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Health Expenditures in Federal and Non-federal States

TABLE 1 Health Expenditures in Federal and Non-federal States, 1998 Total as % GDP Public as % of Total Private as % of Total Australia 8.5 69.3 30.7 Belgium 8.8 89.7 10.3 Canada 9.5 69.6 30.4 Germany 10.6 74.6 25.4 United States 13.6 44.7 55.3 Average 10.2 69.6 30.4 OECD OECD Average 8.5 76.2 23.8 Non-federal 7.8 79.1 20.9 Federal 9.9 70.3 29.7 Federal – US 9.3 74.6 25.4 Notes: OECD Federal states include Australia, Austria, Belgium, Canada, Germany, Switzerland, and the United States. OECD Non-federal states include Denmark, Finland, France, Iceland, Ireland, Italy, Japan, Luxembourg, Netherlands, New Zealand, Norway, Spain, Sweden, and the United Kingdom. Source: Organisation for Economic Co-operation and Development, OECD Health Data 2000: A Comparative Analysis of 29 Countries (Paris: OECD). TABLE 2 Public Expenditure as Percent of Total Health Expenditures, Federal and Non-federal States, 1960-1998 _____________________________________________________________________________________________ % Change _____________________________________ 1960 1970 1980 1990 1998 1960-70 1970-80 1980-90 1990-98 1960-98 Australia 47.6 67.4 62.5 67.4 69.3 42 -7 8 3 46 Belgium 61.6 87.0 83.4 88.9 89.7 41 -1 7 1 46 Canada 42.7 70.2 75.6 74.6 69.6 64 8 -1 -7 63 Germany 66.1 72.8 78.7 76.2 74.6 10 8 -3 -2 13 United States 23.3 36.4 41.2 39.6 44.7 56 13 -4 13 92 Average. 48.3 66.8 68.3 69.3 69.6 38 2 1 0 44 OECD OECD 64.2* 75.2* 78.3 77.3 76.2 17 4 -1 -1 19 Non-federal 71.2* 80.7* 83.3 81.0 79.1 13 3 -3 -2 11 Federal 53.2 65.8 68.3 69.8 70.3 24 4 2 1 32 Federal -US 58.2 70.7 72.8 74.8 74.6 21 3 3 0 28 Ratios Fed/Non-fed. 0.75 0.82 0.82 0.86 0.89 (Fed-US)/Non-fed. 0.82 0.88 0.87 0.92 0.94 ________________________________________________________________________________________________ Notes: Data not available for all countries. OECD Federal and OECD Non-federal are as in Notes to Table 1. Belgium is treated as federal throughout the period. German data in 1990s include east Germany. Source: OECD Health Data 2000. TABLE 3 Population Health Status in Federal and Non-federal States Life Expectancy Infant Mortality Ranking of Population Health Ranking of Health System Performance Australia 78.3 5.0 39 32 Belgium 77.3 6.0 28 21 Canada 79.1 6.0 35 30 Germany 77.3 5.0 41 25 United States 76.8 7.0 72 37 Average 77.8 6.0 OECD OECD 77.8 5.0 Federal 77.8 5.5 Non-federal 77.8 5.0 Notes: For OECD Federal and OECD, Non-federal, see the Notes to Table 1. Columns 1 and 2 are for 1998; columns 3 and 4 are for 1997, and represent rankings out of 191 countries by the World Health Organization. Sources: Columns 1 and 2: United Nations Human Development Report 2000; columns 3 and 4 are from the World Health Report 2000. TABLE 4 Total Health Expenditures as Percent of GDP, Federal and Non-federal States, 1960–1998 ______________________________________________________________________________________________ % Change ______________________________________ 1960 1970 1980 1990 1998 1960-70 1970-80 1980-90 1990-98 1960-98 ______________________________________________________________________________________________ Australia 4.7 5.4 7.0 7.9 8.5 15 30 13 8 81 Belgium 3.4 4.1 6.4 7.4 8.8 21 56 16 19 159 Canada 5.4 7.0 7.2 9.2 9.5 3 30 28 3 76 Germany 4.8 6.3 8.8 8.7 10.6 31 40 -1 22 121 United States 5.1 7.1 8.9 12.4 13.6 39 25 39 10 167 Average. 4.7 6.0 7.7 9.1 10.2 28 28 18 12 123 OECD OECD 3.9 5.1 7.0 7.6 8.5 31 37 9 12 118 Non-Federal 3.6 4.7 6.7 7.1 7.8 31 43 6 10 116 Federal 4.4 5.7 7.6 8.7 9.9 30 33 14 14 125 Federal-US 4.3 5.5 7.4 8.1 9.3 28 35 9 15 116 Ratios Fed/Non-fed. 1.22 1.21 1.13 1.22 1.27 Fed-US/N-F 1.19 1.17 1.10 1.14 1.19 ____________________________________________________________________________________________ Notes: OECD Federal and OECD Non-federal are as in the notes to Table 1. See also Notes to Table 2 for treatment of Belgium and Germany. Source: OECD Health Data 2000. TABLE 5 Public Health Expenditures as a Percent of GDP, Federal and Non-federal States, 1960–1998 % Change ___________________________________ 1960 1970 1980 1990 1998 1960-70 1970-80 1980-90 1990-98 Australia 2.2 3.6 4.4 5.3 5.9 64 22 20 11 Belgium 2.1 3.6 5.3 6.6 7.9 71 47 24 20 Canada 2.3 4.9 5.4 6.9 6.6 113 10 28 -4 Germany 3.2 4.6 6.9 6.6 7.9 44 50 -4 20 United States 1.2 2.6 3.7 4.9 6.1 120 42 32 24 Average 2.2 3.9 5.1 6.1 6.9 77 31 19 13 OECD OECD 2.4 4.0 5.7 6.1 6.4 63 42 7 5 Non-federal 2.5 4.1 5.9 6.1 6.1 64 44 3 0 Federal 2.3 3.7 5.1 5.9 6.8 61 38 16 15 Federal-US 2.5 3.9 5.3 6.1 7.0 56 36 15 15 Ratios Fed/N-fed. 0.92 0.90 0.86 0.97 1.11 Fed-U.S./Non-fed. 1.00 0.95 0.90 1.00 1.15 Notes: For OECD Federal and OECD Non-federal, see Notes to Table 1. For treatment of Belgium and Germany, see Notes to Table 2. Source: Calculated from OECD Health Data 2000.