The largest nongovernmental expense in 2017 was out-of-pocket costs, including household spending on health care goods and services, such as residential and home-based long-term care provided by the private sector, totaling 16% of total spending, or $40 billion USD

For the purposes of our study, social services expenditures included public and private spending60 on old-age pension and support services for older adults, survivors benefits, disability and sickness cash benefits, family supports, employment programs (e.g., public employment services and employment training, unemployment benefits, supportive hous

spending by America's Federal Government (adding in state and local governments significantly increased the total) was around 24% of national income whilst tax revenues were 15% of national income. That left a near-record peacetime budget deficit to be financed by borrowing of 9% of GDP.

But the United States is not spending as much as other industrialized countries on fortifying crucial social services that help make people healthy. For instance, it spends less than 10 percent of its GDP on social services, while France, Sweden, Austria, Switzerland, Denmark, and Italy all spend about 20 percent of their GDP on social services (se