Table 7. National health expenditures by type of expenditure and source of funds: Selected years 1972-90.
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| Consumer | Public | ||||||||
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| Type of expenditure | Total | Total | Total | Patient direct | Health insurance | Other1 | Total | Federal | State and local |
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| Amount in billions | |||||||||
| 1972 | |||||||||
| Total | $ 93.5 | $ 58.1 | $ 53.4 | $ 31.0 | $ 22.4 | $ 4.7 | $ 35.4 | $ 22.9 | $12.5 |
| Health services and supplies | 86.9 | 54.8 | 53.4 | 31.0 | 22.4 | 1.5 | 32.1 | 20.6 | 11.4 |
| Personal health care | 80.2 | 51.4 | 50.1 | 31.0 | 19.1 | 1.3 | 28.8 | 18.9 | 9.9 |
| Hospital care | 34.9 | 16.3 | 15.8 | 3.8 | 12.0 | .5 | 18.6 | 12.4 | 6.2 |
| Physicians' services | 17.2 | 13.3 | 13.2 | 7.3 | 6.0 | (3) | 3.9 | 2.7 | 1.2 |
| Dentists' services | 5.6 | 5.3 | 5.3 | 5.0 | .3 | — | .3 | .2 | .1 |
| Other professional services | 1.8 | 1.5 | 1.5 | 1.2 | .3 | (3) | .3 | .2 | .1 |
| Drugs and medical sundries | 9.3 | 8.7 | 8.7 | 8.2 | .4 | — | .7 | .3 | 3 |
| Eyeglasses and appliances | 2.3 | 2.1 | 2.1 | 2.1 | (3) | — | .1 | .1 | (3) |
| Nursing home care | 6.5 | 3.4 | 3.4 | 3.4 | (3) | (3) | 3.0 | 1.7 | 1.4 |
| Other health services | 2.6 | .7 | — | — | — | .7 | 1.9 | 1.3 | .6 |
| Program administration and net cost of insurance | 4.7 | 3.5 | 3.3 | — | 3.3 | .2 | 1.2 | .7 | .5 |
| Government public health activities | 2.0 | — | — | — | — | — | 2.0 | 1.0 | 1.0 |
| Research and construction of medical facilities | 6.6 | 3.2 | — | — | — | 3.2 | 3.4 | 2.3 | 1.1 |
| Research2 | 2.4 | .2 | — | — | — | .2 | 2.1 | 1.9 | .2 |
| Construction | 4.2 | 3.0 | — | — | — | 3.0 | 1.2 | .4 | .9 |
| 1975 | |||||||||
| Total | $132.7 | $ 76.5 | $ 71.4 | $ 39.0 | $ 32.4 | $ 5.1 | $ 56.2 | $ 37.1 | $19.1 |
| Health services and supplies | 124.3 | 73.2 | 71.4 | 39.0 | 32.4 | 1.8 | 51.1 | 33.8 | 17.3 |
| Personal health care | 116.8 | 70.6 | 69.1 | 39.0 | 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 | (3) | 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 | (3) | .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 | 10.1 | 4.4 | 4.3 | 4.3 | .1 | .1 | 5.7 | 3.2 | 2.5 |
| Other health services | 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 activities | 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 |
| 1980 | |||||||||
| 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 | (3) | 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 health services | 6.0 | 1.4 | — | — | — | 1.4 | 4.6 | 3.2 | 1.4 |
| Program administration and net cost of insurance | 10.7 | 7.1 | 6.6 | — | 6.6 | .4 | 3.7 | 2.0 | 1.7 |
| Government public health activities | 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 | 6.5 | 4.0 | — | — | — | 4.0 | 2.5 | .6 | 2.0 |
| 1981 | Amount in billions | ||||||||
| Total | $286.6 | $164.4 | $155.3 | $ 82.1 | $ 73.2 | $ 9.2 | $122.2 | $ 83.7 | $38.5 |
| Health services and supplies | 273.5 | 159.3 | 155.3 | 82.1 | 73.2 | 4.0 | 114.2 | 78.2 | 36.0 |
| Personal health care | 254.6 | 152.4 | 148.9 | 82.1 | 66.8 | 3.5 | 102.2 | 74.4 | 27.8 |
| Hospital care | 118.0 | 54.2 | 52.4 | 13.1 | 39.4 | 1.7 | 63.8 | 48.5 | 15.3 |
| Physicians' services | 54.8 | 39.7 | 39.7 | 20.7 | 19.0 | (3) | 15.1 | 11.7 | 3.3 |
| Dentists' services | 17.3 | 16.6 | 16.6 | 12.3 | 4.3 | — | .7 | .4 | .3 |
| Other professional services | 6.4 | 4.7 | 4.7 | 3.5 | 1.1 | .1 | 1.7 | 1.3 | .4 |
| Drugs and medical sundries | 21.3 | 19.5 | 19.5 | 17.1 | 2.4 | — | 1.9 | .9 | .9 |
| Eyeglasses and appliances | 5.7 | 5.1 | 5.1 | 4.7 | .3 | — | .7 | .6 | .1 |
| Nursing home care | 24.2 | 11.0 | 10.9 | 10.7 | .2 | .1 | 13.2 | 7.3 | 5.8 |
| Other health services | 6.9 | 1.6 | — | — | — | 1.6 | 5.3 | 3.7 | 1.7 |
| Program administration and net cost of insurance | 11.1 | 6.9 | 6.4 | — | 6.4 | .5 | 4.2 | 2.5 | 1.7 |
| Government public health activities | 7.7 | — | — | — | — | — | 7.7 | 1.3 | 6.4 |
| Research and construction of medical facilities | 13.1 | 5.1 | — | — | — | 5.1 | 8.0 | 5.5 | 2.6 |
| Research2 | 5.7 | .3 | — | — | — | .3 | 5.3 | 4.8 | .5 |
| Construction | 7.5 | 4.8 | — | — | — | 4.8 | 2.7 | .7 | 2.1 |
| 1982 | |||||||||
| Total | $322.4 | $185.6 | $174.7 | $ 90.4 | $ 84.2 | $10.9 | $136.8 | $ 93.2 | $43.7 |
| Health services and supplies | 308.3 | 179.5 | 174.7 | 90.4 | 84.2 | 4.8 | 128.7 | 87.5 | 41.2 |
| Personal health care | 286.9 | 171.2 | 167.0 | 90.4 | 76.6 | 4.2 | 115.7 | 83.7 | 32.0 |
| Hospital care | 135.5 | 63.5 | 61.3 | 16.4 | 44.9 | 2.2 | 72.0 | 54.6 | 17.4 |
| Physicians' services | 61.8 | 44.8 | 44.7 | 23.1 | 21.7 | (3) | 17.0 | 13.4 | 3.6 |
| Dentists' services | 19.5 | 18.7 | 18.7 | 13.4 | 5.2 | — | .8 | .4 | .4 |
| Other professional services | 7.1 | 4.9 | 4.9 | 3.6 | 1.3 | .1 | 2.2 | 1.7 | .5 |
| Drugs and medical sundries | 22.4 | 20.4 | 20.4 | 17.6 | 2.8 | — | 1.9 | .9 | 1.0 |
| Eyeglasses and appliances | 5.7 | 4.8 | 4.8 | 4.4 | .4 | — | .8 | .7 | .1 |
| Nursing home care | 27.3 | 12.3 | 12.2 | 11.9 | .2 | .2 | 15.0 | 7.9 | 7.1 |
| Other health services | 7.6 | 1.7 | — | — | — | 1.7 | 5.9 | 4.0 | 1.9 |
| Program administration and net cost of health insurance | 12.7 | 8.3 | 7.7 | — | 7.7 | .6 | 4.4 | 2.4 | 2.0 |
| Government public health activities | 8.6 | — | — | — | — | — | 8.6 | 1.4 | 7.3 |
| Research and construction of medical facilities | 14.1 | 6.0 | — | — | — | 6.0 | 8.1 | 5.7 | 2.4 |
| Research 2 | 5.9 | .3 | — | — | — | .3 | 5.6 | 5.0 | .5 |
| Construction of medical facilities | 8.2 | 5.7 | — | — | — | 5.7 | 2.5 | .7 | 1.9 |
| 1984 | |||||||||
| Total | $392.7 | $226.7 | $213.2 | $109.6 | $103.6 | $13.6 | $166.0 | $115.5 | $50.4 |
| Health services and supplies | 375.9 | 219.0 | 213.2 | 109.6 | 103.6 | 5.8 | 156.9 | 109.2 | 47.7 |
| Personal health care | 349.4 | 207.9 | 202.9 | 109.6 | 93.3 | 5.0 | 141.5 | 105.0 | 36.5 |
| Hospital care | 165.7 | 78.9 | 76.2 | 21.9 | 54.3 | 2.7 | 86.8 | 67.3 | 19.5 |
| Physicians' services | 76.1 | 53.5 | 53.5 | 27.7 | 25.8 | (3) | 22.5 | 18.3 | 4.3 |
| Dentists' services | 23.7 | 22.8 | 22.8 | 15.8 | 6.9 | 1.0 | .5 | .4 | |
| Other professional services | 8.9 | 5.7 | 5.6 | 3.9 | 1.7 | .1 | 3.2 | 2.5 | .7 |
| Drugs and medical sundries | 26.7 | 24.4 | 24.4 | 20.7 | 3.7 | — | 2.3 | 1.1 | 1.2 |
| Eyeglasses and appliances | 6.8 | 5.5 | 5.5 | 5.0 | .5 | — | 1.2 | 1.1 | .1 |
| Nursing home care | 32.7 | 15.1 | 14.9 | 14.6 | .3 | .2 | 17.6 | 9.4 | 8.2 |
| Other health services | 8.8 | 2.0 | — | — | — | 2.0 | 6.8 | 4.7 | 2.1 |
| Program administration and net cost of insurance | 16.1 | 11.1 | 10.3 | — | 10.3 | .8 | 5.0 | 2.8 | 2.3 |
| Government public health activities | 10.4 | — | — | — | — | — | 10.4 | 1.5 | 8.9 |
| Research and construction of medical facilities | 16.8 | 7.8 | — | — | — | 7.8 | 9.0 | 6.3 | 2.8 |
| Research2 | 6.5 | .4 | — | — | — | .4 | 6.2 | 5.6 | .6 |
| Construction | 10.3 | 7.4 | — | — | — | 7.4 | 2.9 | .7 | 2.2 |
| 1987 | Amount in billions | ||||||||
| Total | $529.8 | $307.2 | $288.9 | $147.4 | $141.5 | $18.3 | $222.5 | $157.5 | $65.0 |
| Health services and supplies | 508.3 | 296.6 | 288.9 | 147.4 | 141.5 | 7.7 | 211.7 | 150.0 | 61.7 |
| Personal health care | 471.3 | 279.7 | 273.0 | 147.4 | 125.7 | 6.7 | 191.6 | 145.0 | 46.6 |
| Hospital care | 226.7 | 110.1 | 106.4 | 33.0 | 73.4 | 3.7 | 116.6 | 92.2 | 24.4 |
| Physicians' services | 102.5 | 69.9 | 69.8 | 36.3 | 33.5 | (3) | 32.6 | 27.2 | 5.5 |
| Dentists' services | 30.9 | 29.7 | 29.7 | 20.0 | 9.8 | — | 1.2 | .6 | .5 |
| Other professional services | 12.3 | 7.9 | 7.8 | 5.4 | 2.5 | .1 | 4.3 | 3.4 | 1.0 |
| Drugs and medical sundries | 34.4 | 31.5 | 31.5 | 26.2 | 5.3 | — | 2.9 | 1.4 | 1.5 |
| Eyeglasses and appliances | 8.7 | 6.9 | 6.9 | 6.0 | .8 | — | 1.8 | 1.7 | .2 |
| Nursing-home care | 44.4 | 21.2 | 20.9 | 20.4 | .5 | .3 | 23.3 | 12.4 | 10.8 |
| Other health services | 11.3 | 2.5 | — | — | — | 2.5 | 8.8 | 6.1 | 2.7 |
| Program administration and net cost of insurance | 22.9 | 16.9 | 15.9 | — | 15.9 | 1.0 | 6.0 | 3.3 | 2.7 |
| Government public health activities | 14.0 | — | — | — | — | — | 14.0 | 1.6 | 12.4 |
| Research and construction of medical facilities | 21.5 | 10.7 | — | — | — | 10.7 | 10.9 | 7.6 | 3.3 |
| Research2 | 7.9 | .4 | — | — | — | .4 | 7.5 | 6.8 | .7 |
| Construction | 13.6 | 10.3 | — | — | — | 10.3 | 3.3 | .8 | 2.6 |
| 1990 | |||||||||
| Total | $690.4 | $396.8 | $373.8 | $190.5 | $183.3 | $23.0 | $293.5 | $211.4 | $82.1 |
| Health services and supplies | 664.2 | 383.7 | 373.8 | 190.5 | 183.3 | 9.9 | 280.5 | 202.2 | 78.3 |
| Personal health care | 619.0 | 363.9 | 355.4 | 190.5 | 164.8 | 8.5 | 255.0 | 196.5 | 58.6 |
| Hospital care | 303.6 | 148.7 | 143.7 | 46.4 | 97.3 | 5.0 | 154.9 | 124.7 | 30.2 |
| Physicians' services | 133.5 | 88.0 | 87.9 | 45.4 | 42.5 | (3) | 45.4 | 38.6 | 6.9 |
| Dentists' services | 38.9 | 37.5 | 37.5 | 24.7 | 12.8 | — | 1.4 | .7 | .6 |
| Other professional services | 16.1 | 10.1 | 9.9 | 6.5 | 3.4 | .1 | 6.0 | 4.6 | 1.5 |
| Drugs and medical sundries | 43.6 | 40.0 | 40.0 | 32.9 | 7.1 | — | 3.6 | 1.7 | 1.8 |
| Eyeglasses and appliances | 10.9 | 8.3 | 8.3 | 7.2 | 1.1 | — | 2.5 | 2.3 | .2 |
| Nursing home care | 58.4 | 28.4 | 28.0 | 27.3 | .7 | .4 | 30.1 | 16.1 | 14.0 |
| Other health services | 14.1 | 3.0 | — | — | — | 3.0 | 11.2 | 7.8 | 3.4 |
| Program administration and net cost of health insurance | 27.0 | 19.8 | 18.4 | — | 18.4 | 1.4 | 7.2 | 3.9 | 3.3 |
| Government public health activities | 18.3 | — | — | — | — | — | 18.3 | 1.8 | 16.4 |
| Research and construction of medical facilities | 26.2 | 13.1 | — | — | — | 13.1 | 13.0 | 9.2 | 3.8 |
| Research2 | 9.6 | .4 | — | — | — | .4 | 9.2 | 8.3 | .9 |
| Construction of medical facilities | 16.6 | 12.7 | — | — | — | 12.7 | 3.9 | .9 | 3.0 |
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.
3
Less than $50 million.
SOURCE: Bureau of Data Management and Strategy, Health Care Financing Administration.