Covering the Cost: The cost of perimenopause and mid-life women’s health on the economy

In HNN’s livestream show “Covering the Cost with Annalisa Burgos,” we break down the numbers behind Hawaii’s affordability crisis in candid conversations with financial experts, entrepreneurs and community leaders.

HONOLULU (HawaiiNewsNow) – In this episode of “Covering the Cost” on Sept. 23 at 12:30 p.m., Annalisa Burgos talks with Kelly Yamamoto, co-founder of women’s mid-life healthcare provider Magnolia Collective Wellness, and Jennifer Ablan, editor in chief of Hawaii Business Magazine, about the investment gap between men’s and women’s health, and an emerging movement to address midlife women’s health issues that affect the global economy and workforce.

A January 2026 report by the World Economic Forum and Boston Consulting Group reveals that women’s health captures just 6% of the $2.9 trillion in total private health care investment, and is mostly focused on women’s cancers, reproductive health and maternal care.

Conditions such as perimenopause and menopause are highly overlooked and underfunded, receiving less than 2% of private health care funding, despite affecting hundreds of millions of women globally.

“Research from the McKinsey Health Institute has found that women spend an average of nine years of their lives in poor health, affecting their ability to participate fully at home, at work and in their communities,” Ablan writes in the cover story of Hawaii Business Magazine’s October issue. “Women also spend 25% more time in poor health than men. Closing that health gap, McKinsey estimates, could add at least $1 trillion annually to the global economy by 2040.”

Yamamoto, a medical nurse, says while more funding is being channeled to mid-life health concerns like perimenopause, infrastructure does not exist and there is not enough data to help doctors and employers create services and programs that support women between their 40s and 60s.

Ablan cites a 2023 Mayo Clinic study that estimates menopause symptoms account for $1.8 billion in lost work time annually in the United States, and up to $26.6 billion when medical expenses are included.

“This is frequently described as a women’s health issue, but it is also a workforce issue,” Yamamoto tells Hawaii Business. “If we want to retain experienced leaders, clinicians and professionals, we have to recognize that women’s health is workplace health.”