Health costs will surge without better prevention

The cost of caring for aging Americans will add 25 percent to the nation's
health care bill by 2030 unless people act now to stay healthy, the U.S.
Centers for Disease Control and Prevention said on Thursday.

Currently, 80 percent of Americans 65 or older have at least one chronic
disease that could lead to premature death and disability, CDC researchers
said.

The report, The State of Aging and Health in America 2007, projects that by
2030, 71 million Americans will be over 65, accounting for 20 percent of the
U.S. population, up from 10 to 11 percent now.

With the cost of caring for older Americans at three- to five-times greater
than care for younger adults, CDC researchers believe policymakers and
individuals should take steps to help aging adults forestall chronic
disease.

"Given the demographics ... the economic impact on healthcare will be
enormous," said Dr. Richard Murray, a vice president at Merck & Co. Inc.,
whose foundation funded the study.

If people adopt healthier lifestyles, they will not develop the expensive,
chronic diseases that raise health costs sharply, such as diabetes, cancer
and heart disease.

"We are going to see an increase in health care costs, but the goal has to
be to restrain the rate of increase. Prevention is the key to that," said
Bill Benson, a health care benefits and policy analyst who advised the CDC
on the report.

The report noted that three behaviors -- smoking, poor diet and physical
inactivity -- caused almost 35 percent of U.S. deaths in 2000.

SHARP REGIONAL VARIATION

Those three behaviors often lead to the development of the nation's leading
chronic diseases: heart disease, cancer, stroke and diabetes, they said.

"Having a chronic disease that's well managed doesn't necessarily put a
person at risk for functional decline, but when someone starts developing
problems, they are much more at risk," said Lynda Anderson, a chronic
disease and aging expert at the CDC.

The report looks at how states are faring in terms of elderly health and
providing preventive care such as immunizations and health screenings and
taking steps to prevent falls, a major risk for the elderly.

"You have some regions that are doing extremely well in a lot of areas and
others that are struggling to get these services to older adults," she said.

Elderly people in Hawaii, for example, are likely to fare better in many key
measures of health. The state ranked best in overall health, mental health,
and disability and had the lowest percent of obese elderly. But Hawaii
ranked last in terms of screening for colorectal cancer.

West Virginia ranked worst in terms of overall health, oral health and
disability, while Kentucky had the highest level of elderly people reporting
mental health problems. Louisiana reported the highest levels of obesity,
with more than 25 percent of the elderly population considered obese.

"There are certainly areas that we need to really pay attention to,"
Anderson said.

She hopes the data will give state policymakers the right tools to start
building prevention programs now, before chronic disease begins.

"We have the opportunity for prevention," Merck's Murray said. "We need to
be serious about it."