Magazine article Workforce Management

Report: Obesity Must Be Curbed to Cut Cost of Chronic Illness

Magazine article Workforce Management

Report: Obesity Must Be Curbed to Cut Cost of Chronic Illness

Article excerpt

HEALTH CARE

The American workforce is getting older, sicker and costlier. According to a new report by the Milken Institute, the economic impact of chronic care is estimated to be $1.3 trillion per year-a figure that will continue to grow, despite anyone's best efforts, until at least 2015.

"That is the amount of time it would take to see results in terms of prevention mitigation and changing people's lifestyles," says Kevin Klowden, managing economist at the Santa Monica, California-based nonprofit and an author of the report released this month.

The institute said American businesses lose $1.1 trillion annually in productivity because of chronic illness.

At the heart of the problem is obesity, which leads to high blood pressure, heart disease and diabetes and exacerbates problems associated with other diseases. Klowden says that to cut costs, the prevalence rate of obesity would have to be trimmed to 1998 levels, when 19 percent of the population was obese, compared with 22.8 percent in 2003 and an estimated 25.3 percent today. Obesity would have to be treated as a national epidemic similar to smoking.

"Skyrocketing obesity levels may portend an epidemic of chronic diseases and related treatment costs that threaten to overwhelm the public and private sectors," the report states.

Ken Thorpe, a professor of public health at Emory University, says the Milken Institute's estimate of the impact of chronic disease is conservative. To reduce costs, employers must use a combination of programs and incentives to detect health problems early and change benefit structures so people who need medications to stay healthy get them at no cost. He says getting treatments to workers at the work site is the most effective way to improve people's health.

"Without going after the underpinning of health care costs-obesity and the explosion of chronic illness-we won't be able to reduce health care costs," Thorpe says. …

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