Out-of-pocket health expenditure — all countries

Out-of-pocket health expenditure — United States

Out-of-pocket health expenditure in the United States in 2023 — 10.93%. Ranked 29 in the world out of 192. Since 2000, the indicator has fallen by 4.19 pp.

2023 10.93% −0.04 pp vs 2022
World rank 29of 192
Period maximum 15.12%2000
Period minimum 10.07%2020

Trend over time

2000–2023 · % of health expenditure

Out-of-pocket health expenditure — United States, 2000–2023101214162000200320062009201220152018202120232000: 15.12%2001: 14.42%2002: 14.33%2003: 14.15%2004: 13.97%2005: 13.91%2006: 13.68%2007: 13.6%2008: 13.36%2009: 12.65%2010: 12.37%2011: 12.32%2012: 12.34%2013: 12.28%2014: 11.98%2015: 11.75%2016: 11.63%2017: 11.35%2018: 11.32%2019: 11.31%2020: 10.07%2021: 10.73%2022: 10.97%2023: 10.93%
Change over the period: −4.19 pp Annual average: -0.18 pp

Comparison, 2023

How the value compares with the world and the groups this territory belongs to: United States

United States 10.93%
World 17.33%
North America 11.14%
High-income countries computed 19.69%
Out-of-pocket health expenditure — United States, by year United States All countries CSV XLSX
Year % Change, pp
2023 10.93 −0.04 pp
2022 10.97 +0.24 pp
2021 10.73 +0.66 pp
2020 10.07 −1.24 pp
2019 11.31 −0.01 pp
2018 11.32 −0.03 pp
2017 11.35 −0.28 pp
2016 11.63 −0.13 pp
2015 11.75 −0.22 pp
2014 11.98 −0.31 pp
2013 12.28 −0.05 pp
2012 12.34 +0.02 pp
2011 12.32 −0.05 pp
2010 12.37 −0.28 pp
2009 12.65 −0.71 pp
2008 13.36 −0.24 pp
2007 13.6 −0.08 pp
2006 13.68 −0.23 pp
2005 13.91 −0.06 pp
2004 13.97 −0.18 pp
2003 14.15 −0.18 pp
2002 14.33 −0.09 pp
2001 14.42 −0.7 pp
2000 15.12

Northern America, 2023

The same indicator for neighboring countries — with links to their pages

US United States 10.93 CA Canada 15.2

About the indicator

Payments people make for medical care directly at the point of use — as a percent of all current health expenditure in the country. Insurance contributions and taxes are excluded: only what a person takes out of their pocket at the counter. The indicator is considered a key measure of financial protection: the higher it is, the more often illness means ruin, and WHO tracks it as an indicator of the risk of catastrophic household spending.

Important: A high value means weak protection, not an active private sector: voluntary insurance is not part of this indicator, so a country with developed private insurance can have a low share of out-of-pocket payments.

Source: Global Health Observatory (WHO), license CC BY-NC-SA 3.0 IGO.