You Won’t Believe How Much Diabetes is Costing the U.S.
The budget-busting price of Sovaldi, a drug used to treat hepatitis C has generated wave after wave of media attention, but it’s far from the only drug creating cost problems for patients and insurers.
As Michelle Andrews of Kaiser Health News points out, diabetes affects 29 million Americans, or 10 times as many people as hepatitis C, and the costs of treating it have been rising quickly. And because it’s a chronic condition, people require lifetime care.
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In 2011, the average annual health spending for individuals with diabetes was $14,093. Two years later, it had risen to $14,999, according to the Healthcare Cost Institute. In contrast, a person without diabetes spent about $10,000 less in medical costs in 2013. Pharmacy provider Express Scripts said earlier this year that 2014 marked the fourth year in a row that medication used to treat diabetes were the most expensive of any traditional drug class.
In all, diabetes costs totaled an estimated $245 billion in 2012, including both direct medical expenses and indirect costs from disability and lost work productivity.
While some of the most popular diabetes drugs aren’t particularly expensive, the new brand-name drugs that are continually being introduced offer more effective treatment and fewer side effects — but also come with a higher price tag. Less than half of the diabetes prescription treatments filled in 2014 were generic.
Nearly a century after its discovery in 1921, insulin is still a common form of treatment for the millions of people with type 1 diabetes, yet there is still no generic form available. Patent protection has been extended in some cases due to improvements in existing formulations. Once those patents expire, Andrews notes, biologically similar drugs could replace them and reduce the price by up to 40 percent.
Related: This Disease Hikes Health Care Costs By More than $10,000 a Year
The financial ramifications of diabetes don’t just stem from the cost of drugs or medical treatment — it’s also been proven that people with diabetes have a high-school dropout rate that is six percentage points higher than those without the disease, according to a Health Affairs study. In addition, young adults with diabetes are four to six percentage points less likely to attend college than those without the disease.
Diabetes also contributes to lower employment and wages. On average, a person with diabetes earns $160,000 less over the course of their lives than people who don’t develop the disease. By age 30, a person with diabetes is 10 percent less likely to be employed.
So even if it’s not generating as many headlines as hepatitis C at any given point in time, the costs of diabetes can’t be ignored.
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The 10 Worst States to Have a Baby
The birth rate in the U.S. is finally seeing an uptick after falling during the recession. Births tend to fall during hard economic times because having a baby and raising a child are expensive propositions.
Costs are not the same everywhere, though. Some states are better than others for family budgets, and health care quality varies widely from place to place.
A new report from WalletHub looks at the cost of delivering a baby in the 50 states and the District of Columbia, as well as overall health care quality and the general “baby-friendliness” of each state – a mix of variables including average birth weights, pollution levels and the availability of child care.
Mississippi ranks as the worst state to have a baby, despite having the lowest average infant-care costs in the nation. Unfortunately, the Magnolia State also has the highest rate of infant deaths and one of lowest numbers of pediatricians per capita.
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On the other end of the scale, Vermont ranks as the best state for having a baby. Vermont has both the highest number of pediatricians and the highest number of child centers per capita. But before packing your bags, it’s worth considering the frigid winters in the Green Mountain State and the amount of money you’ll need to spend on winter clothing and heat.
Here are the 10 worst and 10 best states for having a baby:
Top 10 Worst States to Have a Baby
1. Mississippi
- Budget Rank: 18
- Health Care Rank: 51
- Baby Friendly Environment Rank: 29
2. Pennsylvania
- Budget Rank: 37
- Health Care Rank: 36
- Baby Friendly Environment Rank: 51
3. West Virginia
- Budget Rank: 13
- Health Care Rank: 48
- Baby Friendly Environment Rank: 50
4. South Carolina
- Budget Rank: 22
- Health Care Rank: 43
- Baby Friendly Environment Rank: 49
5. Nevada
- Budget Rank: 39
- Health Care Rank: 35
- Baby Friendly Environment Rank: 46
6. New York
- Budget Rank: 46
- Health Care Rank: 12
- Baby Friendly Environment Rank: 47
7. Louisiana
- Budget Rank: 8
- Health Care Rank: 50
- Baby Friendly Environment Rank: 26
8. Georgia
- Budget Rank: 6
- Health Care Rank: 46
- Baby Friendly Environment Rank: 43
9. Alabama
- Budget Rank: 3
- Health Care Rank: 47
- Baby Friendly Environment Rank: 44
10. Arkansas
- Budget Rank: 12
- Health Care Rank: 49
- Baby Friendly Environment Rank: 37
Top 10 Best States to Have a Baby
1. Vermont
- Budget Ranks: 17
- Health Care Rank: 1
- Baby Friendly Environment Rank: 5
2. North Dakota
- Budget Rank: 10
- Health Care Rank: 14
- Baby Friendly Environment Rank: 10
3. Oregon
- Budget Rank: 38
- Health Care Rank: 2
- Baby Friendly Environment Rank: 14
4. Hawaii
- Budget Rank: 31
- Health Care Rank: 25
- Baby Friendly Environment Rank: 1
5. Minnesota
- Budget Rank: 32
- Health Care Rank: 5
- Baby Friendly Environment Rank: 12
6. Kentucky
- Budget Rank: 1
- Health Care Rank: 33
- Baby Friendly Environment Rank: 20
7. Maine
- Budget Rank: 25
- Health Care Rank: 10
- Baby Friendly Environment Rank: 15
8. Wyoming
- Budget Rank: 22
- Health Care Rank: 17
- Baby Friendly Environment Rank: 7
9. Iowa
- Budget Rank: 14
- Health Care Rank: 25
- Baby Friendly Environment Rank: 9
10. Alaska
- Budget Rank: 50
- Health Care Rank: 6
- Baby Friendly Environment Rank: 2
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Worried About a Recession? Here’s When the Next Slump Will Hit
The next recession may be coming sooner than you think.
Eleven of the 31 economists recently surveyed by Bloomberg believed the American recession would hit in 2018, and all but two of them expected the recession to begin within the next five years.
If the recession begins in 2018, the expansion would have lasted nine years, making it the second-longest period of growth in U.S. history after the decade-long expansion that ended when the tech bubble burst in 2001. This average postwar expansion averages about five years.
The recent turmoil in the stock market and the slowdown in China has more investors and analysts using the “R-word,” but the economists surveyed by Bloomberg think we have a bit of time. They pegged the chance of recession over the next 12 months to just 10 percent.
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While economists talk about the next official recession, many average Americans feel like they’re still climbing out of the last one. In a data brief released last week, the National Employment Law Project found that wages have declined since 2009 for most U.S. workers, when factoring in cost of living increases.
A full jobs recovery is at least two years away, according to an analysis by economist Elise Gould with the Economic Policy Institute. “Wage growth needs to be stronger—and consistently strong for a solid spell—before we can call this a healthy economy,” she wrote in a recent blog post.
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