• 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 Division of Health Promotion and Disease Prevention within the Department of Public Health.