Aetna Report, April 2010
Annual health care spending in the United States is estimated to surpass $4.2 trillion in 2018, up from $2.5 trillion in 2009 and $75 billion in 1970. Such spending accounts for 17% of GDP currently and is expected to reach 19% in 2018.1
Many consumers and small employers are struggling to afford their health insurance premiums. High costs have fueled an uninsured rate of 15.4% with 46.3 million uninsured.2 About 56% of the uninsured are ineligible for public programs and cannot afford coverage, while another 25% are eligible for public programs but not enrolled.3
For many employees, the growth in health care premiums is displacing wage increases. For other employees, high health care costs mean their employers cannot offer coverage at all. For firms with less than ten employees, only 46% offer coverage to their workers.4
1Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. www.cms.hhs.gov/NationalHealthExpendData/; Historical data from CY 1960-2008; Projected data from NHE projections 2009-2018.
2US Census Bureau Health Insurance. “Current Population Survey, Annual Social and
Economic Supplement, 2009” (September 2009). www.census.gov/hhes/www/hlthins/hlthins.html
3Dubay, Lisa, et al (2006) “The Uninsured and The Affordability of Health Insurance Coverage” Health Affairs.
4Kaiser Family Foundation and Health Research & Educational Trust (HRET). “Employer Health Benefits – Annual Survey 2009” (September 2009). ehbs.kff.org/pdf/2009/7936.pdf