The Current and Projected Taxpayer Shares of US Health Costs

American Journal of Public Health
David U Himmelstein, Steffie Woolhandler

Abstract

We estimated taxpayers' current and projected share of US health expenditures, including government payments for public employees' health benefits as well as tax subsidies to private health spending. We tabulated official Centers for Medicare and Medicaid Services figures on direct government spending for health programs and public employees' health benefits for 2013, and projected figures through 2024. We calculated the value of tax subsidies for private spending from official federal budget documents and figures for state and local tax collections. Tax-funded health expenditures totaled $1.877 trillion in 2013 and are projected to increase to $3.642 trillion in 2024. Government's share of overall health spending was 64.3% of national health expenditures in 2013 and will rise to 67.1% in 2024. Government health expenditures in the United States account for a larger share of gross domestic product (11.2% in 2013) than do total health expenditures in any other nation. Contrary to public perceptions and official Centers for Medicare and Medicaid Services estimates, government funds most health care in the United States. Appreciation of government's predominant role in health funding might encourage more appropriate and equitable ...Continue Reading

References

Jul 16, 2002·Health Affairs·Steffie Woolhandler, David U Himmelstein
Jun 19, 2015·Health Affairs·Sara RosenbaumColin O'Laughlin

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Citations

Feb 18, 2016·American Journal of Public Health·Sandro Galea, Roger Vaughan
Mar 2, 2017·Annals of the American Thoracic Society·Joe K Gerald
Apr 14, 2016·Cadernos de saúde pública·Anne-Emanuelle Birn, Ida Hellander
Sep 8, 2018·JAMA : the Journal of the American Medical Association·Donald M Berwick
Dec 14, 2018·Journal of Neurosurgery·Alex B ValadkaPatricia C Valadka
May 9, 2019·International Journal of Health Services : Planning, Administration, Evaluation·Jean-Pierre Unger, Pierre De Paepe
Mar 12, 2020·American Journal of Public Health·Michael Fine
Mar 2, 2017·Clinical Child and Family Psychology Review·Max Crowley, Damon Jones
Jul 22, 2017·Policy, Politics & Nursing Practice·Betty A Rambur
Jan 28, 2020·Academic Pathology·Barbara S DucatmanFred Sanfilippo
Oct 13, 2017·Human Genomics·Maynard V Olson
Oct 17, 2020·International Journal of Health Services : Planning, Administration, Evaluation·Colin PritchardRichard Williams

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