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Health care spending in the United States is characterized as being the most costly per person as compared to all other countries, and despite this spending, the quality of health care overall is low by some measures. The Centers for Medicare and Medicaid reported in 2014 that U.S. healthcare costs were 17.4% GDP in 2013, similar to 2009-2012 but up from 13.4% GDP in 2000. Healthcare costs per capita have risen steadily from $4,881 in 2000 to $9,255 in 2013, a 5% average annual increase. The annual rate of increase in total healthcare costs has been declining, falling steadily from a 9.6% increase in 2002 to 3.8% for 2009 and has been steady since, to a 3.6% increase in 2013.〔(Centers for Medicare and Medicaid Services-Statistics, Trends and Reports Retrieved September 23, 2015 )〕 The Congressional Budget Office reported in January 2015 that Medicare costs were 3.5% GDP in 2014, steady from from 2009 but up from 2.1% GDP in 2000. Medicaid costs were 1.7% GDP in 2014, steady from 2009 but up from 1.2% GDP in 2000.〔(CBO-Budget And Economic Outlook: 2015 To 2025-January 2015 )〕 CBO projected in June 2015 that federal spending on healthcare programs will rise from 5.2% GDP in 2015 to 8.0% GDP by 2040. This would be driven by a significant increase in the number of program beneficiaries due to the retirement of the Baby Boomers and expanded coverage under the Affordable Care Act, along with healthcare cost inflation.〔(CBO-Long Term Budget Outlook 2015-June 2015 )〕 According to the World Health Organization (WHO), total health care spending in the U.S. was 17% of its GDP in 2012, the highest in the world. The Health and Human Services Department expects that the health share of GDP will continue its historical upward trend, reaching 19.6% of GDP by 2024.〔( "National Health Expenditure Data: NHE Fact Sheet," ) Centers for Medicare and Medicaid Services, referenced September 23, 2015〕〔Sean Keehan, Andrea Sisko, Christopher Truffer, Sheila Smith, Cathy Cowan, John Poisal, M. Kent Clemens, and the National Health Expenditure Accounts Projections Team, ("Health Spending Projections Through 2017: The Baby-Boom Generation Is Coming To Medicare" ), ''Health Affairs'' Web Exclusive, February 26, 2008. Retrieved February 27, 2008.〕 Of each dollar spent on health care in the United States, 31% goes to hospital care, 21% goes to physician/clinical services, 10% to pharmaceuticals, 4% to dental, 6% to nursing homes and 3% to home health care, 3% for other retail products, 3% for government public health activities, 7% to administrative costs, 7% to investment, and 6% to other professional services (physical therapists, optometrists, etc.).〔(U.S. Healthcare Costs: Background Brief ). KaiserEDU.org. See also (Trends in Health Care Costs and Spending, March 2009 - Fact Sheet ). Kaiser Permanente.〕 The Commonwealth Fund ranked the United States last in the quality of health care among similar countries, and notes U.S. care costs the most. Around 84.7% of Americans have some form of health insurance; either through their employer or the employer of their spouse or parent (59.3%), purchased individually (8.9%), or provided by government programs (27.8%; there is some overlap in these figures).〔("Income, Poverty, and Health Insurance Coverage in the United States: 2007." ) U.S. Census Bureau. Issued August 2008.〕 All government health care programs have restricted eligibility, and there is no government health insurance company which covers all Americans. Americans without health insurance coverage in 2007 totaled 15.3% of the population, or 45.7 million people.〔 Among those whose employer pays for health insurance, the employee may be required to contribute part of the cost of this insurance, while the employer usually chooses the insurance company and, for large groups, negotiates with the insurance company. Government programs directly cover 27.8% of the population (83 million),〔 including the elderly, disabled, children, veterans, and some of the poor, and federal law mandates public access to emergency services regardless of ability to pay. Public spending accounts for between 45% and 56.1% of U.S. health care spending.〔Thomas M. Selden and Merrile Sing, ("The Distribution Of Public Spending For Health Care In The United States, 2002," ) Health Affairs 27, no. 5 (2008): w349-w359 (published online 29 July 2008)〕 Some Americans do not qualify for government-provided health insurance, are not provided health insurance by an employer, and are unable to afford, cannot qualify for, or choose not to purchase, private health insurance. When charity or "uncompensated" care is not available, they sometimes simply go without needed medical treatment. This problem has become a source of considerable political controversy on a national level. ==Spending== 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Health care finance in the United States」の詳細全文を読む スポンサード リンク
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