Data for each year from 1994 to 1998 showing breakdown

From private citizens, as health care consumers or as local state, and federal taxpayers

From private sources

Summary

Year

1998

1997

1996

1995

1994

National Health (amount in $ billions)

1149

1088

1039

993

948

Per Capita, National Health ($)

4094

3912

3772

3637

3501

Population (in millions)

281

278

276

273

271

Gross Domestic Product (in $ billions)

8511

8111

7662

7270

6947

Health Care as a percent of GDP

13.5

13.4

13.6

13.7

13.6

1998

1997

1996

1995

1994

WHO PAYS THE HEALTH CARE BILL IN THE UNITED STATES ?

1. National Health Expenditures (in $millions) TOTAL 2+ 3 + 4

1149066

1088230

1039428

993275

947745

Private Citizens

2. As Health Care Consumers

574556

535741

512955

494591

483505

3. As Local, State and Federal Taxpayers

522687

502234

480422

455974

423017

Percentage of total National Health Care Costs

95.49%

95.38%

95.57%

95.70%

95.65%

4. From Private Sources

51824

50257

46055

42710

41227

Percentage of total National Health Care Costs

4.51%

4.62%

4.43%

4.30%

4.35%

2. Details - As Health Care Consumers-TOTAL 2a+2b

574556

535741

512955

494591

483505

2a. Out-of-pocket Payments

199540

189055

178064

170542

168228

2b. Health Insurance Premiums

375016

346686

334891

324049

315277

3. Details - as Local, State and Federal Taxpayers -TOTAL 3a + 3b

522687

502234

480422

455974

423017

3a. Federal Taxpayer Dollars - TOTAL

376889

363045

347305

326136

301202

3b. State & Local Taxpayer Dollars - TOTAL

145798

139189

133117

129838

121815

4. Details- Private Funds TOTAL 4a +4b + 4c

51824

50257

46055

42710

41227

4a. Industrial Inplant

3777

3606

3427

3259

3056

4b. Construction

10716

10990

9421

8996

9812

4c. Philanthropy

37331

35661

33207

30455

28359

1998

1997

1996

1995

1994

3a (Detailed Breakdown - Federal Taxpayer Dollars) TOTAL 3a1 + 3a2 +3a3

376889

363045

347305

326136

301202

3a1. Medicare & Medicaid (Federal) SUB-TOTAL

316859

306220

291631

271685

248389

* Medicare

216588

211256

199371

185322

166913

* Medicaid (Federal)

100271

94964

92260

86363

81476

3a2. Military, VA (active and retired) SUB-TOTAL

30677

29973

29800

28995

28512

* Department of Defense

13584

13433

13328

13404

13221

* Veterans' Administration

17093

16540

16472

15591

15291

3a3. Federal (Other) SUB-TOTAL

29353

26852

25874

25456

24301

* Research

15483

13726

13174

12916

12299

* Public Health Activity

4222

4101

3920

3803

3788

* Gen Hosp/Med NEC

3232

2953

2664

2396

2331

* ADAMHA/SAMHSA

2108

1488

1733

2048

1889

* Indian Health Services

1566

1567

1492

1505

1363

* Construction

1007

1286

1191

1071

881

* Maternal/Child Health

603

602

602

609

617

* Vocational Rehabilitation

574

575

540

540

534

* Workers' Compensation

558

554

558

568

599

1998

1997

1996

1995

1994

3b Detailed Breakdown - Local & State Taxes TOTAL

145798

139189

133117

129838

121815

* Medicaid (State/Local)

70336

65024

61799

59753

53125

* Public Health Activity

32414

30456

27426

25999

24374

* Workers' Compensation

16434

16932

17181

17323

17991

* State/Local Hospitals + School Health

13593

12906

13117

13517

13473

* General Assistance

4940

5189

5441

5447

5457

* Construction

3025

3868

3533

3345

3182

* Research

2813

2649

2544

2468

2308

* Maternal/Child Health

1999

1923

1838

1753

1677

* Vocational Rehabilitation

190

188

185

181

175

* Temporary Disability

54

54

53

52

53

1998

1997

1996

1995

1994

4 Medicare/Medicaid TOTAL

387195

371244

353430

331437

301515

* Medicaid (Federal)

100271

94964

92260

86363

81476

* Medicaid (State/Local)

70336

65024

61799

59753

53125

TOTAL Medicaid (Federal & State)

170607

159988

154059

146115

134601

TOTAL Medicare

216588

211256

199371

185322

166913

Data from 1999 Health Care Financing Administration, HHS