Office of the Actuary, Centers for Medicare and Medicaid Services (CMS), Baltimore, Maryland, USA.
Health Aff (Millwood). 2010 Mar-Apr;29(3):522-9. doi: 10.1377/hlthaff.2009.1074. Epub 2010 Feb 4.
The economic recession and rising unemployment-plus changing demographics and baby boomers aging into Medicare-are among the factors expected to influence health spending during 2009-2019. In 2009 the health share of gross domestic product (GDP) is expected to have increased 1.1 percentage points to 17.3 percent-the largest single-year increase since 1960. Average public spending growth rates for hospital, physician and clinical services, and prescription drugs are expected to exceed private spending growth in the first four years of the projections. As a result, public spending is projected to account for more than half of all U.S. health care spending by 2012.
经济衰退和失业率上升——加上人口结构变化和婴儿潮一代步入医疗保险年龄——是预计将在 2009 年至 2019 年期间影响医疗支出的因素之一。预计 2009 年,国内生产总值(GDP)中卫生部分所占比例将增加 1.1 个百分点,达到 17.3%,这是自 1960 年以来的最大单年增幅。预计在预测的前四年中,医院、医生和临床服务以及处方药的公共支出平均增长率将超过私人支出增长率。因此,预计到 2012 年,公共支出将占美国所有医疗保健支出的一半以上。