National health expenditures: short-term outlook and long-term projections.

M S Freeland, C E Schendler
Author Information

Abstract

This paper presents projections of national health expenditures by type of expenditure and source of funds for 1981, 1985, and 1990. Rapid growth in national health expenditures is projected to continue through 1990. National health expenditures increased 400 percent between 1965 and 1979, reaching $212 billion in 1979. As a proportion of the Gross National Product (GNP), health expenditures rose from 6.1 percent to 9.0 percent between 1965 and 1979. They are expected to continue to rise, reaching 10.8 percent by 1990. This study projects that, under current legislation, national health expenditures will research $279 billion in 1981, $462 billion in 1985, and $821 billion in 1990. Sources of payments for these expenditures are shifting. From 1965 to 1979, the percentage of total health expenditures financed by public funds increased 17 percentage points--from 26 to 43 percent. The Federal share of public funds during this same period grew rapidly, from 51 percent in 1965 to 67 percent in 1979. This study projects that in 1985 approximately 45 percent of total health spending will be financed from public funds, of which 68 percent will be paid for by the Federal government. Public funds will account for 46 percent of total national health expenditure by 1990.

References

  1. Med Care. 1979 Nov;17(11):1088-102 [PMID: 116094]
  2. Hosp Financ Manage. 1978 Feb;32(2):20-2, 23, 24 [PMID: 10305306]
  3. Health Care Financ Rev. 1980 Spring;1(4):47-64 [PMID: 10309223]
  4. N Engl J Med. 1978 Jun 1;298(22):1229-38 [PMID: 418336]
  5. Profile Med Pract. 1978;:83-94 [PMID: 10256984]
  6. J Health Polit Policy Law. 1976 Spring;1(1):69-84 [PMID: 828636]
  7. Health Care Financ Rev. 1979 Summer;1(1):62-78 [PMID: 10309053]
  8. N Engl J Med. 1978 Mar 23;298(12):650-8 [PMID: 415239]
  9. Health Care Financ Rev. 1980 Summer;2(1):51-61 [PMID: 10309257]
  10. J Hum Resour. 1978;13 Suppl:21-34 [PMID: 722067]
  11. Bus Week. 1979 Aug 6;(2597):54, 56 [PMID: 10242471]
  12. Soc Secur Bull. 1980 Jan;43(1):3-8 [PMID: 6769168]
  13. Inquiry. 1979 Fall;16(3):230-46 [PMID: 157331]
  14. Health Care Financ Rev. 1980 Summer;2(1):1-36 [PMID: 10309255]
  15. J Dent Educ. 1979 Jun;43(7):330-48 [PMID: 286728]
  16. Inquiry. 1975 Dec;12(4):275-99 [PMID: 128523]
  17. Ann Am Acad Pol Soc Sci. 1979 May;(443):25-40 [PMID: 10308937]
  18. J Hum Resour. 1978;13 Suppl:35-56 [PMID: 722069]
  19. Harv Bus Rev. 1980 Sep-Oct;58(5):100-12 [PMID: 10247957]
  20. Med Care. 1978 Apr;16(4):289-98 [PMID: 651395]
  21. Mon Labor Rev. 1978 Aug;101(8):35-9 [PMID: 10308705]
  22. Med World News. 1980 Oct 27;21(12):42-4, 49-52 [PMID: 10278077]
  23. Public Health Rep. 1978 Sep-Oct;93(5):493-588 [PMID: 100825]
  24. N Engl J Med. 1979 Dec 27;301(26):1413-9 [PMID: 117359]
  25. Sci Am. 1978 Feb;238(2):46-53 [PMID: 625656]
  26. Inquiry. 1979 Fall;16(3):195-229 [PMID: 38206]
  27. Health Care Financ Rev. 1980 Spring;1(4):39-45 [PMID: 10309222]
  28. Soc Secur Bull. 1976 May;39(5):3-14 [PMID: 799362]
  29. N Engl J Med. 1979 Oct 11;301(15):812-8 [PMID: 481513]
  30. N Engl J Med. 1978 Mar 30;298(13):709-20 [PMID: 415241]
  31. Health Care Financ Rev. 1979 Summer;1(1):37-61 [PMID: 10309052]
  32. N Engl J Med. 1978 Feb 2;298(5):249-54 [PMID: 413040]
  33. Science. 1973 Dec 14;182(4117):1102-8 [PMID: 4750608]
  34. Health Serv Res. 1974 Winter;9(4):308-23 [PMID: 4461703]
  35. N Engl J Med. 1980 Oct 30;303(18):1032-8 [PMID: 7421890]
  36. Health Serv Res. 1974 Winter;9(4):293-307 [PMID: 4461702]
  37. N Engl J Med. 1979 Nov 15;301(20):1086-91 [PMID: 114833]
  38. J Med Educ. 1976 Oct;51(10):791-805 [PMID: 823337]
  39. Am Med News. 1980 Jul 25;23(29):1-3 suppl [PMID: 10247810]
  40. N Engl J Med. 1978 Jun 15;298(24):1336-43 [PMID: 418339]
  41. Health Care Financ Rev. 1979 Fall;1(2):3-22 [PMID: 10309113]
  42. N Engl J Med. 1979 Dec 13;301(24):1314-20 [PMID: 388221]
  43. Hospitals. 1980 Oct 1;54(19):63-4 [PMID: 7409777]
  44. N Engl J Med. 1979 Dec 27;301(26):1444-5 [PMID: 117360]
  45. Harv Bus Rev. 1979 Jan-Feb;57(1):141-52 [PMID: 10239734]
  46. Am J Public Health. 1980 Jun;70(6):619-24 [PMID: 7377438]
  47. Health Care Financ Rev. 1979 Fall;1(2):65-71 [PMID: 10309115]
  48. J Health Polit Policy Law. 1978 Fall;3(3):303-27 [PMID: 730992]
  49. Med Econ. 1980 Oct 13;57(21):206-14, 217-20, 222-3 [PMID: 10248711]
  50. Health Care Financ Rev. 1980 Spring;1(4):1-13 [PMID: 10309220]
  51. N Engl J Med. 1979 Apr 5;300(14):790-3 [PMID: 106275]
  52. Public Health Rep. 1977 Nov-Dec;92(6):499-507 [PMID: 928622]
  53. Health Serv Res. 1979 Fall;14(3):183-205 [PMID: 391771]
  54. N Engl J Med. 1979 Jun 7;300(23):1298-305 [PMID: 440332]
  55. N Engl J Med. 1979 Jun 14;300(24):1359-62 [PMID: 440358]
  56. Health Care Financ Rev. 1980 Spring;1(4):65-90 [PMID: 10309224]
  57. Inquiry. 1979 Fall;16(3):247-58 [PMID: 157332]
  58. N Engl J Med. 1978 May 11;298(19):1058-62 [PMID: 25385]
  59. Vital Health Stat 13. 1979 Jul;(43):1-213 [PMID: 506073]
  60. Public Interest. 1979 Summer;(56):3-20 [PMID: 10308941]
  61. J Hum Resour. 1978 Summer;13(3):402-15 [PMID: 712059]
  62. J Hum Resour. 1978;13 Suppl:247-62 [PMID: 722068]
  63. N Engl J Med. 1980 Nov 6;303(19):1088-95 [PMID: 6775224]
  64. Public Health Rep. 1979 Jan-Feb;94(1):3-10 [PMID: 419290]
  65. Health Care Financ Rev. 1980 Winter;1(3):29-48 [PMID: 10309133]
  66. Inquiry. 1974 Sep;11(3):181-7 [PMID: 4278126]
  67. J Dent Educ. 1979 May;43(5):287-302 [PMID: 374441]
  68. Demography. 1978 Nov;15(4):397-432 [PMID: 738471]
  69. Fortune. 1980 Nov 17;102(10):68-70, 76, 81 [PMID: 10248511]
  70. N Engl J Med. 1978 Dec 28;299(26):1462-4 [PMID: 101848]
  71. Inquiry. 1977 Jun;14(2):171-5 [PMID: 141419]
  72. Inquiry. 1975 Jun;12(2):97-125 [PMID: 124707]
  73. Milbank Mem Fund Q Health Soc. 1979 Winter;57(1):38-59 [PMID: 253197]
  74. Milbank Mem Fund Q Health Soc. 1979 Spring;57(2):183-211 [PMID: 372844]
  75. Bus Week. 1979 Jun 25;(2591):58, 62 [PMID: 10241546]
  76. Health Care Financ Rev. 1980 Winter;1(3):1-27 [PMID: 10309132]

MeSH Term

Financing, Government
Forecasting
Health Expenditures
United States

Word Cloud

Created with Highcharts 10.0.0percenthealthexpendituresfunds19901979national1965billionwill1985Nationaltotalpublicprojectionsexpenditure1981continueincreasedreachingstudyprojectspercentagefinancedFederalpaperpresentstypesourceRapidgrowthprojected400$212proportionGrossProductGNProse6190expectedrise108currentlegislationresearch$279$462$821Sourcespaymentsshifting17points--from2643shareperiodgrewrapidly5167approximately45spending68paidgovernmentPublicaccount46expenditures:short-termoutlooklong-term

Similar Articles

Cited By