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. 1987 Summer;8(4):1–36.

Table 14. National health expenditures, by source of funds and type of expenditure: Selected calendar years 1983-2000.

Year and type of expenditure All sources Private Government
All private funds Consumer Other1 Total Federal State and local
Total Direct Private insurance
Amount in billions
1983
National health expenditures $357.2 $209.8 $198.4 $88.7 $109.7 $11.4 $147.4 $102.7 $44.7
 Health services and supplies 341.8 202.8 198.4 88.7 109.7 4.5 138.9 96.9 42.1
  Personal health care 314.7 190.6 186.7 88.7 98.0 4.0 124.1 92.9 31.1
   Hospital care 146.8 70.0 68.2 13.3 54.9 1.8 76.8 60.4 16.4
   Physician services 68.4 49.0 48.9 19.3 29.6 0.0 19.5 15.6 3.8
   Dentist services 21.7 21.2 21.2 13.8 7.3 — 0.6 0.3 0.3
   Other professional services 9.3 6.6 6.5 4.4 2.1 0.1 2.7 2.0 0.7
   Drugs and medical sundries 24.5 22.3 22.3 19.2 3.2 — 2.1 1.1 1.1
   Eyeglasses and appliances 6.2 5.2 5.2 4.5 0.7 — 1.0 0.9 0.1
   Nursing home care 29.4 14.6 14.4 14.1 0.3 0.2 14.8 8.1 6.7
   Other personal health care 8.3 1.8 — — — 1.8 6.5 4.5 2.0
  Program administration and net cost of private health insurance 17.1 12.2 11.7 — 11.7 0.5 4.9 2.7 2.3
  Government public health activities 9.9 — — — — — 9.9 1.3 8.7
 Research and construction of medical facilities 15.4 6.9 — — — 6.9 8.5 5.8 2.6
  Noncommercial research2 6.2 0.4 — — — 0.4 5.8 5.2 0.6
  Construction 9.2 6.6 — — — 6.6 2.7 0.6 2.0
1984
National health expenditures 391.1 231.3 219.9 98.4 121.5 11.5 159.7 111.6 48.1
 Health services and supplies 375.4 224.7 219.9 98.4 121.5 4.8 150.8 105.1 45.6
  Personal health care 341.9 207.5 203.3 98.4 104.9 4.3 134.3 100.9 33.4
   Hospital care 156.3 73.5 71.6 15.2 56.4 1.9 82.8 65.3 17.5
   Physician services 75.4 54.2 54.1 20.9 33.3 0.0 21.2 17.0 4.1
   Dentist services 24.6 24.1 24.1 15.9 8.2 — 0.5 0.3 0.3
   Other professional services 10.9 7.8 7.7 5.2 2.4 0.1 3.2 2.4 0.8
   Drugs and medical sundries 26.5 24.2 24.2 20.6 3.6 — 2.4 1.2 1.2
   Eyeglasses and appliances 7.0 5.7 5.7 5.0 0.8 — 1.2 1.1 0.1
   Nursing home care 31.7 16.1 15.9 15.6 0.3 0.2 15.6 8.5 7.1
   Other personal health care 9.4 2.0 — — — 2.0 7.4 5.1 2.4
  Program administration and net cost of private health insurance 22.6 17.1 16.6 — 16.6 0.5 5.4 2.9 2.6
  Government public health activities 11.0 — — — — — 11.0 1.4 9.6
 Research and construction of medical facilities 15.6 6.7 — — — 6.7 9.0 6.5 2.4
  Noncommercial research2 6.8 0.4 — — — 0.4 6.4 5.8 0.6
  Construction 8.9 6.3 — — — 6.3 2.6 0.7 1.8
1985
National health expenditures 422.6 246.6 235.4 105.3 130.1 11.2 176.0 124.5 51.5
 Health services and supplies 407.2 240.7 235.4 105.3 130.1 5.2 166.5 117.3 49.2
  Personal health care 371.3 222.9 218.3 105.3 113.0 4.6 148.3 112.7 35.7
   Hospital care 167.2 76.9 74.9 14.5 60.5 2.0 90.2 72.0 18.3
   Physician services 82.8 58.6 58.5 23.0 35.5 0.0 24.2 19.7 4.5
   Dentist services 27.1 26.5 26.5 17.5 9.0 — 0.6 0.3 0.3
   Other professional services 12.4 8.8 8.7 5.8 2.9 0.1 3.6 2.7 0.9
   Drugs and medical sundries 28.7 25.9 25.9 21.9 4.0 — 2.7 1.4 1.3
   Eyeglasses and appliances 7.5 6.0 6.0 5.1 0.9 — 1.5 1.3 0.1
   Nursing home care 35,0 18.0 17.8 17.5 0.3 0.2 17.0 9.4 7.5
   Other personal health care 10.8 2.2 — — — 2.2 8.5 5.8 2.7
  Program administration and net cost of private health insurance 23.6 17.7 17.1 — 17.1 0.6 5.9 3.3 2.7
  Government public health activities 12.3 — — — — — 12.3 1.4 10.9
 Research and construction of medical facilities 15.4 6.0 — — — 6.0 9.5 7.2 2.3
  Noncommercial research2 7.4 0.4 — — — 0.4 7.0 6.4 0.6
  Construction 8.1 5.6 — — — 5.6 2.5 0.8 1.7
1986
National health expenditures $458.2 $268.5 $256.9 $116.1 $140.7 $11.7 $189.7 $134.7 $55.0
 Health services and supplies 442.0 262.5 256.9 116.1 140.7 5.6 179.5 126.6 52.9
  Personal health care 404.0 244.1 239.0 116.1 122.9 5.0 160.0 121.8 38.1
   Hospital care 179.6 83.9 81.7 16.8 64.9 2.2 95.7 76.5 19.2
   Physician services 92.0 64.9 64.8 26.2 38.7 0.1 27.1 22.0 5.0
   Dentist services 29.6 29.0 29.0 19.1 9.9 — 0.6 0.3 0.3
   Other professional services 14.1 10.0 9.9 6.2 3.7 0.1 4.0 3.0 1.0
   Drugs and medical sundries 30.6 27.3 27.3 22.9 4.5 — 3.2 1.7 1.5
   Eyeglasses and appliances 8.2 6.5 6.5 5.5 1.0 — 1.7 1.6 0.2
   Nursing home care 38.1 20.0 19.8 19.4 0.3 0.3 18.1 10.1 8.0
   Other personal health care 11.9 2.4 — — — 2.4 9.5 6.5 3.0
  Program administration and net cost of private health insurance 24.5 18.4 17.8 0.0 17.8 0.6 6.1 3.4 2.7
  Government public health activities 13.4 — — — — — 13.4 1.4 12.0
 Research and construction of medical facilities 16.3 6.0 — — — 6.0 10.2 8.0 2.2
  Noncommercial research2 8.2 0.4 — — — 0.4 7.8 7.2 0.7
  Construction 8.0 5.6 — — — 5.6 2.4 0.9 1.5
1987
National health expenditures 496.6 294.8 282.6 127.9 154.7 12.3 201.7 142.7 59.0
 Health services and supplies 479.3 288.7 282.6 127.9 154.7 6.1 190.6 133.8 56.8
  Personal health care 438.9 269.3 263.9 127.9 136.0 5.5 169.6 128.8 40.8
   Hospital care 192.6 94.8 92.4 20.5 71.9 2.3 97.9 77.7 20.2
   Physician services 101.4 70.7 70.6 28.2 42.5 0.1 30.7 25.3 5.4
   Dentist services 32.4 31.7 31.7 20.8 10.9 — 0.7 0.4 0.3
   Other professional services 16.2 11.5 11.4 7.1 4.3 0.1 4.7 3.5 1.2
   Drugs and medical sundries 32.8 29.3 29.3 24.4 4.9 — 3.5 1.9 1.6
   Eyeglasses and appliances 8.8 6.9 6.9 5.9 1.1 — 1.9 1.8 0.1
   Nursing home care 41.6 21.8 21.5 21.1 0.4 0.3 19.8 11.1 8.8
   Other personal health care 13.1 2.6 — — — 2.6 10.4 7.1 3.3
  Program administration and net cost of private health insurance 25.9 19.4 18.7 — 18.7 0.7 6.6 3.6 2.9
  Government public health activities 14.4 — — — — — 14.4 1.4 13.0
 Research and construction of medical facilities 17.3 6.1 — — — 6.1 11.1 8.9 2.3
  Noncommercial research2 9.0 0.4 — — — 0.4 8.6 7.9 0.7
  Construction 8.3 5.7 — — — 5.7 2.5 1.0 1.5
1990
National health expenditures 647.3 378.2 363.4 162.0 201.4 14.8 269.0 195.5 73.6
 Health services and supplies 626.5 371.5 363.4 162.0 201.4 8.1 255.0 184.0 71.0
  Personal health care 573.5 344.6 337.4 162.0 175.4 7.2 228.9 178.2 50.7
   Hospital care 250.4 118.9 115.9 24.6 91.3 3.0 131.5 107.7 23.8
   Physician services 132.6 89.9 89.9 35.1 54.7 0.1 42.7 35.8 6.9
   Dentist services 41.8 41.1 41.1 26.8 14.2 — 0.8 0.4 0.4
   Other professional services 22.9 16.2 16.0 9.7 6.3 0.2 6.7 4.9 1.8
   Drugs and medical sundries 42.1 37.4 37.4 30.7 6.7 — 4.7 2.5 2.1
   Eyeglasses and appliances 11.2 8.4 8.4 7.0 1.5 — 2.7 2.6 0.1
   Nursing home care 54.5 29.1 28.7 28.0 0.7 0.4 25.4 14.3 11.1
   Other personal health care 18.0 3.5 — — — 3.5 14.4 9.8 4.6
  Program administration and net cost of private health insurance 34.6 26.9 26.0 — 26.0 0.9 7.7 4.2 3.5
  Government public health activities 18.5 — — — — — 18.5 1.6 16.8
 Research and construction of medical facilities 20.7 6.7 — — — 6.7 14.0 11.5 2.5
  Noncommercial research2 11.5 0.4 — — — 0.4 11.0 10.2 0.8
  Construction 9.3 6.3 — — — 6.3 3.0 1.3 1.7
1995
National health expenditures $999.1 $575.5 $553.8 $249.1 $304.7 $21.7 $423.5 $317.7 $105.8
 Health services and supplies 972.1 567.1 553.8 249.1 304.7 13.3 405.0 302.3 102.7
  Personal health care 900.5 532.5 520.6 249.1 271.5 11.9 368.0 294.9 73.2
   Hospital care 393.6 187.3 182.5 43.0 139.5 4.7 206.3 174.9 31.5
   Physician services 209.0 134.0 133.9 49.8 84.1 0.1 75.0 64.8 10.2
   Dentist services 62.2 61.3 61.3 39.8 21.5 — 0.9 0.5 0.4
   Other professional services 38.1 26.5 26.2 15.5 10.7 0.3 11.6 8.4 3.3
   Drugs and medical sundries 65.4 58.6 58.6 47.5 11.1 — 6.8 3.7 3.1
   Eyeglasses and appliances 16.7 11.6 11.6 9.3 2.4 — 5.0 4.9 0.1
   Nursing home care 84.7 47.1 46.4 44.2 2.2 0.6 37.6 21.1 16.5
   Other personal health care 30.8 6.1 — — — 6.1 24.7 16.7 8.1
  Program administration and net cost of private health insurance 44.4 34.6 33.2 — 33.2 1.4 9.8 5.3 4.4
  Government public health activities 27.2 — — — — — 27.2 2.1 25.1
 Research and construction of medical facilities 26.9 8.4 — — — 8.4 18.5 15.4 3.1
  Noncommercial research2 15.3 0.5 — — — 0.5 14.8 13.7 1.1
  Construction 11.6 7.9 — — — 7.9 3.8 1.7 2.1
2000
National health expenditures 1,529.3 879.4 846.7 386.1 460.6 32.6 649.9 498.6 151.3
 Health services and supplies 1,493.8 868.3 846.7 386.1 460.6 21.6 625.5 478.1 147.4
  Personal health care 1,398.1 823.0 803.6 386.1 417.5 19.4 575.2 468.8 106.4
   Hospital care 621.0 295.8 288.3 74.4 213.9 7.5 325.2 282.6 42.6
   Physician services 319.6 202.7 202.5 75.8 126.8 0.2 116.9 101.5 15.4
   Dentist services 89.6 88.6 88.6 57.1 31.4 — 1.1 0.6 0.5
   Other professional services 60.4 41.0 40.5 23.3 17.2 0.5 19.4 13.6 5.8
   Drugs and medical sundries 102.6 92.3 92.3 73.9 18.4 — 10.3 5.5 4.8
   Eyeglasses and appliances 24.7 16.8 16.8 13.1 3.6 — 8.0 7.8 0.2
   Nursing home care 129.0 75.7 74.7 68.5 6.2 1.0 53.3 29.9 23.4
   Other personal health care 51.2 10.2 — — — 10.2 41.0 27.3 13.7
  Program administration and net cost of private health insurance 57.7 45.3 43.1 — 43.1 2.2 12.3 6.6 5.7
  Government public health activities 38.0 — — — — — 38.0 2.7 35.3
 Research and construction of medical facilities 35.5 11.1 — — — 11.1 24.4 20.5 3.9
  Noncommercial research2 20.2 0.6 — — — 0.6 19.6 18.3 1.4
  Construction 15.3 10.5 — — — 10.5 4.8 2.3 2.5
1

Spending by philanthropic organizations, industrial inplant 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 they are included in the expenditure class in which the product falls.

NOTE: 0.0 denotes less than $50 million.

SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Division of National Cost Estimates.