Abstract
US health care spending increased 9.7percent to reach $4.1trillion in 2020, a much faster rate than the 4.3percent increase seen in 2019. The acceleration in 2020 was due to a 36.0percent increase in federal expenditures for health care that occurred largely in response to the COVID-19 pandemic. At the same time, gross domestic product declined 2.2percent, and the share of the economy devoted to health care spending spiked, reaching 19.7percent. In 2020 the number of uninsured people fell, while at the same time there were significant shifts in types of coverage.
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