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. 2016 Mar;106(3):449–452. doi: 10.2105/AJPH.2015.302997

TABLE 1—

Tax-Financed Health Expenditures (Billions of Dollars): United States, 2013–2024

Expenditure 2013 2014 2015 2020 2024
Total national health expenditures 2919 3080 3244 4274 5425
Direct government health expendituresa
 Medicare 585.7 616.8 646.0 905.7 1221.3
 Medicaid or Children’s Health Insurance Program 462.9 517.0 559.6 728.6 914.6
 Other health programs 345.9 353.5 366.0 485.1 611.3
Government expenditures for public employees’ health benefits
 Federal government 32 33 34 40 49
 State or local governments 156 169 177 239 307
Tax subsidies for private employer–paid health insurance and other privately paid care
 Federal government 249.2 262.7 276.4 345.9 453.2
 State or local governments 45.7 47.4 49.8 63.5 85.7
Total tax-financed expenditures 1877.4 1999.4 2108.8 2807.8 3642.1
Tax-financed expenditures as a percentage of total national health expenditures, % 64.3 64.9 65.0 65.7 67.1

Note. Figures for 2013 are based on actual expenditures; 2014–2024 are based on Centers for Medicare and Medicaid Services and Office of Management and Budget projections.

a

Equivalent to traditional Centers for Medicare and Medicaid Services tabulation of government’s share of expenditures.