Berk M L, Monheit A C
Project HOPE Center for Health Affairs, Chevy Chase, MD.
Health Aff (Millwood). 1992 Winter;11(4):145-9. doi: 10.1377/hlthaff.11.4.145.
An earlier study tracing trends in health spending from 1928 to 1980 found health expenditures concentrated among the top 1 percent of those spending money for health care. In an update to that study, the authors found that that trend toward concentration has increased. In 1987 the tope 1 percent of spenders accounted for 30 percent of health spending, up from 26 percent in 1970 and 29 percent in 1980. In contrast, the bottom half of the population in terms of spending accounted for only 3 percent of total spending in 1987. The average expenditure for the top 1 percent of spenders in 1987 was $47,331. Nearly half of those top spenders in 1987 were elderly. Also, more than 16 percent were black, up from nearly 10 percent in 1980.
一项早期研究追踪了1928年至1980年的医疗支出趋势，发现医疗支出集中在医疗保健支出最高的1%人群中。在该研究的更新版本中，作者发现这种集中趋势有所增加。1987年，支出最高的1%人群占医疗支出的30%，高于1970年的26%和1980年的29%。相比之下，就支出而言，处于底层的50%人群在1987年仅占总支出的3%。1987年支出最高的1%人群的平均支出为47331美元。1987年，这些高支出者中近一半是老年人。此外，超过16%是黑人，高于1980年的近10%。
