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20th Century Healthcare

Create and customize your own charts of government spending.

Change: from to
Google Chart or JpGraph or chart.js
or Add data series

Use the controls below to CUSTOMIZE chart or CHANGE the data series

Hover mouse over dropdown controls for help. Remember, you can display a maximum of five data series at once.

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Spending Units: By default, government spending is displayed in billions of dollars. But using a dropdown control in the table heading you can select billions of 2017 dollars, percent of GDP, 2017 dollars per capita, percent of federal spending, or percent of total spending.
Chart Title: You can create a title for your chart. Use the text field to enter a title and click the button to the right of the text field.
US or State: By default, the chart shows overall United States government spending. But you can select spending for individual states by selecting the state dropdown control in the table heading.
State, Local: By default, you can chart state spending or local spending by clicking a radio button in the selection table. But you can chart state-and-local combined by selecting state n local in the state/local dropdown control in the table heading.
View: There are many ways to view the spending data. The default view is functional. There is a census view that conforms with the spending categories used by the US Census Bureau in its Statistical Abstract. There is a COFOG view that categorizes spending using the UN methodology.
Linear/Log: By default, the data series are displayed as linear charts. But you can also select a log chart. Linear charts show constant amount changes as a straight line; Log charts show constant rates of change as a straight line.
Line/Bar: By default, the data series are displayed as line charts. But you can also select a bar chart.
Data Stack: By default, the data series are “stacked” when displayed on the chart. But you can change the setting to “un stack” the data series.
Chart Size: By default, the chart is displayed at medium size. But you can use the dropdown control to change the size.
Color: By default charts are displayed with color data lines and fill. You can change this to grayscale if you want. Or display a chart using Google API or chart.js API.
US Budget Year: By default, the chart displays budgeted and estimated federal spending in the current US Budget submitted to the Congress by the president. But you can look at previous budgeted numbers using this dropdown control.
Mandatory: By default the chart shows all spending without regard to mandatory or discretionary. Select Mandatory if you want to chart only federal Mandatory spending, Discretionary if you want to chart only federal Discretionary spending, Both if you want both federal Mandatory and Discretionary spending broken out using the dropdown control in the table heading.

Data Range

Start Year: You can select any start year you want using the dropdown control in the table heading. At the top and bottom of the dropdown only years ending in “0” are shown. Select a start year to get close, then select the start year you want.
End Year: You can select any end year you want using the dropdown control in the table heading. At the top and bottom of the dropdown only years ending in “0” are shown. Select an end year to get close, then select the end year you want.
Category (max 7)Sub-categoryFed Gov. 
Xfer 
State Local Total   
 
Data Series: Select a spending series you want to chart from a dropdown on the left. If you select on the bottom dropdown you will add a data series (up to a maximum of five). The right-hand dropdown allows you to replace a data series with a more narrowly focused series. Click the “X” link to remove a data series from the chart.
? Health Care: Health care
  ? Select data series to add to chart
 All Categories

If you’d like to create your own custom chart of spending data you should use the table above to make your selections.

  • Select the year range: Select the start year and the end year you want by selecting the years you want in the two year dropdown boxes.
  • Select spending items: Just select the spending item you want from the dropdown control. Then click a radio button to select the level of government: federal, state, or local. If you select from the < select > you will add another data series to your chart. Up to 5 data series are allowed at once. Click the “X” link to remove a data series from the chart.
  • Select units: You can select the display in billions of nominal (i.e. inflated) dollars, billions of real (i.e. year 2017) dollars, or as percent of GDP.
  • Choose chart features: You can select the size of the chart, switch from bar chart to line chart, select color or black and white, stacked or not. You can also blow up the chart to fill the screen with the “full screen” tab control above the chart display.

Download Data

Download Tab-delimited Data

Copy and Paste: To copy and paste data into spreadsheet for analysis, just copy the tab-delimited text in the textbox below (click cursor in text box, then press ctrl-A then press ctrl-C) and paste it into your spreadsheet.

View Data Series

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Below is a formatted version of the data displayed in the chart.

20th Century Healthcare
Fiscal Years 1900 to 2020
YearInflationGDP-US
$ billion nominal
Population-US
million
Health Care - Total
percent GDP
19002.92MW gdpa76.2120.27i
19012.95MW gdpa77.6800.26i
19022.9MW gdpa79.1760.25a
19034.83MW gdpa80.7010.25i
19042.57MW gdpa82.2550.26i
19050.81MW gdpa83.8390.24i
19063.71MW gdpa85.4530.25i
19076.49MW gdpa87.0990.23i
1908-0.18MW gdpa88.7760.28i
1909-1.49MW gdpa90.4860.28i
19102.63MW gdpa92.2290.28i
1911-0.49MW gdpa93.5230.29i
19124.17MW gdpa94.8360.29i
19130.75MW gdpa96.1670.29a
19140.86MW gdpa97.5160.34i
19153.29MW gdpa98.8850.36i
191614.48MW gdpa100.2730.30i
191722.75MW gdpa101.6800.28i
191818MW gdpa103.1070.25i
19192.49MW gdpa104.5540.27i
192013.78MW gdpa106.0220.28i
1921-14.44MW gdpa107.6260.39i
1922-5.79MW gdpa109.2540.47a
19233.15MW gdpa110.9080.42i
1924-1.28MW gdpa112.5860.43i
19251.82MW gdpa114.2900.43i
19260.5MW gdpa116.0190.42i
1927-2.42MW gdpa117.7750.45a
19280.76MW gdpa119.5570.47i
19290.68MW gdpa121.3660.47i
1930-3.3592.16a123.2030.56i
1931-9.6277.391a124.0710.71i
1932-10.1959.522a124.9450.98a
1933-2.7457.154a125.8250.98i
19346.0766.8a126.7120.80a
19352.2374.241a127.6050.76i
19361.3884.83a128.5040.70a
19374.5193.003a129.4100.68i
1938-2.7687.352a130.3210.78a
1939-1.0693.437a131.2400.76i
19401.31102.899a132.1650.71a
19417.95129.309a133.9660.56i
19429.45165.952a135.7920.43a
19435.35203.084a137.6430.39i
19442.57224.447a139.5190.38a
19452.56228.007a141.4210.44i
194611.4227.535a143.3490.50a
194710.85249.616a145.3030.62i
19485.84274.468a147.2830.70a
1949-0.17272.475a149.2910.85i
19501.35299.827a151.3260.90a
19517.66346.914a153.9170.85i
19521.8367.341a156.5520.87a
19531.27389.218a159.2320.83a
19540.92390.549a161.9580.86a
19551.81425.478a164.7310.81a
19563.48449.353a167.5510.83a
19573.39474.039a170.4200.88a
19582.26481.229a173.3370.95a
19591.47521.654a176.3050.97a
19601.4542.382a179.3230.97a
19611.09562.209a181.5881.01a
19621.29603.922a183.8810.92a
19631.19637.45a186.2040.96a
19641.61684.46a188.5550.98a
19651.95742.289a190.9370.96a
19662.99813.414a193.3481.11a
19672.98859.959a195.7901.71a
19684.47940.651a198.2631.95a
19695.061017.62a200.7662.09a
19705.291073.3a203.3022.27a
19715.241164.85a205.5152.40a
19724.551279.11a207.7522.56a
19735.791425.38a210.0132.53a
19748.951545.24a212.2992.69a
19759.241684.9a214.6093.04a
19765.81873.41a216.9453.14a
19776.52081.83a219.3073.23a
19787.422351.6a221.6943.19a
19798.562627.33a224.1073.24a
19809.012857.31a226.5463.48a
19819.73207.04a228.6703.60a
19826.073343.79a230.8153.87a
19834.13634.04a232.9793.89a
19843.874037.61a235.1643.78a
19853.294338.98a237.3693.85a
19862.084579.63a239.5953.93a
19872.564855.22a241.8424.02a
19883.675236.44a244.1104.01a
19894.065641.58a246.3993.96i
19903.815963.14a248.7104.31a
19913.386158.13a251.8024.72a
19922.366520.33a254.9334.61a
19932.436858.56a258.1034.78a
19942.227287.24a261.3124.88a
19952.157639.75a264.5615.06a
19961.98073.12a267.8505.04a
19971.88577.55a271.1805.03a
19981.179062.82a274.5524.86a
19991.489631.17a277.9664.68a
20002.3610251a282.1724.70a
20012.2710581.9a285.0824.96i
20021.5810929.1a287.8045.26a
20032.0311456.4a290.3265.47i
20042.7912217.2a293.0465.66a
20053.2413039.2a295.7535.82a
20063.1713815.6a298.5935.83a
20072.7614474.2a301.5806.06a
20081.9314769.9a304.3756.28a
20090.614478.1a307.0076.93a
20101.2515049a309.3277.08a
20112.115599.7a311.5837.32a
20121.916254a313.8786.99a
20131.7416880.7a316.0607.04a
20141.7917608.1a318.3867.13a
20150.9618295a320.7397.57a
20160.9718804.9a323.0727.90a
20171.8419612.1a325.1227.83a
20182.3620656.5a326.8387.61a
20191.6921540a328.3307.86a
20201.3221375.3a331.5789.28a

Legend:
i - interpolated between actual reported values
a - actual reported

Data Sources for 1900:
GDP: Samuel H. Williamson, "What Was the U.S. GDP Then?" MeasuringWorth, 2015.
Federal: Bicentennial Edition: Historical Statistics of the US, Colonial Times to 1970
State and Local: Hist. Stats of US, Colonial Times to 1970 and 1789 - 1945

Data Sources for 2020:
GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years

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Spending Data Sources

Spending data is from official government sources.

Gross Domestic Product data comes from US Bureau of Economic Analysis and measuringworth.com.

Detailed table of spending data sources here.
Medicare breakdown here; Medicaid breakdown here.

Federal spending data begins in 1792.

State and local spending data begins in 1820.

State and local spending data for individual states begins in 1957.

Gross Federal Debt

Debt Now:  $38,380,536,147,996.03
Debt 2/2020:$23,409,959,150,243.63

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Data Sources for 1900_2020:

Sources for 1900:

GDP: Samuel H. Williamson, "What Was the U.S. GDP Then?" MeasuringWorth, 2015.
Federal: Bicentennial Edition: Historical Statistics of the US, Colonial Times to 1970
State and Local: Hist. Stats of US, Colonial Times to 1970 and 1789 - 1945

Sources for 2020:

GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years

> data sources for other years
> data update schedule.

Blog

Federal Budget for FY27 Released

On April 4, 2026, we updated usgovernmentspending.com with the numbers from the Public Budget Database in the Budget of the United States Government for Fiscal Year 2027

Here is how headline budget estimates for the upcoming FY 2027 fiscal year have changed since the release of the FY 2025 budget in Winter 2024. There were no budgetary estimates in the budget documents for the FY 2026 budget.

Federal Budget Changes for 2027
$ billionEstimate for 2027
in FY2025 Budget
Estimate for 2027
in FY2027 Budget
Change
Federal Outlays$7,696.6$8,092.9 +$569.1
Federal Receipts$6,186.2$5,921.0+$279.1
Federal Deficit$1,510.3$2,171.9+$290.0

You can see line item changes from budget to budget here. You can compare budget estimates with actuals here.

Account level spending estimates through FY 2031 come from the Outlays table in the Public Budget Database and were updated on usgovernmentspending.com on April 4, 2026.

Account level budget authority estimates through FY 2031 come from the Budget Authority table in the Public Budget Database and were updated on usgovernmentspending.com on April 4, 2026. 

US GDP for 2025 Released
On March 15, 2026 usgovernmentspending.com updated its GDP series with the latest data from the Bureau of Economic Analysis ...

US, State Population Update for 2025
On January 21, 2026 the US Census Bureau released its US national and state population estimates for July 1, 2025.  On February 7, 2026 usgovernmentspending.com updated its US and state popula ...

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