Cost of Diabetes Care in U.S. Keeps Climbing03/06/13
WEDNESDAY, March 6 (HealthDay News) -- The total cost of
diabetes in the United States jumped from $174 billion in 2007 to
$245 billion in 2012, a new report shows.
Last year's total cost included $176 billion in direct medical
costs -- such as hospital and emergency care, medications and
office visits -- and $69 billion in indirect costs, including work
absenteeism, reduced productivity, unemployment caused by
diabetes-related disability and lost productivity due to early
death. The 2012 cost represents a 41 percent increase from
"As the number of people with diabetes grows, so does the economic burden it places upon [the United States]," Dr. Robert Ratner, chief scientific and medical officer at the American Diabetes Association, said in a news release from the association, which commissioned the study.
"When it comes to the rising cost of diabetes, one of the key factors explaining the increase is that there are many more people that are now being treated for diabetes in the U.S.," Ratner explained.
"It is important to note that while treating diabetes is expensive, it is the fact that the prevalence of the disease is increasing dramatically," Ratner added. "Recent estimates project that as many as one in three American adults will have diabetes in 2050. These numbers are alarming, and further highlight the need for our nation to address this epidemic."
Nearly 26 million adults and children in the United States have
diabetes and another 79 million have prediabetes, which places them
at increased risk for developing the disease.
"The cost of diabetes is rising at a rate higher than overall medical costs, with more than one in 10 health care dollars in the country being spent directly on diabetes and its complications, and more than one in five health care dollars in the U.S. going to the care of people with diagnosed diabetes," Ratner noted.
The study also found that medical costs for people with diabetes
are 2.3 times higher than for those without diabetes, and that the
primary cause of increased costs is the increasing number of people
Despite the introduction of new medications for the disease,
diabetes drugs and supplies accounted for only 12 percent of the
medical costs in both 2007 and 2012.
Among the other key findings:
- Most (62 percent) of the cost for diabetes care in the United
States is provided by government insurance (including Medicare,
Medicaid and the military). The rest is paid for by private
insurance (34 percent) or by the uninsured (3 percent).
- Total per-person health costs are higher among women than men
($8,331 versus $7,458), and lower among Hispanics ($5,930) than
among whites ($8,101) and blacks ($9,540).
- The per-person cost of medical care attributed to diabetes was
$6,649 in 2007 and $7,900 in 2012, a 19 percent increase. Overall,
medical care costs in the United States rose by a comparable amount
during the same time period, which indicates that the increasing
cost of diabetes care is being driven by the increasing number of
people with diabetes.
- Among states, California has the largest population with
diabetes and thus the highest costs, at $27.6 billion. Florida's
total population is fourth among states behind California, Texas
and New York, but it is second in diabetes-related costs at $18.9
The findings were released at a news conference March 6 and will
appear in the April issue of the journal
The U.S. National Institute of Diabetes and Digestive and Kidney
Diseases offers a
diabetes prevention series.
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