U.S. Healthcare Spending Baseline, 2024

Selected components of U.S. National Health Expenditures in 2024. These figures describe current national healthcare spending and are not estimates of the cost of the Leiflets universal insurance model.

Last updated: September 22, 2026#universal-healthcare#healthcare#health-spending#Medicare#Medicaid#private-insurance#out-of-pocket#NHE

National Health Expenditures

2024 Spending$5.3 trillion
Share of NHE100%

Medicare

2024 Spending$1.118 trillion
Share of NHE21%

Medicaid

2024 Spending$931.7 billion
Share of NHE18%

Private health insurance

2024 Spending$1.645 trillion
Share of NHE31%

Out-of-pocket spending

2024 Spending$556.6 billion
Share of NHE11%

Hospital care

2024 Spending$1.635 trillion
Share of NHE31%

Physician and clinical services

2024 Spending$1.110 trillion
Share of NHE21%

Retail prescription drugs

2024 Spending$467.0 billion
Share of NHE9%

Notes

National Health Expenditures measure total U.S. healthcare spending across multiple payers, services and financing sources. The $5.3 trillion total should not be interpreted as the budget of a universal insurance program or directly compared with the Leiflets $3.95 trillion core-benefit planning target as if the two measures covered identical spending.

Sources

[521]Centers for Medicare & Medicaid Services

NHE Fact Sheet

Primarygovernment
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[522]Centers for Medicare & Medicaid Services

National Health Expenditure Accounts (NHEA): Definitions, Sources, and Methods

Primarygovernment report
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