Table A-10. National Health Expenditures by Type of Expenditure and Source of Funds, Selected Years 1965-1990 (Amounts in Billions of Dollars).
| Total | Private | Public | |||||||
|---|---|---|---|---|---|---|---|---|---|
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| Total | Consumer | Other1 | |||||||
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| Total | Patient Direct | Health Insurance | Total | Federal | State & Local | ||||
| 1965 | |||||||||
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| Total | $41.7 | $31.0 | $28.5 | $18.5 | $10.0 | $2.4 | $10.8 | $5.5 | $5.3 |
| Health Services and Supplies | 38.2 | 29.5 | 28.5 | 18.5 | 10.0 | 1.0 | 8.8 | 4.0 | 4.8 |
| Personal Health Care | 35.8 | 28.0 | 27.3 | 18.5 | 8.7 | .8 | 7.7 | 3.6 | 4.1 |
| Hospital Care | 13.9 | 8.5 | 8.2 | 2.4 | 5.8 | .3 | 5.4 | 2.4 | 3.0 |
| Physicians' Services | 8.5 | 7.9 | 7.9 | 5.2 | 2.7 | .0 | .6 | .2 | .4 |
| Dentists' Services | 2.8 | 2.8 | 2.8 | 2.7 | .0 | — | .0 | .0 | .0 |
| Other Professional Services | 1.0 | 1.0 | 1.0 | .9 | .1 | .0 | .0 | .0 | .0 |
| Drugs and Medical Sundries | 5.2 | 5.0 | 5.0 | 4.8 | .1 | — | .2 | .1 | .1 |
| Eyeglasses and Appliances | 1.2 | 1.1 | 1.1 | 1.1 | .0 | — | .0 | .0 | .0 |
| Nursing-home care | 2.1 | 1.4 | 1.3 | 1.3 | .0 | .0 | .7 | .5 | .3 |
| Other Personal Health Care | 1.1 | .4 | — | — | — | .4 | .7 | .4 | .3 |
| Program Administration and Net Cost of Health Insurance | 1.7 | 1.4 | 1.3 | — | 1.3 | .2 | .2 | .0 | .2 |
| Government Public Health Activity | .8 | — | — | — | — | — | .8 | .3 | .5 |
| Research and Construction of Medical Facilities | 3.5 | 1.5 | — | — | — | 1.5 | 2.0 | 1.6 | .5 |
| Research2 | 1.5 | .2 | — | — | — | .2 | 1.3 | 1.2 | .1 |
| Construction | 2.0 | 1.3 | — | — | — | 1.3 | .7 | .3 | .4 |
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| 1970 | |||||||||
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| Total | $74.7 | $46.9 | $43.1 | $26.0 | $17.1 | $3.8 | $27.8 | $17.7 | $10.1 |
| Health Services and Supplies | 69.3 | 44.3 | 43.1 | 26.0 | 17.1 | 1.2 | 25.0 | 15.7 | 9.2 |
| Personal Health Care | 65.1 | 42.7 | 41.6 | 26.0 | 15.6 | 1.0 | 22.5 | 14.5 | 7.9 |
| Hospital Care | 27.8 | 13.1 | 12.7 | 2.8 | 9.9 | .4 | 14.7 | 9.5 | 5.2 |
| Physicians' Services | 14.3 | 11.3 | 11.3 | 6.5 | 4.9 | .0 | 3.0 | 2.1 | .9 |
| Dentists' Services | 4.7 | 4.5 | 4.5 | 4.3 | .2 | — | .2 | .1 | .1 |
| Other Professional Services | 1.6 | 1.4 | 1.4 | 1.1 | .3 | .0 | .2 | .1 | .1 |
| Drugs and Medical Sundries | 8.0 | 7.5 | 7.5 | 7.2 | .3 | — | .5 | .2 | .2 |
| Eyeglasses and Appliances | 1.9 | 1.8 | 1.8 | 1.8 | .0 | — | .1 | .1 | .0 |
| Nursing-home care | 4.7 | 2.4 | 2.4 | 2.4 | .0 | .0 | 2.3 | 1.3 | .9 |
| Other Personal Health Care | 2.1 | .6 | — | — | — | .6 | 1.5 | .9 | .5 |
| Program Administration and Net Cost of Health Insurance | 2.7 | 1.6 | 1.5 | — | 1.5 | .2 | 1.1 | .6 | .5 |
| Government Public Health Activity | 1.4 | — | — | — | — | — | 1.4 | .6 | .8 |
| Research and Construction of Medical Facilities | 5.4 | 2.6 | — | — | — | 2.6 | 2.8 | 2.0 | .9 |
| Research2 | 2.0 | .2 | — | — | — | .2 | 1.8 | 1.6 | .2 |
| Construction of Medical Facilities | 3.4 | 2.3 | — | — | — | 2.3 | 1.1 | .4 | .7 |
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| 1971 | |||||||||
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| Total | $83.3 | $51.6 | $47.3 | $27.8 | $19.5 | $4.3 | $31.7 | $20.3 | $11.3 |
| Health Services and Supplies | 77.2 | 48.7 | 47.3 | 27.8 | 19.5 | 1.5 | 28.4 | 18.2 | 10.2 |
| Personal Health Care | 72.0 | 46.4 | 45.1 | 27.8 | 17.3 | 1.2 | 25.6 | 16.8 | 8.8 |
| Hospital Care | 30.8 | 14.4 | 13.9 | 2.8 | 11.1 | .5 | 16.5 | 10.9 | 5.6 |
| Physicians' Services | 15.9 | 12.5 | 12.4 | 7.1 | 5.3 | .0 | 3.5 | 2.5 | 1.0 |
| Dentists' Services | 5.1 | 4.8 | 4.8 | 4.5 | .3 | — | .3 | .2 | .1 |
| Other Professional Services | 1.6 | 1.4 | 1.4 | 1.1 | .3 | .0 | .2 | .1 | .1 |
| Drugs and Medical Sundries | 8.6 | 8.0 | 8.0 | 7.6 | .4 | — | .6 | .3 | .3 |
| Eyeglasses and Appliances | 2.0 | 1.9 | 1.9 | 1.9 | .0 | — | .1 | .1 | .0 |
| Nursing-home care | 5.6 | 2.8 | 2.8 | 2.8 | .0 | .0 | 2.8 | 1.7 | 1.1 |
| Other Personal Health Care | 2.3 | .7 | — | — | — | .7 | 1.6 | 1.1 | .6 |
| Program Administration and Net Cost of Health Insurance | 3.4 | 2.4 | 2.2 | — | 2.2 | .2 | 1.1 | .6 | .5 |
| Government Public Health Activity | 1.8 | — | — | — | — | — | 1.8 | .8 | .9 |
| Research and Construction of Medical Facilities | 6.1 | 2.9 | — | — | — | 2.9 | 3.2 | 2.1 | 1.1 |
| Research2 | 2.1 | .2 | — | — | — | .2 | 1.9 | 1.7 | .2 |
| Construction of Medical Facilities | 4.0 | 2.7 | — | — | — | 2.7 | 1.4 | .4 | .9 |
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| 1975 | |||||||||
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| Total | $132.9 | $76.7 | $71.5 | $39.1 | $32.4 | $5.1 | $56.2 | $37.1 | $19.1 |
| Health Services and Supplies | 124.5 | 73.3 | 71.5 | 39.1 | 32.4 | 1.8 | 51.1 | 33.8 | 17.3 |
| Personal Health Care | 116.9 | 70.8 | 69.2 | 39.1 | 30.1 | 1.6 | 46.1 | 31.4 | 14.7 |
| Hospital Care | 52.1 | 23.3 | 22.7 | 4.3 | 18.4 | .6 | 28.8 | 20.3 | 8.6 |
| Physicians' Services | 24.9 | 18.4 | 18.4 | 9.0 | 9.4 | .0 | 6.5 | 4.6 | 1.9 |
| Dentists' Services | 8.2 | 7.8 | 7.8 | 6.8 | 1.0 | — | .5 | .3 | .2 |
| Other Professional Services | 2.6 | 2.0 | 2.0 | 1.7 | .4 | .0 | .6 | .4 | .2 |
| Drugs and Medical Sundries | 11.9 | 10.9 | 10.9 | 10.2 | .7 | — | 1.0 | .5 | .5 |
| Eyeglasses and Appliances | 3.2 | 2.9 | 2.9 | 2.8 | .1 | — | .2 | .2 | .1 |
| Nursing-home care | 10.2 | 4.5 | 4.5 | 4.4 | .1 | .1 | 5.7 | 3.2 | 2.5 |
| Other Personal Health Care | 3.7 | .9 | — | — | — | .9 | 2.8 | 2.0 | .8 |
| Program Administration and Net Cost of Health Insurance | 4.4 | 2.6 | 2.4 | — | 2.4 | .2 | 1.8 | 1.2 | .7 |
| Government Public Health Activity | 3.2 | — | — | — | — | — | 3.2 | 1:2 | 1.9 |
| Research and Construction of Medical Facilities | 8.4 | 3.3 | — | — | — | 3.3 | 5.1 | 3.3 | 1.8 |
| Research2 | 3.3 | .3 | — | — | — | .3 | 3.1 | 2.8 | .3 |
| Construction of Medical Facilities | 5.1 | 3.1 | — | — | — | 3.1 | 2.0 | .5 | 1.5 |
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| 1979 | |||||||||
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| Total | $215.0 | $124.4 | $117.7 | $61.8 | $55.9 | $6.7 | $90.6 | $61.0 | $29.5 |
| Health Services and Supplies | 204.5 | 120.6 | 117.7 | 61.8 | 55.9 | 3.0 | 83.8 | 56.4 | 27.4 |
| Personal Health Care | 188.9 | 114.6 | 112.0 | 61.8 | 50.2 | 2.6 | 74.3 | 53.3 | 21.0 |
| Hospital Care | 86.1 | 39.8 | 38.7 | 8.5 | 30.1 | 1.2 | 46.3 | 34.8 | 11.5 |
| Physicians' Services | 40.2 | 29.5 | 29.5 | 15.0 | 14.6 | .0 | 10.7 | 8.1 | 2.6 |
| Dentists' Services | 13.3 | 12.8 | 12.8 | 9.9 | 2.9 | — | .5 | .3 | .2 |
| Other Professional Services | 4.7 | 3.5 | 3.5 | 2.8 | .7 | .1 | 1.2 | .9 | .3 |
| Drugs and Medical Sundries | 17.2 | 15.8 | 15.8 | 14.2 | 1.6 | — | 1.4 | .7 | .7 |
| Eyeglasses and Appliances | 4.6 | 4.2 | 4.2 | 4.0 | .2 | — | .4 | .4 | .1 |
| Nursing-home care | 17.6 | 7.7 | 7.6 | 7.4 | .1 | .1 | 9.9 | 5.5 | 4.4 |
| Other Personal Health Care | 5.1 | 1.3 | — | — | — | 1.3 | 3.8 | 2.7 | 1.2 |
| Program Administration and Net Cost of Health Insurance | 9.3 | 6.0 | 5.7 | — | 5.7 | .3 | 3.3 | 1.9 | 1.4 |
| Government Public Health Activity | 6.2 | — | — | — | — | — | 6.2 | 1.2 | 5.0 |
| Research and Construction of Medical Facilities | 10.5 | 3.8 | — | — | — | 3.8 | 6.7 | 4.6 | 2.2 |
| Research2 | 4.8 | .3 | — | — | — | .3 | 4.5 | 4.0 | .4 |
| Construction of Medical Facilities | 5.7 | 3.5 | — | — | — | 3.5 | 2.3 | .5 | 1.7 |
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| 1980 | |||||||||
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| Total | $249.0 | $143.6 | $135.7 | $72.1 | $63.6 | $7.8 | $105.4 | $71.1 | $34.3 |
| Health Services and Supplies | 237.1 | 139.3 | 135.7 | 72.1 | 63.6 | 3.6 | 97.9 | 66.0 | 31.9 |
| Personal Health Care | 219.4 | 132.2 | 129.1 | 72.1 | 57.0 | 3.1 | 87.2 | 62.7 | 24.5 |
| Hospital Care | 100.4 | 46.1 | 44.6 | 10.9 | 33.7 | 1.5 | 54.3 | 41.1 | 13.2 |
| Physicians' Services | 46.8 | 34.3 | 34.3 | 17.8 | 16.5 | .0 | 12.5 | 9.5 | 3.0 |
| Dentists' Services | 15.4 | 14.8 | 14.8 | 11.2 | 3.6 | — | .6 | .3 | .3 |
| Other Professional Services | 5.6 | 4.2 | 4.2 | 3.3 | .9 | .1 | 1.4 | 1.0 | .4 |
| Drugs and Medical Sundries | 19.3 | 17.7 | 17.7 | 15.7 | 2.0 | — | 1.6 | .8 | .8 |
| Eyeglasses and Appliances | 5.1 | 4.6 | 4.6 | 4.3 | .3 | — | .5 | .5 | .1 |
| Nursing-home care | 20.6 | 9.1 | 9.0 | 8.8 | .2 | .1 | 11.5 | 6.2 | 5.3 |
| Other Personal Health Care | 6.0 | 1.4 | — | — | — | 1.4 | 4.6 | 3.2 | 1.4 |
| Program Administration and Net Cost of Health Insurance | 10.7 | 7.1 | 6.6 | — | 6.6 | .4 | 3.7 | 2.0 | 1.7 |
| Government Public Health Activity | 7.0 | — | — | — | — | — | 7.0 | 1.3 | 5.7 |
| Research and Construction of Medical Facilities | 11.8 | 4.3 | — | — | — | 4.3 | 7.5 | 5.1 | 2.4 |
| Research2 | 5.3 | .3 | — | — | — | .3 | 5.0 | 4.5 | .5 |
| Construction of Medical Facilities | 6.5 | 4.0 | — | — | — | 4.0 | 2.5 | .6 | 2.0 |
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| 1981 | |||||||||
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| Total | $286.6 | $164.1 | $154.9 | $81.7 | $73.2 | $9.2 | $122.5 | $83.9 | $38.6 |
| Health Services and Supplies | 273.5 | 159.0 | 154.9 | 81.7 | 73.2 | 4.0 | 114.5 | 78.4 | 36.1 |
| Personal Health Care | 255.0 | 152.1 | 148.5 | 81.7 | 66.8 | 3.5 | 102.9 | 74.6 | 28.3 |
| Hospital Care | 118.0 | 53.9 | 52.1 | 12.8 | 39.4 | 1.7 | 64.1 | 48.7 | 15.4 |
| Physicians' Services | 54.8 | 39.8 | 39.8 | 20.8 | 19.0 | .0 | 15.0 | 11.6 | 3.3 |
| Dentists' Services | 17.3 | 16.6 | 16.6 | 12.3 | 4.3 | — | .7 | .4 | .3 |
| Other Professional Services | 6.4 | 5.0 | 4.9 | 3.8 | 1.1 | .1 | 1.4 | 1.1 | .3 |
| Drugs and Medical Sundries | 21.4 | 19.5 | 19.5 | 17.1 | 2.4 | — | 1.9 | 1.0 | .9 |
| Eyeglasses and Appliances | 5.7 | 5.1 | 5.1 | 4.7 | .3 | — | .7 | .6 | .1 |
| Nursing-home care | 24.2 | 10.6 | 10.5 | 10.3 | .2 | .1 | 13.6 | 7.5 | 6.1 |
| Other Personal Health Care | 7.2 | 1.6 | — | — | — | 1.6 | 5.6 | 3.8 | 1.8 |
| Administration, and Net Cost of Health Insurance | 11.2 | 6.9 | 6.4 | — | 6.4 | .5 | 4.3 | 2.5 | 1.8 |
| Government Public Health Activity | 7.3 | — | — | — | — | — | 7.3 | 1.3 | 6.0 |
| Research and Construction | 13.1 | 5.1 | — | — | — | 5.1 | 8.0 | 5.5 | 2.6 |
| Noncommercial Research2 | 5.7 | .3 | — | — | — | .3 | 5.3 | 4.8 | .5 |
| Construction of Medical Facilities | 7.5 | 4.8 | — | — | — | 4.8 | 2.7 | .7 | 2.1 |
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| 1983 | |||||||||
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| Total | $362.3 | $211.2 | $199.0 | $103.8 | $95.2 | $12.1 | $151.1 | $104.2 | $46.9 |
| Health Services and Supplies | 347.4 | 204.2 | 199.0 | 103.8 | 95.2 | 5.2 | 143.2 | 98,7 | 44.5 |
| Personal Health Care | 323.6 | 193.6 | 189.1 | 103.8 | 85.3 | 4.5 | 130.0 | 94.6 | 35.5 |
| Hospital Care | 154.7 | 72.9 | 70.6 | 19.3 | 51.3 | 2.3 | 81.8 | 62.0 | 19.8 |
| Physicians' Services | 69.8 | 50.3 | 50.3 | 27.1 | 23.1 | 0.0 | 19.5 | 15.4 | 4.1 |
| Dentists' Services | 21.6 | 20.8 | 20.8 | 15.2 | 5.6 | 0.0 | 0.8 | 0.5 | 0.4 |
| Other Professional Services | 7.9 | 6.0 | 6.0 | 4.5 | 1.5 | 0.1 | 1.9 | 1.5 | 0.4 |
| Drugs and Medical Sundries | 24.9 | 22.7 | 22.7 | 19.6 | 3.0 | 0.0 | 2.2 | 1.1 | 1.1 |
| Eyeglasses and Appliances | 6.0 | 5.1 | 5.1 | 4.7 | 0.4 | 0.0 | 0.9 | 0.8 | 0.1 |
| Nursing-home care | 30.3 | 13.9 | 13.7 | 13.4 | 0.3 | 0.2 | 16.4 | 8.9 | 7.5 |
| Other Personal Health Care | 8.5 | 2.0 | — | — | — | 2.0 | 6.5 | 4.4 | 2.1 |
| Program Administration and Net Cost of Health Insurance | 16.0 | 10.6 | 10.0 | — | 10.0 | 0.6 | 5.4 | 2.9 | 2.4 |
| Government Public Health Activity | 7.8 | — | — | — | — | — | 7.8 | 1.2 | 6.6 |
| Research and Construction of Medical Facilities | 14.9 | 7.0 | — | — | — | 7.0 | 7.9 | 5.5 | 2.4 |
| Research2 | 5.8 | 0.4 | — | — | — | 0.4 | 5.4 | 4.9 | 0.5 |
| Construction of Medical Facilities | 9.1 | 6.6 | — | — | — | 6.6 | 2.5 | 0.6 | 1.9 |
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| 1985 | |||||||||
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| Total | $456.4 | $268.2 | $252.8 | $131.5 | $121.3 | $15.4 | $188.1 | $131.5 | $56.6 |
| Health Services and Supplies | 438.4 | 259.2 | 252.8 | 131.5 | 121.3 | 6.4 | 179.2 | 125.3 | 53.8 |
| Personal Health Care | 408.2 | 244.9 | 239.3 | 131.5 | 107.8 | 5.6 | 163.3 | 120.5 | 42.7 |
| Hospital Care | 196.7 | 94.2 | 91.3 | 26.1 | 65.3 | 2.9 | 102.4 | 78.7 | 23.8 |
| Physicians' Services | 87.9 | 62.4 | 62.4 | 34.0 | 28.3 | 0.1 | 25.4 | 20.4 | 5.0 |
| Dentists' Services | 26.8 | 25.8 | 25.8 | 18.6 | 7.2 | 0.0 | 1.0 | 0.6 | 0.4 |
| Other Professional Services | 10.1 | 7.7 | 7.6 | 5.7 | 1.9 | 0.1 | 2.4 | 1.9 | 0.5 |
| Drugs and Medical Sundries | 30.2 | 27.6 | 27.6 | 23.5 | 4.0 | — | 2.6 | 1.3 | 1.3 |
| Eyeglasses and Appliances | 7.3 | 6.2 | 6.2 | 5.6 | 0.6 | — | 1.1 | 1.0 | 0.1 |
| Nursing-home care | 38.9 | 18.6 | 18.4 | 18.0 | 0.4 | 0.2 | 20.3 | 11.1 | 9.1 |
| Other Personal Health Care | 10.3 | 2.3 | — | — | — | 2.3 | 8.0 | 5.5 | 2.5 |
| Program Administration and Net Cost of Health Insurance | 20.8 | 14.3 | 13.5 | — | 13.5 | 0.7 | 6.5 | 3.5 | 3.0 |
| Government Public Health Activity | 9.4 | — | — | — | — | — | 9.4 | 1.3 | 8.1 |
| Research and Construction of Medical Facilities | 18.0 | 9.0 | — | — | — | 9.0 | 8.9 | 6.1 | 2.8 |
| Research2 | 6.5 | 0.4 | — | — | — | 0.4 | 6.1 | 5.5 | 0.6 |
| Construction of Medical Facilities | 11.5 | 8.7 | — | — | — | 8.7 | 2.9 | 0.6 | 2.2 |
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| 1990 | |||||||||
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| Total | $755.6 | $430.9 | $407.2 | $211.6 | $195.6 | $23.7 | $324.7 | $231.6 | $93.1 |
| Health Services and Supplies | 728.9 | 417.5 | 407.2 | 211.6 | 195.6 | 10.3 | 311.5 | 222.5 | 89.0 |
| Personal Health Care | 684.4 | 399.4 | 390.2 | 211.6 | 178.6 | 9.2 | 285.1 | 215.8 | 69.3 |
| Hospital Care | 340.1 | 159.0 | 154.0 | 43.5 | 110.5 | 5.0 | 181.1 | 142.6 | 38.5 |
| Physicians' Services | 141.9 | 95.8 | 95.8 | 52.3 | 43.5 | 0.1 | 46.0 | 38.0 | 8.0 |
| Dentists' Services | 42.3 | 40.9 | 40.9 | 28.6 | 12.3 | — | 1.4 | 0.8 | 0.6 |
| Other Professional Services | 17.4 | 13.5 | 13.3 | 9.9 | 3.4 | 0.2 | 3.9 | 3.1 | 0.8 |
| Drugs and Medical Sundries | 47.3 | 43.4 | 43.4 | 36.2 | 7.2 | — | 4.0 | 2.0 | 2.0 |
| Eyeglasses and Appliances | 11.2 | 9.4 | 9.4 | 8.5 | 0.9 | — | 1.8 | 1.6 | 0.2 |
| Nursing-home care | 67.1 | 33.9 | 33.5 | 32.7 | 0.8 | 0.4 | 33.2 | 18.2 | 15.0 |
| Other Personal Health Care | 17.3 | 3.5 | — | — | — | 3.5 | 13.8 | 9.6 | 4.2 |
| Program Administration and Net Cost of Health Insurance | 27.8 | 18.1 | 17.0 | — | 17.0 | 1.1 | 9.7 | 5.0 | 4.7 |
| Government Public Health Activity | 16.7 | — | — | — | — | — | 16.7 | 1.7 | 15.0 |
| Research and Construction of Medical Facilities | 26.7 | 13.4 | — | — | — | 13.4 | 13.3 | 9.2 | 4.1 |
| Research2 | 9.7 | 0.5 | — | — | — | 0.5 | 9.2 | 8.3 | 0.9 |
| Construction of Medical Facilities | 17.0 | 12.9 | — | — | — | 12.9 | 4.1 | 0.9 | 3.2 |
1
Spending by philanthropic organizations, industrial in-plant health services and privately financed construction.
2
Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from “research expenditures,” but are included in the expenditure class in which the product falls.