Table 1. Expenditures for health services and supplies, by type of payer: United States, selected calendar years 1965-90.

Type of payer	1965	1970	1975	1980	1985	1986	1987	1988	1989	1990
	Amount in billions
Total	$38.2	$69.1	$124.7	$238.9	$407.2	$438.9	$476.8	$526.2	$582.1	$643.4
Private	30.3	50.1	86.2	162.1	278.9	302.9	327.2	362.8	397.5	430.4
Private business	6.5	15.1	28.8	64.8	115.0	127.3	133.6	153.1	169.7	186.2
Employer contribution to private health insurance premiums	5.4	11.2	20.9	48.4	85.4	93.6	96.7	112.9	125.7	139.1
Employer contribution to Medicare hospital insurance trust fund1	0.0	2.1	5.0	10.5	20.3	23.3	24.7	26.3	28.4	29.7
Workers' compensation and temporary disability insurance	0.8	1.4	2.4	5.1	7.8	8.8	10.5	12.0	13.6	15.2
Industrial inplant health services	0.2	0.3	0.5	0.9	1.4	1.6	1.7	1.9	2.1	2.2
Household	23.1	33.6	54.9	90.3	152.0	162.7	179.8	194.3	210.3	224.7
Employee contribution to private health insurance premiums and individual policy premiums	4.1	4.6	8.9	16.2	28.4	28.9	35.3	34.9	39.2	42.6
Employee and self-employment contributions and voluntary premiums paid to Medicare hospital insurance trust fund1	0.0	2.4	5.7	12.0	24.0	27.6	29.5	31.4	33.8	35.7
Premiums paid by individuals to Medicare supplementary medical insurance trust fund	0.0	1.0	1.7	2.7	5.2	5.2	6.1	8.7	11.2	10.2
Out-of-pocket health spending	19.0	25.6	38.5	59.5	94.4	100.9	108.8	119.3	126.1	136.1
Non-patient revenue	0.6	1.5	2.5	7.0	12.0	12.9	13.8	15.4	17.5	19.6
Public	7.9	18.9	38.5	76.7	128.3	135.9	149.6	163.4	184.6	212.9
Federal Government	3.4	10.4	21.3	42.5	69.0	70.4	77.3	84.2	96.2	113.9
Employer contributions to private health insurance	0.2	0.3	1.2	2.2	4.3	3.9	4.9	6.4	8.1	9.2
Adjusted Medicare	0.0	2.0	3.3	11.1	20.4	18.5	20.0	20.8	25.5	31.5
Medicare	0.0	7.6	16.4	37.5	72.2	77.4	83.4	90.5	102.6	111.2
Less Medicare hospital trust fund contributions and premiums	0.0	4.7	11.3	23.7	46.6	53.7	57.3	61.0	65.9	69.5
Less Medicare supplementary medical insurance premiums	0.0	1.0	1.7	2.7	5.2	5.2	6.1	8.7	11.2	10.2
Health program expenditures (excluding Medicare)	3.3	8.2	16.8	29.2	44.3	48.0	52.4	57.0	62.6	73.1
Medicaid	0.0	2.9	7.4	14.5	23.1	25.4	27.9	31.0	35.4	42.9
Department of Veterans Affairs	1.2	1.8	3.5	5.9	8.6	9.1	9.6	10.0	10.6	11.4
Department of Defense	1.0	1.8	2.8	4.3	7.6	8.4	9.3	9.8	10.4	11.5
Other programs2	1.2	1.8	3.0	4.4	4.9	5.2	5.6	6.2	6.2	7.4
State and local government	4.5	8.5	17.2	34.2	59.3	65.5	72.3	79.1	88.4	99.1
Employer contributions to private health insurance	0.3	0.6	1.9	6.7	16.0	16.7	17.9	20.2	23.4	25.9
Employer contributions to Medicare hospital insurance trust fund	0.0	0.2	0.7	1.3	2.2	2.7	3.1	3.3	3.7	4.1
Health expenditures by program	4.2	7.6	14.6	26.3	41.1	46.1	51.4	55.6	61.2	69.1
Medicaid	0.0	2.5	6.1	11.6	18.6	19.8	22.9	23.9	26.8	32.3
Hospital subsidies	2.6	3.4	5.2	6.2	7.8	10.0	11.2	12.4	13.1	14.1
Other programs3	1.6	1.8	3.3	8.5	14.7	16.3	17.3	19.3	21.3	22.7

¹Includes one-half of self-employment contribution to Medicare hospital insurance trust fund.

²Includes Maternal and Child Health, Vocational Rehabilitation, Alcohol, Drug, and Mental Health Administration, Indian Health Service, Office of Economic Opportunity (1965-74), and other miscellaneous general hospital and medical programs and public health activities.

³Includes other public and general assistance, Maternal and Child Health, Vocational Rehabilitation, and public health activities.

SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Office of National Health Statistics.