{ "schema_version": "1.0", "dataset_id": "P4L-US-HC-STATS-2026-09", "title": "P4L U.S. Healthcare Statistics and Source Register", "canonical_url": "https://preventionforlongevity.org/healthcare-statistics/", "published": "2026-09-03", "source_checked": "2026-09-03", "geographic_scope": "United States, with one OECD comparison", "record_count": 16, "interpretation_rules": [ "Preserve each record's population, observation period, measurement type, source, and limitation.", "Do not combine values from different sources or years without an explicit analytical method.", "Population burden does not by itself establish preventability, causality, intervention effectiveness, or an individual medical recommendation.", "Recheck volatile values against the linked primary source before consequential use." ], "items": [ { "id": "HC-001", "topic": "chronic_conditions", "headline": "In the 2023 BRFSS, 76.4% of civilian noninstitutionalized adults in participating U.S. areas—about 194 million—reported at least one of 12 selected chronic conditions; 51.4% reported two or more.", "metrics": [ { "name": "one_or_more_selected_conditions", "value": 76.4, "unit": "percent" }, { "name": "estimated_adults_one_or_more", "value": 194, "unit": "million people" }, { "name": "two_or_more_selected_conditions", "value": 51.4, "unit": "percent" } ], "population": "Civilian noninstitutionalized adults age 18 and older in participating BRFSS states, the District of Columbia, and territories; Kentucky and Pennsylvania were absent in 2023", "observation_period": "2023", "measurement": "Weighted 2023 BRFSS telephone self-report for 12 selected conditions; most used reported professional diagnosis, obesity used BMI from self-reported height and weight, and asthma was current asthma", "source_authority": "Centers for Disease Control and Prevention, Preventing Chronic Disease", "source_title": "Trends in Multiple Chronic Conditions Among US Adults, By Life Stage, BRFSS, 2013–2023", "source_url": "https://www.cdc.gov/pcd/issues/2025/24_0539.htm", "limitations": "Not all HHS chronic conditions were measured; institutionalized adults were excluded; recall, diagnosis-awareness, nonresponse, social-desirability, and coverage bias apply. Missing values were multiply imputed.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-002", "topic": "health_expenditure", "headline": "U.S. national health expenditures were $5.2786 trillion in 2024, reported by CMS as $5.3 trillion, or $15,474 per person and 18.0% of GDP.", "metrics": [ { "name": "national_health_expenditures", "value": 5.2786, "unit": "trillion current U.S. dollars" }, { "name": "expenditure_per_person", "value": 15474, "unit": "current U.S. dollars per person" }, { "name": "share_of_gdp", "value": 18.0, "unit": "percent" } ], "population": "United States health economy", "observation_period": "2024", "measurement": "Official National Health Expenditure Accounts covering health goods and services, public-health activity, government administration, nonmedical insurance expenditure, and health-related investment", "source_authority": "Centers for Medicare & Medicaid Services", "source_title": "National Health Expenditure Fact Sheet", "source_url": "https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/nhe-fact-sheet", "limitations": "Nominal current dollars; aggregate spending is not value, quality, waste, preventability, or the typical person's bill. Historical estimates can be revised or benchmarked.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-003", "topic": "chronic_condition_spending_context", "headline": "CDC's May 2026 fact page states that 90% of the nation's $5.3 trillion in annual health-care expenditures are for people with chronic and mental-health conditions.", "metrics": [ { "name": "share_for_people_with_chronic_or_mental_health_conditions", "value": 90, "unit": "percent" }, { "name": "referenced_total_expenditures", "value": 5.3, "unit": "trillion current U.S. dollars" } ], "population": "CDC-attributed national statement; the underlying 90% share traces to civilian noninstitutionalized adults in 2014 MEPS, while the expenditure total is 2024 NHEA", "observation_period": "CDC fact page updated May 26, 2026; 90% share derives from a 2014 MEPS/RAND adult analysis; $5.3 trillion is 2024 NHEA", "measurement": "Attributed CDC synthesis of a 2014 MEPS/RAND person-level spending distribution and a 2024 NHEA aggregate", "source_authority": "Centers for Disease Control and Prevention", "source_title": "Fast Facts: Health and Economic Costs of Chronic Conditions", "source_url": "https://www.cdc.gov/chronic-disease/data-research/facts-stats/index.html", "limitations": "This is not a same-year or same-universe estimate. 'For people with' does not mean caused by the conditions, attributable to them, or preventable; MEPS excludes institutionalized people and can undercount spending.", "status": "current_attributed_statement_with_mixed_periods", "source_checked": "2026-09-03", "supporting_source_url": "https://www.rand.org/pubs/tools/TL221.html" }, { "id": "HC-004", "topic": "preventable_mortality", "headline": "In 2023, the U.S. age-standardized preventable-mortality rate was 193 deaths per 100,000, compared with an OECD average of 145.", "metrics": [ { "name": "united_states_preventable_mortality", "value": 193, "unit": "age-standardized deaths per 100000 population" }, { "name": "oecd_average_preventable_mortality", "value": 145, "unit": "age-standardized deaths per 100000 population" } ], "population": "United States compared with OECD member-country average", "observation_period": "2023 for both the United States and OECD average", "measurement": "Deaths from OECD-classified preventable causes before age 75, age-standardized to the 2015 OECD population", "source_authority": "Organisation for Economic Co-operation and Development", "source_title": "OECD SDMX preventable mortality, United States, 2023", "source_url": "https://sdmx.oecd.org/public/rest/v1/data/OECD.ELS.HD,DSD_HEALTH_STAT@DF_AM,1.1/USA.A.PREVM.DT_10P5HB.._T...STANDARD....?startPeriod=2023&endPeriod=2023&dimensionAtObservation=AllDimensions&format=csvfilewithlabels", "limitations": "Cause-of-death coding and reporting differ by country; classification depends on amenability assumptions. This is not a count of deaths proven preventable in individual cases or causal evidence of system performance.", "status": "current_as_checked", "source_checked": "2026-09-03", "supporting_source_url": "https://www.oecd.org/en/publications/2025/11/health-at-a-glance-2025_a894f72e/full-report/avoidable-mortality-preventable-and-treatable_e2e21c0b.html" }, { "id": "HC-005", "topic": "preventive_services_completion", "headline": "In 2022, 7.2% of eligible U.S. adults age 35 and older received all high-priority clinical preventive services appropriate and recommended for them.", "metrics": [ { "name": "completed_all_recommended_high_priority_appropriate_services", "value": 7.2, "unit": "percent" }, { "name": "healthy_people_2030_target", "value": 11.5, "unit": "percent" } ], "population": "U.S. adults age 35 and older eligible for the composite measure", "observation_period": "2022", "measurement": "MEPS Preventive Services Self-Administered Questionnaire; all-or-none composite of services appropriate to each eligible adult", "source_authority": "Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services", "source_title": "Increase the proportion of adults who get recommended evidence-based preventive health care — AHS-08", "source_url": "https://odphp.health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality/increase-proportion-adults-who-get-recommended-evidence-based-preventive-health-care-ahs-08", "limitations": "This is an all-appropriate-services composite, not receipt of any preventive care. Eligibility differs by person; self-report and source updates apply, and aspirin was removed beginning in 2022 after USPSTF recommendations changed.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-006", "topic": "hypertension", "headline": "During August 2021–August 2023, the crude hypertension prevalence was 47.7% among U.S. civilian noninstitutionalized adults age 18 and older; among adults meeting the definition, 20.7% had blood pressure below 130/80 mm Hg.", "metrics": [ { "name": "adult_hypertension_prevalence", "value": 47.7, "unit": "percent" }, { "name": "control_among_adults_with_hypertension", "value": 20.7, "unit": "percent" } ], "population": "U.S. civilian noninstitutionalized adults age 18 and older; pregnant women excluded; control denominator is adults meeting the hypertension definition", "observation_period": "August 2021–August 2023", "measurement": "Cross-sectional NHANES; hypertension was mean systolic blood pressure at least 130 mm Hg, mean diastolic pressure at least 80 mm Hg, or current antihypertensive medication", "source_authority": "National Center for Health Statistics", "source_title": "Hypertension Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older", "source_url": "https://www.cdc.gov/nchs/products/databriefs/db511.htm", "limitations": "47.7% is crude; the age-adjusted prevalence was 44.5%. Prevalence and control use different denominators, and a survey examination is not an individual longitudinal diagnosis.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-007", "topic": "diabetes", "headline": "For 2023, CDC estimates 40.1 million people of all ages had diagnosed or undiagnosed diabetes and 115.2 million adults age 18 and older had prediabetes.", "metrics": [ { "name": "people_with_diabetes", "value": 40.1, "unit": "million people" }, { "name": "adults_with_prediabetes", "value": 115.2, "unit": "million adults" } ], "population": "U.S. population for diabetes; U.S. adults for prediabetes", "observation_period": "2023 reference year using August 2021–August 2023 NHANES, 2021–2023 NHIS for diagnosed diabetes under age 18, and July 1, 2023 Census estimates", "measurement": "CDC synthesis applying survey prevalence estimates to the 2023 resident population; adult undiagnosed diabetes and prediabetes use laboratory thresholds", "source_authority": "Centers for Disease Control and Prevention", "source_title": "National Diabetes Statistics Report", "source_url": "https://usdss.cdc.gov/diabetes/report.html", "limitations": "Synthesized estimates assume 2021–2023 prevalence applies to the 2023 resident population. Pregnant women and indeterminate or missing lab cases were excluded; single survey laboratory measurements are not clinical confirmation.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-008", "topic": "obesity", "headline": "During August 2021–August 2023, the crude obesity prevalence was 40.3% among U.S. civilian noninstitutionalized adults age 20 and older, and crude severe-obesity prevalence was 9.4%.", "metrics": [ { "name": "adult_obesity_prevalence", "value": 40.3, "unit": "percent" }, { "name": "adult_severe_obesity_prevalence", "value": 9.4, "unit": "percent" } ], "population": "U.S. civilian noninstitutionalized adults age 20 and older; pregnant women and people missing measured height or weight excluded", "observation_period": "August 2021–August 2023", "measurement": "Cross-sectional NHANES measured height and weight; BMI at least 30 for obesity and at least 40 for severe obesity", "source_authority": "National Center for Health Statistics", "source_title": "Obesity and Severe Obesity Prevalence in Adults: United States, August 2021–August 2023", "source_url": "https://www.cdc.gov/nchs/products/databriefs/db508.htm", "limitations": "Both displayed values are crude. BMI does not directly measure body fat or distribution, and interpretation varies by demographic context; institutionalized and pregnant adults were excluded.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-009", "topic": "life_expectancy", "headline": "Final national mortality data put U.S. life expectancy at birth at 79.0 years in 2024.", "metrics": [ { "name": "life_expectancy_at_birth_total", "value": 79.0, "unit": "years" }, { "name": "life_expectancy_at_birth_female", "value": 81.4, "unit": "years" }, { "name": "life_expectancy_at_birth_male", "value": 76.5, "unit": "years" } ], "population": "Total U.S. population", "observation_period": "2024", "measurement": "Complete period life tables using final 2024 mortality data and population estimates", "source_authority": "National Center for Health Statistics", "source_title": "United States Life Tables, 2024", "source_url": "https://www.cdc.gov/nchs/data/nvsr/nvsr75/nvsr75-05.pdf", "limitations": "A period life table applies 2024 age-specific death rates to a hypothetical cohort; it is a population snapshot, not an individual lifespan forecast. Construction uses multiple demographic inputs and modeling at some ages and population levels.", "status": "current_as_checked", "source_checked": "2026-09-03", "supporting_source_url": "https://www.cdc.gov/nchs/products/databriefs/db548.htm" }, { "id": "HC-010", "topic": "healthy_life_expectancy", "headline": "WHO modeled 2021 U.S. life expectancy at 76.37 years and healthy life expectancy at 63.91 years; P4L's same-model, same-year difference is approximately 12.46 years.", "metrics": [ { "name": "who_modeled_life_expectancy_at_birth", "value": 76.37368104, "unit": "years" }, { "name": "who_modeled_hale_at_birth", "value": 63.91495735, "unit": "years" }, { "name": "p4l_calculated_difference", "value": 12.45872369, "unit": "years", "formula": "76.37368104 - 63.91495735" } ], "population": "United States, both sexes, at birth", "observation_period": "2021", "measurement": "WHO Global Health Estimates model-based indicators; 12.46 years is P4L arithmetic, not a separately published WHO metric", "source_authority": "World Health Organization", "source_title": "United States of America country data", "source_url": "https://data.who.int/countries/840", "limitations": "Modeled values may differ from U.S. national life tables. The difference is not a literal count of years an individual will be sick or disabled and must not use the 2024 NCHS life-expectancy figure.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-011", "topic": "chronic_pain", "headline": "24.3% of U.S. adults reported chronic pain in 2023; 8.5% reported high-impact chronic pain.", "metrics": [ { "name": "chronic_pain_prevalence", "value": 24.3, "unit": "percent" }, { "name": "high_impact_chronic_pain_prevalence", "value": 8.5, "unit": "percent" } ], "population": "U.S. civilian noninstitutionalized adults age 18 and older", "observation_period": "2023", "measurement": "2023 NHIS household-interview self-report; chronic pain means pain most days or every day during the prior three months", "source_authority": "National Center for Health Statistics", "source_title": "Chronic Pain and High-impact Chronic Pain Among U.S. Adults, 2023", "source_url": "https://www.cdc.gov/nchs/products/databriefs/db518.htm", "limitations": "Self-report, recall, survey nonresponse, and exclusion of institutionalized adults apply. High-impact chronic pain additionally limited life or work activities most days or every day.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-012", "topic": "physical_activity", "headline": "In 2022, 22.5% of civilian noninstitutionalized U.S. adults age 25 and older reported enough leisure-time activity to meet both guideline components.", "metrics": [ { "name": "met_both_federal_activity_guideline_components", "value": 22.5, "unit": "percent" } ], "population": "U.S. civilian noninstitutionalized adults age 25 and older", "observation_period": "2022", "measurement": "2022 NHIS self-reported leisure-time activity; at least 150 moderate-equivalent aerobic minutes weekly and muscle strengthening at least two days weekly", "source_authority": "Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report", "source_title": "QuickStats: Adults Meeting Both Muscle-Strengthening and Aerobic Physical Activity Guidelines, 2022", "source_url": "https://www.cdc.gov/mmwr/volumes/73/wr/mm7322a3.htm", "limitations": "Self-report and recall apply; occupational and transportation activity are not necessarily represented. The combined criterion is stricter than either component alone.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-013", "topic": "colorectal_cancer_screening", "headline": "In 2023, the weighted crude self-reported estimate of screening-eligible U.S. adults age 45–75 who were up to date with colorectal-cancer screening was 67.4%.", "metrics": [ { "name": "up_to_date_colorectal_cancer_screening_crude", "value": 67.4, "unit": "percent" }, { "name": "up_to_date_age_45_49", "value": 37.1, "unit": "percent" }, { "name": "up_to_date_age_50_75", "value": 73.4, "unit": "percent" } ], "population": "Screening-eligible U.S. adults age 45–75", "observation_period": "2023", "measurement": "Weighted 2023 NHIS self-report using USPSTF test-specific intervals", "source_authority": "Centers for Disease Control and Prevention, Preventing Chronic Disease", "source_title": "Use of Cancer Screening Tests, United States, 2023", "source_url": "https://www.cdc.gov/pcd/issues/2025/25_0139.htm", "limitations": "Cross-sectional self-report, recall, nonresponse, and exclusions apply. The crude 67.4% estimate should not be silently compared with age-standardized values; ages 45–49 and 50–75 differed materially.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-014", "topic": "hospital_interoperability", "headline": "In 2023, 43% of U.S. non-federal acute-care hospitals reported often finding, sending, and receiving outside electronic health information and routinely integrating it into the EHR.", "metrics": [ { "name": "routinely_all_four_domains", "value": 43, "unit": "percent of hospitals" }, { "name": "sometimes_all_four_domains", "value": 27, "unit": "percent of hospitals" }, { "name": "routinely_or_sometimes_all_four_domains", "value": 70, "unit": "percent of hospitals" } ], "population": "U.S. non-federal acute-care hospitals", "observation_period": "2023", "measurement": "AHA IT Supplement with response-propensity weighting; routine means often finding, sending, and receiving and routinely integrating information into the EHR", "source_authority": "Assistant Secretary for Technology Policy / Office of the National Coordinator for Health Information Technology", "source_title": "Interoperable Exchange of Patient Health Information Among U.S. Hospitals: 2023", "source_url": "https://healthit.gov/data/data-briefs/interoperable-exchange-patient-health-information-among-us-hospitals-2023/", "limitations": "Hospital/CIO self-report does not prove clinician use, universal exchange partners, complete or accurate data, workflow benefit, or outcomes. A newer 2025 measure is broader and not equivalent to this routine-frequency statistic.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-015", "topic": "predictive_ai_adoption", "headline": "In 2024, 71% of U.S. non-federal acute-care hospitals with informative responses reported predictive AI embedded in or launched through the EHR, up from 66% in 2023.", "metrics": [ { "name": "reported_predictive_ai_use_2024", "value": 71, "unit": "percent of hospitals" }, { "name": "reported_predictive_ai_use_2023", "value": 66, "unit": "percent of hospitals" }, { "name": "informative_responses_2024", "value": 2080, "unit": "hospitals" } ], "population": "U.S. non-federal acute-care hospitals; 2,080 item-specific informative responses in 2024", "observation_period": "2024, with 2023 comparison", "measurement": "AHA IT Supplement, response-propensity weighted; predictive AI includes machine-learning and other predictive or traditional statistical classification and individual-risk models embedded in or launched through the EHR", "source_authority": "Assistant Secretary for Technology Policy / Office of the National Coordinator for Health Information Technology", "source_title": "Hospital Trends in the Use, Evaluation, and Governance of Predictive AI, 2023–2024", "source_url": "https://healthit.gov/data/data-briefs/hospital-trends-use-evaluation-and-governance-predictive-ai-2023-2024/", "limitations": "Self-reported adoption does not establish model accuracy, validation, bias control, governance quality, clinician use, safety, workflow benefit, or outcomes. Missing and do-not-know responses were excluded.", "status": "current_as_checked", "source_checked": "2026-09-03" }, { "id": "HC-016", "topic": "older_adult_fall_mortality", "headline": "In 2023, 41,400 U.S. residents age 65 and older died from unintentional falls, a crude rate of 69.9 per 100,000.", "metrics": [ { "name": "unintentional_fall_deaths_age_65_plus", "value": 41400, "unit": "deaths" }, { "name": "unintentional_fall_death_rate_age_65_plus", "value": 69.9, "unit": "deaths per 100000 population" } ], "population": "U.S. residents age 65 and older", "observation_period": "2023", "measurement": "Final NVSS death-certificate data; unintentional falls as underlying cause using ICD-10 W00–W19", "source_authority": "National Center for Health Statistics", "source_title": "Unintentional Fall Deaths Among Adults Age 65 and Older: United States, 2023", "source_url": "https://www.cdc.gov/nchs/products/databriefs/db532.htm", "limitations": "Fatal outcomes only; excludes nonfatal falls and does not establish how many deaths were preventable. The displayed rate is crude, not age-adjusted.", "status": "current_as_checked", "source_checked": "2026-09-03" } ] }