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. 1996 Summer;17(4):157–178.

Table 2. Expenditures for Health Services and Supplies, by Sponsor: United States, Selected Calendar Years 1965-94.

Type of Sponsor 1965 1970 1975 1980 1985 1990 1991 1992 1993 1994
Amount in Billions
Total $37.7 $67.9 $122.3 $235.6 $411.8 $672.9 $736.3 $806.0 $863.1 $919.2
Private 29.8 48.9 83.7 158.4 282.2 450.8 481.9 520.1 544.2 577.3
Private Business 5.9 13.6 27.5 61.7 108.6 185.8 198.2 215.9 226.8 241.3
 Employer Contribution to Private Health Insurance Premiums 4.9 9.7 19.7 45.3 79.1 138.4 146.6 160.4 170.0 179.5
 Employer Contribution to Medicare Hospital Insurance Trust Fund 0.0 2.1 5.0 10.5 20.3 29.5 32.5 34.4 35.6 40.3
 Workers' Compensation and Temporary Disability Insurance 0.8 1.4 2.4 5.1 7.7 15.7 16.7 18.5 18.4 18.3
 Industrial Inplant Health Services 0.2 0.3 0.5 0.9 1.4 2.2 2.4 2.6 2.8 3.0
Household 23.2 33.8 53.8 89.5 160.5 245.3 262.2 281.9 292.9 310.1
 Employee Contribution to Private Health Insurance Premiums and Individual Policy Premiums 4.7 5.6 8.2 14.6 30.7 51.3 57.4 63.6 68.2 70.6
 Employee and Self-Employment
  Contributions and Voluntary Premiums Paid to Medicare Hospital Insurance Trust Fund1 0.0 2.4 5.7 12.0 24.1 35.5 39.4 41.9 43.4 50.5
 Premiums Paid by Individuals to Medicare Supplementary Medical Insurance Trust Fund 0.0 1.0 1.7 2.7 5.2 10.1 10.3 12.1 11.9 14.2
 Out-of-Pocket Health Spending 18.5 24.9 38.1 60.3 100.6 148.4 155.1 164.4 169.4 174.9
Non-Patient Revenues 0.6 1.5 2.4 7.2 13.1 19.8 21.5 22.3 24.4 25.9
Public 7.9 19.0 38.6 77.3 129.6 222.1 254.4 285.9 318.9 342.0
Federal Government 3.4 10.4 21.2 42.4 68.4 115.1 136.2 159.7 181.1 190.6
 Employer Contribution to Private Health Insurance Premiums 0.2 0.3 1.2 2.2 4.3 9.2 9.8 10.7 11.5 11.9
 Employer Contribution to Medicare Hospital Insurance Trust Fund 0.0 0.1 0.2 0.3 1.6 2.1 2.2 2.2 2.3 2.3
 Adjusted Medicare 0.0 1.8 3.0 10.5 18.4 29.8 32.5 41.4 51.3 53.5
  Medicare2 0.0 7.6 16.2 37.2 71.7 110.9 121.4 136.7 149.4 166.1
  Less Medicare Hospital Trust Fund Contributions and Premiums 0.0 4.8 11.5 24.0 48.2 71.0 78.5 83.3 86.3 98.4
  Less Medicare Supplementary Medical Insurance Premiums 0.0 1.0 1.7 2.7 5.2 10.1 10.3 12.1 11.9 14.2
 Health Program Expenditures (Excluding Medicare) 3.3 8.2 16.9 29.4 44.2 74.0 91.7 105.4 116.1 122.9
  Medicaid3 0.0 2.9 7.6 14.7 23.1 43.4 57.8 69.5 78.0 83.4
  Other Programs4 3.3 5.3 9.3 14.7 21.1 30.6 34.0 36.0 38.1 39.6
State and Local Government 4.5 8.6 17.4 34.8 61.2 107.0 118.2 126.2 137.8 151.3
 Employer Contribution to Private Health Insurance Premiums 0.3 0.7 2.2 7.6 18.2 33.5 38.1 41.9 46.7 51.3
 Employer Contribution to Medicare Hospital Insurance Trust Fund 0.0 0.2 0.7 1.3 2.2 4.0 4.4 4.8 5.0 5.3
 Health Expenditures by Program 4.2 7.6 14.6 25.9 40.8 69.5 75.7 79.5 86.2 94.8
   Medicaid3 0.0 2.5 6.1 11.7 18.6 33.2 37.9 39.4 43.7 49.1
   Hospital Subsidies 2.4 3.2 4.8 5.6 7.0 11.3 11.0 11.1 11.8 11.8
   Other Programs 4.2 5.1 8.4 14.2 22.2 36.3 37.8 40.1 42.4 45.7
1

Includes one-half of self-employment contribution to Medicare Hospital Insurance Trust Fund and taxation of Social Security benefits.

2

Excludes Medicaid buy-in premiums for Medicare.

3

Includes Medicaid buy-in premiums for Medicare.

4

Includes maternal and child health, vocational rehabilitation, Substance Abuse and Mental Health Services Administration, Indian Health Service, Office of Economic Opportunity (1965-74), Federal workers' compensation, and other miscellaneous general hospital and medical programs, public health activities, Department of Defense, and Department of Veterans Affairs.

5

Includes other public and general assistance, maternal and child health, vocational rehabilitation, public health activities, and hospital subsidies.

SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Office of National Health Statistics, 1965-94.