population

  • Heart Disease: 391,040 cases or 6.1% of Massachusetts population

  • Hypertension: 762,105 or 11.9% of Massachusetts population

  • Stroke: 55,544 or 0.9% of Massachusetts population

  • Pulmonary Conditions: 1,341,697 or 20.9% of Massachusetts population

Milken Chronic Disease Index, 2003, Milken Institute analysis based on MEPS, NHIS, etc.

This information is provided by the within the Department of Public Health.