Table 13. National Health Expenditures, by Source of Funds and Type of Expenditure: Selected Calendar Years 1960-93.
| Year and Type of Expenditure | Total | Private | Government | ||||||
|---|---|---|---|---|---|---|---|---|---|
|
|
|
||||||||
| All Private Funds | Consumer | Other | Total | Federal | State and Local | ||||
|
| |||||||||
| Total | Out of Pocket | Private Insurance | |||||||
|
| |||||||||
| Amount in Billions | |||||||||
| 1960 | |||||||||
| National Health Expenditures | 27.1 | 20.5 | 19.2 | 13.4 | 5.9 | 1.3 | 6.7 | 2.9 | 3.7 |
| Health Services and Supplies | 25.4 | 19.8 | 19.2 | 13.4 | 5.9 | 0.6 | 5.7 | 2.3 | 3.4 |
| Personal Health Care | 23.9 | 18.8 | 18.4 | 13.4 | 5.0 | 0.4 | 5.1 | 2.1 | 3.0 |
| Hospital Care | 9.3 | 5.3 | 5.2 | 1.9 | 3.3 | 0.1 | 3.9 | 1.6 | 2.3 |
| Physician Services | 5.3 | 4.9 | 4.9 | 3.3 | 1.6 | 0.0 | 0.4 | 0.1 | 0.3 |
| Dental Services | 2.0 | 1.9 | 1.9 | 1.9 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Other Professional Services | 0.6 | 0.6 | 0.5 | 0.5 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Home Health Care | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
| Drugs and Other Medical Non-Durables | 4.2 | 4.2 | 4.2 | 4.1 | 0.0 | — | 0.1 | 0.0 | 0.0 |
| Vision Products and Other Medical Durables | 0.8 | 0.8 | 0.8 | 0.8 | 0.0 | — | 0.0 | 0.0 | 0.0 |
| Nursing Home Care | 1.0 | 0.8 | 0.8 | 0.8 | 0.0 | 0.1 | 0.1 | 0.1 | 0.1 |
| Other Personal Health Care | 0.7 | 0.2 | — | — | — | 0.2 | 0.5 | 0.3 | 0.2 |
| Program Administration and Net Cost of Private Health Insurance | 1.2 | 1.0 | 0.9 | — | 0.9 | 0.1 | 0.2 | 0.0 | 0.1 |
| Government Public Health Activities | 0.4 | — | — | — | — | — | 0.4 | 0.1 | 0.3 |
| Research and Construction | 1.7 | 0.7 | — | — | — | 0.7 | 1.0 | 0.7 | 0.3 |
| Research | 0.7 | 0.1 | — | — | — | 0.1 | 0.6 | 0.5 | 0.0 |
| Construction | 1.0 | 0.6 | — | — | — | 0.6 | 0.4 | 0.2 | 0.3 |
| 1980 | |||||||||
| National Health Expenditures | 251.1 | 145.8 | 133.4 | 61.3 | 72.1 | 12.4 | 105.3 | 72.0 | 33.3 |
| Health Services and Supplies | 239.4 | 141.3 | 133.4 | 61.3 | 72.1 | 7.9 | 98.1 | 66.8 | 31.3 |
| Personal Health Care | 220.1 | 133.1 | 125.4 | 61.3 | 64.1 | 7.7 | 87.0 | 63.4 | 23.6 |
| Hospital Care | 102.7 | 49.0 | 44.0 | 5.3 | 38.7 | 5.0 | 53.7 | 40.9 | 12.8 |
| Physician Services | 45.2 | 32.2 | 31.8 | 14.7 | 17.1 | 0.4 | 13.1 | 10.0 | 3.1 |
| Dental Services | 13.3 | 12.7 | 12.7 | 8.8 | 3.8 | 0.0 | 0.6 | 0.4 | 0.3 |
| Other Professional Services | 6.4 | 4.9 | 4.4 | 3.3 | 1.1 | 0.5 | 1.5 | 1.1 | 0.4 |
| Home Health Care | 1.9 | 0.9 | 0.6 | 0.3 | 0.3 | 0.3 | 0.9 | 0.8 | 0.1 |
| Drugs and Other Medical Non-Durables | 21.6 | 19.9 | 19.9 | 17.5 | 2.4 | — | 1.7 | 0.9 | 0.8 |
| Vision Products and Other Medical Durables | 4.5 | 3.9 | 3.9 | 3.5 | 0.4 | — | 0.6 | 0.5 | 0.1 |
| Nursing Home Care | 20.5 | 8.7 | 8.1 | 7.8 | 0.2 | 0.6 | 11.8 | 6.9 | 4.9 |
| Other Personal Health Care | 4.0 | 0.9 | — | — | — | 0.9 | 3.1 | 2.0 | 1.1 |
| Program Administration and Net Cost of Private Health Insurance | 12.1 | 8.2 | 8.0 | — | 8.0 | 0.2 | 3.9 | 2.1 | 1.8 |
| Government Public Health Activities | 7.2 | — | — | — | — | — | 7.2 | 1.2 | 6.0 |
| Research and Construction | 11.6 | 4.5 | — | — | — | 4.5 | 7.2 | 5.2 | 2.0 |
| Research | 5.5 | 0.3 | — | — | — | 0.3 | 5.2 | 4.7 | 0.5 |
| Construction | 6.2 | 4.2 | — | — | — | 4.2 | 2.0 | 0.6 | 1.5 |
| 1990 | |||||||||
| National Health Expenditures | 696.6 | 410.0 | 375.2 | 138.3 | 236.9 | 34.8 | 286.5 | 195.8 | 90.7 |
| Health Services and Supplies | 672.2 | 399.8 | 375.2 | 138.3 | 236.9 | 24.6 | 272.5 | 185.4 | 87.0 |
| Personal Health Care | 612.4 | 368.9 | 345.0 | 138.3 | 206.7 | 24.0 | 243.5 | 178.1 | 65.3 |
| Hospital Care | 256.5 | 119.2 | 105.5 | 9.8 | 95.7 | 13.8 | 137.3 | 103.4 | 33.9 |
| Physician Services | 140.5 | 95.0 | 92.4 | 25.3 | 67.1 | 2.7 | 45.5 | 36.3 | 9.1 |
| Dental Services | 30.4 | 29.5 | 29.4 | 15.3 | 14.1 | 0.1 | 0.9 | 0.5 | 0.4 |
| Other Professional Services | 36.0 | 29.5 | 26.9 | 14.9 | 12.0 | 2.6 | 6.5 | 4.3 | 2.2 |
| Home Health Care | 11.1 | 5.9 | 4.3 | 2.7 | 1.7 | 1.6 | 5.2 | 4.1 | 1.0 |
| Drugs and Other Medical Non-Durables | 61.2 | 54.8 | 54.8 | 41.2 | 13.6 | — | 6.5 | 3.1 | 3.4 |
| Vision Products and Other Medical Durables | 10.5 | 7.7 | 7.7 | 6.8 | 0.9 | — | 2.8 | 2.6 | 0.1 |
| Nursing Home Care | 54.8 | 25.0 | 24.0 | 22.3 | 1.7 | 1.0 | 29.8 | 18.2 | 11.6 |
| Other Personal Health Care | 11.4 | 2.2 | — | — | — | 2.2 | 9.1 | 5.6 | 3.6 |
| Program Administration and Net Cost of Private Health Insurance | 38.3 | 30.9 | 30.3 | — | 30.3 | 0.6 | 7.4 | 4.9 | 2.5 |
| Government Public Health Activities | 21.6 | — | — | — | — | — | 21.6 | 2.4 | 19.2 |
| Research and Construction | 24.3 | 10.2 | — | — | — | 10.2 | 14.1 | 10.4 | 3.7 |
| Research | 12.2 | 1.0 | — | — | — | 1.0 | 11.3 | 9.5 | 1.7 |
| Construction | 12.1 | 9.3 | — | — | — | 9.3 | 2.8 | 0.8 | 2.0 |
| 1991 | |||||||||
| National Health Expenditures | 755.6 | 432.9 | 396.1 | 143.3 | 252.8 | 36.8 | 322.6 | 224.7 | 98.0 |
| Health Services and Supplies | 730.8 | 422.8 | 396.1 | 143.3 | 252.8 | 26.7 | 308.0 | 214.0 | 94.0 |
| Personal Health Care | 670.8 | 393.2 | 367.2 | 143.3 | 223.9 | 26.1 | 277.6 | 206.0 | 71.6 |
| Hospital Care | 282.3 | 127.5 | 112.4 | 9.6 | 102.8 | 15.1 | 154.8 | 120.3 | 34.5 |
| Physician Services | 150.3 | 100.5 | 97.9 | 25.5 | 72.4 | 2.6 | 49.8 | 39.2 | 10.6 |
| Dental Services | 31.7 | 30.6 | 30.5 | 15.9 | 14.6 | 0.1 | 1.1 | 0.6 | 0.5 |
| Other Professional Services | 40.4 | 32.7 | 29.8 | 16.0 | 13.8 | 2.9 | 7.7 | 5.2 | 2.5 |
| Home Health Care | 13.2 | 6.4 | 4.7 | 2.9 | 1.7 | 1.7 | 6.8 | 5.6 | 1.2 |
| Drugs and Other Medical Non-Durables | 67.1 | 59.4 | 59.4 | 43.6 | 15.8 | — | 7.6 | 3.7 | 3.9 |
| Vision Products and Other Medical Durables | 11.3 | 7.9 | 7.9 | 7.0 | 0.9 | — | 3.4 | 3.2 | 0.1 |
| Nursing Home Care | 60.8 | 25.8 | 24.6 | 22.8 | 1.8 | 1.1 | 35.0 | 21.2 | 13.8 |
| Other Personal Health Care | 13.8 | 2.4 | — | — | — | 2.4 | 11.4 | 7.0 | 4.4 |
| Program Administration and Net Cost of Private Health Insurance | 37.0 | 29.6 | 28.9 | — | 28.9 | 0.6 | 7.5 | 5.3 | 2.2 |
| Government Public Health Activities | 22.9 | — | — | — | — | — | 22.9 | 2.7 | 20.2 |
| Research and Construction | 24.8 | 10.1 | — | — | — | 10.1 | 14.6 | 10.7 | 4.0 |
| Research | 12.9 | 1.1 | — | — | — | 1.1 | 11.8 | 9.9 | 1.9 |
| Construction | 11.9 | 9.0 | — | — | — | 9.0 | 2.8 | 0.7 | 2.1 |
| 1992 | |||||||||
| National Health Expenditures | 820.3 | 462.9 | 423.3 | 150.6 | 272.7 | 39.5 | 357.5 | 254.3 | 103.2 |
| Health Services and Supplies | 792.9 | 451.7 | 423.3 | 150.6 | 272.7 | 28.4 | 341.2 | 242.5 | 98.7 |
| Personal Health Care | 729.7 | 420.4 | 392.7 | 150.6 | 242.1 | 27.7 | 309.3 | 234.0 | 75.3 |
| Hospital Care | 306.0 | 134.0 | 118.1 | 9.0 | 109.1 | 15.9 | 172.0 | 137.3 | 34.7 |
| Physician Services | 161.8 | 108.4 | 105.7 | 26.1 | 79.6 | 2.7 | 53.4 | 41.5 | 11.9 |
| Dental Services | 34.7 | 33.4 | 33.2 | 17.4 | 15.9 | 0.1 | 1.3 | 0.8 | 0.6 |
| Other Professional Services | 46.4 | 37.3 | 34.4 | 18.8 | 15.5 | 3.0 | 9.1 | 6.3 | 2.8 |
| Home Health Care | 16.8 | 8.0 | 5.8 | 3.7 | 2.2 | 2.1 | 8.8 | 7.4 | 1.4 |
| Drugs and Other Medical Non-Durables | 70.8 | 62.6 | 62.6 | 45.4 | 17.1 | — | 8.2 | 4.1 | 4.1 |
| Vision Products and Other Medical Durables | 12.0 | 8.2 | 8.2 | 7.3 | 0.9 | — | 3.8 | 3.6 | 0.1 |
| Nursing Home Care | 65.5 | 26.0 | 24.8 | 22.9 | 1.8 | 1.2 | 39.5 | 24.8 | 14.7 |
| Other Personal Health Care | 15.8 | 2.6 | — | — | — | 2.6 | 13.2 | 8.1 | 5.0 |
| Program Administration and Net Cost of Private Health Insurance | 39.5 | 31.3 | 30.6 | — | 30.6 | 0.7 | 8.2 | 5.5 | 2.7 |
| Government Public Health Activities | 23.7 | — | — | — | — | — | 23.7 | 3.0 | 20.7 |
| Research and Construction | 27.4 | 11.2 | — | — | — | 11.2 | 16.3 | 11.8 | 4.5 |
| Research | 14.2 | 1.2 | — | — | — | 1.2 | 13.0 | 11.0 | 2.0 |
| Construction | 13.2 | 9.9 | — | — | — | 9.9 | 3.3 | 0.8 | 2.5 |
| 1993 | |||||||||
| National Health Expenditures | 884.2 | 496.4 | 453.6 | 157.5 | 296.1 | 42.8 | 387.8 | 280.6 | 107.3 |
| Health Services and Supplies | 855.2 | 484.3 | 453.6 | 157.5 | 296.1 | 30.7 | 370.9 | 268.6 | 102.4 |
| Personal Health Care | 782.5 | 445.5 | 415.5 | 157.5 | 258.0 | 30.0 | 337.0 | 259.0 | 78.1 |
| Hospital Care | 326.6 | 143.7 | 126.9 | 9.1 | 117.8 | 16.8 | 182.9 | 149.2 | 33.7 |
| Physician Services | 171.2 | 113.1 | 110.3 | 26.2 | 84.1 | 2.7 | 58.1 | 45.0 | 13.1 |
| Dental Services | 37.4 | 35.6 | 35.5 | 18.7 | 16.8 | 0.2 | 1.7 | 1.0 | 0.8 |
| Other Professional Services | 51.2 | 40.6 | 37.0 | 21.2 | 15.8 | 3.6 | 10.6 | 7.3 | 3.3 |
| Home Health Care | 20.8 | 9.4 | 6.9 | 4.3 | 2.5 | 2.5 | 11.4 | 9.8 | 1.5 |
| Drugs and Other Medical Non-Durables | 75.0 | 65.8 | 65.8 | 47.4 | 18.4 | — | 9.2 | 4.7 | 4.4 |
| Vision Products and Other Medical Durables | 12.6 | 8.5 | 8.5 | 7.6 | 0.9 | — | 4.2 | 4.0 | 0.2 |
| Nursing Home Care | 69.6 | 26.0 | 24.7 | 23.0 | 1.7 | 1.3 | 43.6 | 28.3 | 15.3 |
| Other Personal Health Care | 18.2 | 2.8 | — | — | — | 2.8 | 15.3 | 9.5 | 5.8 |
| Program Administration and Net Cost of Private Health Insurance | 48.0 | 38.8 | 38.1 | — | 38.1 | 0.7 | 9.2 | 6.3 | 2.8 |
| Government Public Health Activities | 24.7 | — | — | — | — | — | 24.7 | 3.3 | 21.4 |
| Research and Construction | 29.0 | 12.1 | — | — | — | 12.1 | 16.9 | 12.0 | 4.9 |
| Research | 14.4 | 1.2 | — | — | — | 1.2 | 13.1 | 11.1 | 2.1 |
| Construction | 14.6 | 10.9 | — | — | — | 10.9 | 3.8 | 0.9 | 2.8 |
NOTES: 0.0 denotes less than $50 million. 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. Numbers may not add to totals because of rounding.