Health spending distribution in the United States by payer 2018-2021

In 2021, health spending in the United States reached approximately 4.3 trillion U.S. dollars, and private insurance accounted for around 28.5 percent of that figure. However, public health insurance, which includes the Medicare and Medicaid programs, combined for a share of around 38.5 percent.The rising costs of health care coverageU.S. national health expenditure continues to increase and is projected to exceed four trillion U.S. dollars in 2021. Hospital care and physician services have been the leading spending categories for several years and combined for more than half of all health spending in 2021. In the same year, federal and state governments made up 61 percent of national health expenditures, with the federal government’s share accounting for 27 percent.The differences between Medicare and MedicaidMedicare and Medicaid were both signed into U.S. law by President Johnson in 1965. Medicare is a health insurance program solely funded by the federal government. The plan was primarily created for all Americans aged 65 and older, regardless of their income. Medicaid is administered at a state level in accordance with some core federal requirements, but both fund the program. The plan provides health care to millions of Americans, and some states have expanded the Medicaid program to cover nearly all low-income adults under the age of 65.

2021年，美国卫生支出总额达到约4.3万亿美元，其中私人保险占约28.5%。然而，包括医疗保险和医疗补助计划在内的公共健康保险，合计占据了约38.5%的份额。美国医疗保险覆盖成本持续攀升，预计2021年国家卫生支出将超过4万亿美元。医院护理和医生服务已连续数年成为主要的支出类别，并在2021年共同构成了所有卫生支出的超过一半。同年，联邦和州政府共同承担了国家卫生支出的61%，其中联邦政府的份额为27%。医疗保险与医疗补助的差异：医疗保险和医疗补助均于1965年由约翰逊总统签署成为美国法律。医疗保险是一项仅由联邦政府全额资助的健康保险计划。该计划主要面向所有65岁及以上的美国公民，无论其收入水平。医疗补助则根据某些核心联邦要求在州级层面进行管理，但两者均资助该计划。该计划为数百万人提供了医疗服务，并且一些州已将医疗补助计划扩展至覆盖几乎所有65岁以下的低收入成年人。