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. 2019 Aug 21;18(6):767–780. doi: 10.1007/s40258-019-00506-2

Table 1.

Scenarios for illustrating the main options regarding expanding fiscal space for a sustainable free healthcare policy

2015 2016 A 2016 B 2016 C 2017 A 2017 B with 5% GDP growth
LCU % GDP LCU % GDP LCU % GDP LCU % GDP LCU % GDP LCU % GDP
1 = 2 + 3 Total revenue and grants 20,000 16.7 20,000 16.7 22,000 18.3 22,000 18.3 22,000 18.3 22,990 18.3
 2  Total revenue 18,000 15.0 18,000 15.0 19,800 16.5 19,800 16.5 19,800 16.5 20,790 16.5
 3  Grants 2000 1.7 2000 1.7 2200 1.8 2200 1.8 2200 1.8 2200 1,7
4 = 5 + 9 Expenditure and net lending 25,000 20.8 26,000 21.7 26,000 21.7 25,000 20.8 25,300 21.1 25,600 21.3
 5 = 6 + 7+ 8  Current expenditure 25,000 20.8 26,000 21.7 26,000 21.7 25,000 20.8 25,300 21.1 25,600 21.3
  6   Healthcare 3000 2.5 4000 3.3 4000 3.3 4000 3.3 4000 3.3 4150 3,3
  7   Other sectors 22,000 18.3 22,000 18.3 22,000 18.3 21,000 17.5 21,000 17.5 21,150 17.6
  8   Interest payments 0 0 0 0 300 300
  9  Investment expenditure (all sectors) 0 0 0 0 0 0
10 = 1 − 4 Overall balance (cash basis) − 5000 − 4.2 − 6000 − 5.0 − 4000 − 3.3 − 3000 − 2.5 − 3300 − 2.8 − 2610 − 2.2
11 = 12 + 15 Financing 5000 5000 4000 3000 2700 2610
 12 = 13 + 14  Domestic (net) 2000 2000 1000 1000 900 810
  13   Drawings 2000 2000 1000 1000 1000 910
  14   Amortization 0 0 − 100 − 100
 15 = 16 + 17  External (net) 3000 3000 3000 2000 1800 1800
  16   Drawings 3000 3000 3000 2000 2000 2000
  17   Amortization 0 0 0 0 − 200 − 200
18 = 11 − 10 Financing gap 0 − 1000 0 0 − 600 0
 19  GDP 120,000 120,000 120,000 120,000 120,000 126,000
 20  GDP growth (%) 0 0 0 0 5
 21  Public health expenditure % total public expenditure 12.0 15.4 15.4 16.0 15.8 16.2
 22  Public health expenditure % GDP 2.5 3.3 3.3 3.3 3.3 3.3

GDP gross domestic product, LCU local currency unit