No. 152. National Health Expenditures by Object [In billions of dollars (699.4 represents $699,400,000,000). Includes Puerto Rico and outlying areas] ------------------------------------------------------------------------------------------ OBJECT OF EXPENDITURE 1990 1995 1996 1997 1998 ------------------------------------------------------------------------------------------ Total 699.4 993.3 1,039.4 1,088.2 1,149.1 Spent by-- Consumers 384.6 494.6 513.0 535.7 574.6 Out-of-pocket 145.0 170.5 178.1 189.1 199.5 Private insurance 239.6 324.0 334.9 346.7 375.0 Government 283.2 456.0 480.4 502.2 522.7 Other \1 31.6 42.7 46.1 50.3 51.8 Spent for-- Health services and supplies 674.8 962.5 1,007.5 1,053.5 1,113.7 Personal health care expenses 614.7 879.1 924.0 968.6 1,019.3 Hospital care 256.4 347.0 359.4 370.2 382.8 Physician services 146.3 201.9 208.5 217.8 229.5 Dental services 31.6 45.0 47.5 51.1 53.8 Other professional services \2 34.7 53.6 57.4 61.5 66.6 Home health care 13.1 29.1 31.2 30.5 29.3 Drugs/other medical nondurables 59.9 88.6 98.0 108.6 121.9 Vision products/other med. durables \3 10.5 13.3 14.1 15.1 15.5 Nursing home care 50.9 75.5 80.2 84.7 87.8 Other health services 11.2 25.1 27.6 29.2 32.1 Net cost of insurance and admin. \4 40.5 53.6 52.1 50.3 57.7 Government public health activities 19.6 29.8 31.3 34.6 36.6 Medical research \5 12.2 16.7 17.2 17.9 19.9 Medical facilities construction 12.3 14.0 14.8 16.9 15.5 ------------------------------------------------------------------------------------------ \1 Includes nonpatient revenues, privately funded construction, and industrial inplant. \2 Includes services of registered and practical nurses in private duty, podiatrists, optometrists, physical therapists, clinical psychologists, chiropractors, naturopaths, and Christian Science practitioners. \3 Includes expenditures for eyeglasses, hearing aids, orthopedic appliances, artificial limbs, crutches, wheelchairs, etc. \4 Includes administrative expenses of federally financed health programs. \5 Research and development expenditures of drug companies and other manufacturers and providers of medical equipment and supplies are excluded from research expenditures, but are included in the expenditure class in which the product falls. Source: U. S. Health Care Financing Administration, Health Care Financing Review, winter 1999 http://www.hcfa.gov/stats/