Percent Distribution of Source of Funds for Selected Personal Health Care Services, 1970 and 2011

100% 15,7% 13,2% 1,2% 7,6% 5,0% 7,2% 90% 80% 29,0% 9,5% 4,5% 11,5% 8,3% 23,4% 17,8% 24,2% 70% 9,7% 22,9% 23,3% 60% 17,1% 50% 19,7% 27,2% 45,1% 9,7% 82,4% 3,5% 9,0% 30,9% 25,2% 40% 9,0% 3,3% 30% 20% 46,0% 46,5% 49,5% 26,7% 32,5% 36,1% 29,4% 10% 0%

1970 2011 Hospital Care 1970 2011 Physician & Clinical Services

Priv. Health Ins.

Out-of-Pocket Medicare 8,8%

1970 2011 Retail Prescription Drugs

Medicaid Other 0.2% 8,3%

1970 2011 Continuing Care Retirement Communities

NOTES: Medicare and Medicaid were enacted in 1965; by January 1970, all states but two were participating in Medicaid. “Out-of-Pocket” includes direct spending by consumers for all health care goods and services not covered by insurance, except for health care pr emiums. “Priv. Health Ins.” includes premiums paid to health insurance plans and the net cost of private health insurance (administrative costs, reserves, taxes, and profits or losses). “Other” includes Other Public Health Insurance Programs (CHIP, Depts. of Defense and of Veterans Affairs) and Other Third Party Payers (e.g., worksite health care, other private revenues, workers’ compensation, maternal/child health, other state and local programs, etc.).

SOURCE: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group at https://www.cms.gov/NationalHealthExpendData/ (see Historical; NHE Web tables, Tables 7, 8, 15, 16).