Updated Feb 14, 2018

America's $3.5 trillion health care system

Americans spent about $3.5 trillion on health care in 2017. Photo: Andy Cross / The Denver Post via Getty Images

Americans continue to spend a lot of money on health care. Don't expect that to change. New preliminary federal data show annual health care spending climbed 4.6% to $3.5 trillion in 2017 — higher than the 4.3% growth rate in 2016 and still a lot higher than the broader inflation rate.

The bottom line: The new data reinforce the point that hospital visits, doctor appointments, surgeries, prescriptions and other health care services are gobbling up more of the U.S. economy right now and in the future at the expense of other societal priorities.

The big picture: The data are from independent actuaries within the federal Centers for Medicare & Medicaid Services. They predict national health spending will increase by 5.5% on average every year between 2017 and 2026. Projecting health care spending is imprecise and difficult, but some of the major reasons why the growth rate is ticking back up from historical lows:

  • Prices are bouncing back up.
  • Higher Medicare payments to hospitals and doctors than in prior years, as well as more intense use of health care services from baby boomers and other Medicare beneficiaries.
  • People who had Affordable Care Act plans used a lot of health care, which raised premiums.
  • Prescription drug prices, arguably the industry's biggest bugaboo these days.

A factor not considered: Consolidation, which a House hearing covered today.

Looking ahead: Growth in Medicare and Medicaid spending will only increase faster as more Americans get older and poorer. And the amount spent on people with private insurance will still rise quickly even though high-deductible plans are stunting demand.

Get smart: Prices remain the major driving force behind the country's ballooning health care tab.

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Tariff worries hit record high amid coronavirus outbreak

Data: CivicScience, margin of error ±1 percentage points; Chart: Axios Visuals

Concern about President Trump's tariffs on U.S imports grew to record high levels among Americans last month, particularly as more lost their jobs and concern about the novel coronavirus increased.

Driving the news: About seven in 10 people said they were at least somewhat concerned about tariffs in March, according to the latest survey from CivicScience provided first to Axios.

U.S. coronavirus updates: Largest 24-hour spike in fatalities

Data: The Center for Systems Science and Engineering at Johns Hopkins; Map: Andrew Witherspoon/Axios

New York's death toll from the novel coronavirus surged to its highest one-day total on Tuesday, as the U.S. saw its largest 24-hour spike in fatalities, per Johns Hopkins data. Recorded deaths across the U.S. surpassed 12,900 early Wednesday.

Why it matters: State officials have stressed that lockdowns must continue even if cities begin to see slight improvements from social distancing. Several hot spots, including New York, New Orleans, and Detroit, are expected to peak in the coming days.

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Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 12:30 a.m. ET: 1,430,453 — Total deaths: 82,133 — Total recoveries: 301,385Map.
  2. U.S.: Total confirmed cases as of 12:30 a.m. ET: 399,081 — Total deaths: 12,907 — Total recoveries: 22,461Map.
  3. Federal government latest: Acting Navy secretary resigns over handling of virus-infected ship — Trump removes watchdog overseeing rollout of $2 trillion coronavirus bill — Trump said he "didn't see" memos from his trade adviser Peter Navarro warning that the crisis could kill more than half a million Americans.
  4. States latest: California Gov. Gavin Newsom is confident that more than 200 million masks will be delivered to the state "at a monthly basis starting in the next few weeks."
  5. Business latest: America's food heroes in times of the coronavirus crisis. Even when the economy comes back to life, huge questions for airlines will remain.
  6. World updates: China reopens Wuhan after 10-week coronavirus lockdown.
  7. 2020 latest: Polls for Wisconsin's primary elections closed at 9 p.m. ET Tuesday, but results won't be released until April 13. Thousands of residents cast ballots in person.
  8. 1 Olympics thing: About 6,500 athletes who qualified for the Tokyo Games will keep their spots in 2021.
  9. What should I do? Pets, moving and personal healthAnswers about the virus from Axios expertsWhat to know about social distancingQ&A: Minimizing your coronavirus risk.
  10. Other resources: CDC on how to avoid the virus, what to do if you get it.

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