Billed by New York's Landfills 86 active MSW sites across New York State
Billed to New York Residents 6.7 million within 5 miles of an active site
Invoice #NY-2025-ONGOING
Period Every year, indefinitely
Status UNPAID
Condition / service rendered Annual cost (NY)
Asthma
Medical expenses and lost productivity across ~1.8 million New Yorkers living with asthma
Est. NY share of $81.9B national burden · Nurmagambetov et al. 2018
~$5.7B
per year
Cancer & heart disease
The two conditions most consistently elevated in communities near landfill sites
Est. NY share of $320B+ national burden · AHA 2021; NCI Financial Burden of Cancer Care 2020
~$22B+
per year
PFAS exposure
Healthcare, lost productivity, and reduced quality of life from forever chemical contamination
NRDC, Social Burden of PFAS in New York, 2025 · NY-specific figure
$2.7–4.4B
per year
13.8M
adult workdays lost to asthma per year
13.8M
school days missed by children per year
Asthma burden (NY, est.) ~$5.7B
Cancer & heart disease (NY, est.) ~$22B+
PFAS exposure costs (NY, sourced) $2.7–4.4B
Total annual burden, New York $30B+

This cost is largely borne by the residents living nearest the sources of contamination — disproportionately low-income communities and communities of color with the fewest resources to absorb it.

DUE: NOW
Local Households