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Expand chart
Data: Centers for Medicare & Medicaid Services and CIA World FactBook; Note: All values adjusted for inflation as of 2018; Chart: Harry Stevens/Axios

Americans spent $3.65 trillion on health care in 2018, according to new preliminary estimates from independent federal actuaries. That total is about the same size as Spain and Canada's entire economies — combined.

Why it matters: U.S. health spending last year was 4.4% higher than in 2017, a rate that is still growing faster than the broader economy — which means more money is being taken out of people's paychecks to pay for a system that continues to worry and frustrate patients.

By the numbers: That $3.65 trillion health care tab last year translates to $11,121 per person.

  • Spending on hospitals, doctors and other clinic services was $2.16 billion, holding steady at 59% of total health care spending.
  • The spending category that experienced the largest year-over-year increase was the general cost of administering health insurance, which rose 7.7% in 2018.
  • Spending on prescription drugs purchased in retail pharmacies went up 3.3% in 2018, higher than the 0.4% rate in 2017.
  • A majority of the bigger spending totals were due to higher overall prices, while the "use and intensity" of health care services played a smaller role.

Three main conduits pay for health care services: Medicare, Medicaid and private health insurance.

  • Private health insurance continues to fare the worst on controlling costs. Per-person spending among the privately insured rose 4.5% in 2018 despite the fact enrollment in private plans stayed flat.
  • Per-person spending in Medicaid and Medicare increased 1.1% and 3.1%, respectively, last year. Those government programs pay lower provider rates than private insurers.

Go deeper

Judge temporarily blocks South Carolina ban on school mask mandates

South Carolina Gov. Henry McMaster. Photo: Eric Thayer/Bloomberg via Getty Images

A federal judge on Tuesday temporarily blocked South Carolina's ban on mask mandates in schools, ruling that it discriminated against students with disabilities and violated the Americans with Disabilities Act.

Why it matters: As mask bans extend to public schools around the country, parents and disability rights activists have sounded alarm bells. The ruling may signal the outcomes of legal fights playing out across the country.

DeSantis takes legal action against Biden efforts on immigration

Gov. Ron DeSantis (R) Photo: Paul Hennessy/SOPA Images/LightRocket via Getty Images

Florida Gov. Ron DeSantis took legal action on Tuesday to try to stop the Biden administration's immigration plans.

Why it matters: The Republican governor, who is running for re-election next year and is possibly eyeing a 2024 presidential bid, is picking a high-profile fight with Biden while re-upping his hardline stance on immigration.

Left: Senate's threat "insane"

The famously press-shy Sen. Kyrsten Sinema speaks briefly with reporters on Tuesday. Photo: Chip Somodevilla/Getty Images

Rep. Ro Khanna (D-Calif.) lambasted Sen. Kyrsten Sinema (D-Ariz.) on Tuesday, saying "it's insane" that "one senator" is blocking attempts to settle on a palatable figure for President Biden's proposed $3.5 trillion budget reconciliation package.

Why it matters: The figure is the linchpin to getting progressive support for the companion $1.2 trillion bipartisan infrastructure package. Khanna's statement reflects broader dissatisfaction among House progressives with Sinema and her fellow holdout, Sen. Joe Manchin (D-W.Va.).

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