Personal health care expenditure by source of funds 2017

This statistic shows personal health care expenditure by source of funds in the United States, comparing the years 1990 and 2017. In 1990, some 70 billion U.S. dollars of personal health care expenditure was funded by the Medicaid program.

Personal health care expenditure in the United States

Health care facilities in the U.S. are mostly considered part of the private sector. The United States' total health care expenditures were around 3.5 trillion U.S. dollars in 2017. Globally, the U.S. spent the most on health care per capita as well as, as a percentage of its GDP. It has been ranked as one of the least efficient health care systems in the world. Health care expenditure includes a variety of services and products such as hospital care, physician and clinical services, dental, home health care, and nursing care facilities.

Personal health care expenditure in the United States has skyrocketed from 1990 to 2017. Funds for health care are still primarily derived from private health insurance and governmental health plans. A slowing growth in out-of-pocket payments can indicate higher cost-sharing and increased enrollment in consumer-directed health plans. In 1990, private health insurance funded some 205 billion U.S. dollars of health care services and increased to over one trillion U.S. dollars in 2017. Health care expenditure through private insurance has grown to some 35 percent of total personal health costs. The percentage of U.S. citizens covered by Medicare has increased from the 1990s until today. Medicare is a national social insurance program through the U.S. federal government which guarantees health insurance for citizens over the age of 64. Medicare expenditure totaled 660 billion U.S. dollars in 2017.

Personal health care expenditure in the United States in 1990 and 2017, by source of funds

Private health
Other health insurance
Other third-party payers
and programs***
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Release date

October 2019


United States

Survey time period

1990 and 2017

Supplementary notes

* Since 1997: Children’s Health Insurance Program (CHIP). Medicaid CHIP expansions are included.
** Includes Department of Defense and Department of Veterans Affairs.
*** Includes worksite health care, other private revenues, Indian Health Service, workers’ compensation, general assistance, maternal and child health, vocational rehabilitation, other federal programs, Substance Abuse and Mental Health Services Administration, other state and local programs, and school health.

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