Abstract
Health care spending in the US grew 2.7percent to reach $4.3trillion in 2021, a much slower rate than the increase of 10.3percent seen in 2020. The slower rate of growth in 2021 was driven by a 3.5percent decline in federal government expenditures for health care after a spike in 2020 that occurred largely in response to the COVID-19 pandemic. Alongside this decline, the use of medical goods and services increased in 2021. The share of the economy accounted for by the health sector fell from 19.7percent in 2020 to 18.3percent in 2021, but it was still higher than the 17.6percent share in 2019. In 2021 the number of uninsured people declined for the second consecutive year as Medicaid enrollment increased.
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