Healthcare baseline · Source register v1.1

The scale of the mission, with the evidence attached.

Sixteen statistics establish a sourced U.S. baseline across health, prevention, function, spending, and institutional adoption. Every record keeps the population, observation period, source, and interpretive limit visible.

16 source-linked recordsPrimary public sourcesSource checked September 3, 2026Machine-readable JSON
How to read the register

A statistic is not self-interpreting.

Data years differ because national systems publish on different cycles. Counts, prevalence estimates, modeled indicators, survey responses, and expenditures answer different questions and should not be casually combined.

01 · Scale & spending

The burden is broad—and the spending is historic.

National prevalence and expenditure estimates show the size of the system challenge. They do not, by themselves, identify the right intervention.

194M

U.S. adults reporting at least one selected chronic condition

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.

Population
Civilian, noninstitutionalized adults age 18+ in participating BRFSS areas; Kentucky and Pennsylvania were absent in 2023.
Period / method
2023 BRFSS; weighted self-report

Limit: The estimate covers 12 specified conditions and is subject to recall, response, and self-report bias.

CDC Preventing Chronic Disease study ↗
$5.3T

U.S. national health expenditures

National health expenditures reached $5.3 trillion in 2024—$15,474 per person and 18.0% of gross domestic product.

Population
United States health economy
Period / method
2024 National Health Expenditure Accounts

Limit: This is total spending across payers and services, not a measure of value, waste, or preventable cost.

CMS National Health Expenditure fact sheet ↗
90%

CDC-attributed spending statement

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.

Underlying periods
90%: 2014 MEPS/RAND; $5.3T: 2024 NHEA
Source status
CDC statement updated May 2026

Limit: This is not a same-year or same-universe estimate. “For people with” does not mean caused by, attributable to, or preventable.

CDC chronic-condition cost facts ↗
193

Preventable deaths per 100,000 in the OECD comparison

In 2023, the U.S. age-standardized preventable-mortality rate was 193 per 100,000, compared with an OECD average of 145.

Comparison
United States versus OECD average
Period / method
2023 for both values; age-standardized

Limit: Cause-of-death coding and classification assumptions differ. This is not a count of deaths proven preventable in individual cases.

OECD SDMX 2023 U.S. record ↗OECD comparison and definition ↗
02 · Prevention & risk

Recommendations do not guarantee completion.

These measures distinguish service completion, condition prevalence, screening status, and behavior. Their denominators are not interchangeable.

7.2%

Received all appropriate services in a strict preventive-services composite

In 2022, 7.2% of eligible adults age 35+ received all high-priority clinical preventive services appropriate and recommended for them.

Population
Eligible U.S. adults age 35+
Period / source
2022 MEPS Preventive Services Survey

Limit: This all-appropriate-services composite is intentionally strict. It is not the percentage who received any preventive care.

Healthy People 2030 objective AHS-08 ↗
47.7%

Crude adult hypertension prevalence

During August 2021–August 2023, 47.7% of civilian noninstitutionalized adults age 18+ met the report’s hypertension definition. Among them, 20.7% had blood pressure below 130/80 mm Hg.

Population
U.S. civilian noninstitutionalized adults age 18+
Definition
Measured BP ≥130/80 or current antihypertensive medication

Limit: 47.7% is crude; the prevalence and control percentages use different denominators.

NCHS Data Brief 511 ↗
40.1M

People living with diagnosed or undiagnosed diabetes

For 2023, CDC estimates 40.1 million people of all ages had diagnosed or undiagnosed diabetes and 115.2 million adults age 18+ had prediabetes.

Population
U.S. population; prediabetes estimate is adults
Reference / inputs
2023; 2021–2023 surveys plus July 2023 population estimates

Limit: The synthesis applies survey prevalence to the resident population; a single survey laboratory measure is not clinical confirmation.

CDC National Diabetes Statistics Report ↗
40.3%

Crude adult obesity prevalence

During August 2021–August 2023, crude obesity prevalence was 40.3% among civilian noninstitutionalized adults age 20+; crude severe-obesity prevalence was 9.4%.

Population
U.S. civilian noninstitutionalized adults age 20+
Period / method
NHANES measured height and weight

Limit: BMI does not directly measure body fat or its distribution; pregnant and institutionalized adults were excluded.

NCHS Data Brief 508 ↗
03 · Function & healthy years

Longer life and healthier life are related—not identical.

Function, pain, physical activity, life expectancy, and healthy life expectancy each illuminate a different part of health across time.

79.0 years

U.S. life expectancy at birth

Final national life tables put life expectancy at birth at 79.0 years in 2024: 81.4 for females and 76.5 for males.

Population
Total U.S. population
Period / method
2024 complete period life tables

Limit: A period life table is a population snapshot under one year’s mortality conditions, not an individual lifespan forecast.

NCHS United States Life Tables, 2024 ↗
12.46 years

WHO-modeled life expectancy–HALE gap

For 2021, WHO modeled U.S. life expectancy at 76.37 years and healthy life expectancy at 63.91. The difference is 12.46 years.

Population
United States, both sexes, at birth
Method
P4L subtraction of two WHO modeled indicators

Limit: This is a modeled population gap—not “years spent sick.” Do not subtract WHO’s 2021 HALE from NCHS’s 2024 life expectancy.

WHO United States country data ↗
24.3%

Adults reporting chronic pain

In 2023, 24.3% of civilian noninstitutionalized adults reported pain most days or every day in the prior three months; 8.5% reported high-impact chronic pain.

Population
U.S. civilian noninstitutionalized adults age 18+
Period / method
2023 NHIS household-interview self-report

Limit: Recall, nonresponse, and exclusion of institutionalized adults apply; high-impact pain additionally limited life or work most days or every day.

NCHS Data Brief 518 ↗
22.5%

Met both leisure-time physical-activity guideline components

In 2022, 22.5% of civilian noninstitutionalized adults age 25+ reported enough leisure-time activity to meet both guideline components.

Population
U.S. civilian noninstitutionalized adults age 25+
Period / method
2022 NHIS, self-reported leisure-time activity

Limit: Occupational and transportation activity are not necessarily represented; the combined criterion is stricter than either component alone.

CDC MMWR QuickStats ↗
04 · Delivery & adoption

Availability is not the same as use—or completion.

Screening, interoperability, and AI adoption measures expose the operational distance between a capability existing and reliably changing care.

67.4%

Up to date with colorectal cancer screening

In 2023, 67.4% of screening-eligible adults age 45–75 reported being up to date with U.S. Preventive Services Task Force recommendations.

Population
Screening-eligible U.S. adults age 45–75
Period / method
2023 NHIS; crude self-reported estimate

Limit: Cross-sectional self-report; the eligible age range changed after the screening recommendation expanded to ages 45–49.

CDC cancer-screening study ↗
43%

Hospitals routinely interoperable across all four domains

In 2023, 43% of non-federal acute-care hospitals reported often finding, sending, and receiving outside electronic health information and routinely integrating it into the EHR.

Population
Non-federal acute-care hospitals
Period / source
2023 AHA IT Supplement analyzed by ASTP/ONC

Limit: A further 27% reported sometimes doing all four. Self-reported capability does not prove routine clinician use or improved outcomes.

ASTP/ONC hospital interoperability brief ↗
71%

Hospitals reporting predictive AI embedded in or launched through the EHR

In 2024, 71% of non-federal acute-care hospitals with informative responses reported predictive AI embedded in or launched through the EHR, up from 66% in 2023.

Population
2,080 item-specific informative responses in 2024
Definition
Predictive or traditional statistical classification and individual-risk models

Limit: Self-reported adoption is not evidence of model accuracy, bias control, workflow benefit, clinical effectiveness, safety, or governance quality.

ASTP/ONC predictive-AI hospital brief ↗
41,400

Unintentional fall deaths among adults age 65+

In 2023, 41,400 U.S. residents age 65+ died from unintentional falls, a crude rate of 69.9 deaths per 100,000.

Population
U.S. residents age 65+
Period / method
2023 NVSS; underlying-cause ICD-10 W00–W19

Limit: Mortality records capture fatal falls, not nonfatal falls, and do not identify what portion was preventable; the rate is not age-adjusted.

NCHS Data Brief 532 ↗
Reuse the records without stripping their boundaries.

The JSON distribution preserves stable IDs, measures, populations, periods, sources, and limitations.

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Editorial method

What made the cut.

Authoritative

Primary U.S. government data or an official intergovernmental statistical system. No commercial aggregators or unsourced infographics.

Bounded

The displayed claim retains its population, time period, measurement type, and the limitation most likely to change interpretation.

Maintainable

Every record has a stable ID and source-check date. Volatile values should be rechecked before consequential use.

Version1.1
Published / source checkedSeptember 3, 2026
MaintainerPrevention for Longevity
Review statusPrimary sources rechecked; limitations remain part of each record