WiththelargeamountofmoneyspenteachyearonhealthcarepaidforbytheAmerican
government,itisinterestingtoconsiderhowmanyareunawareoruneducatedregardingthese
expenditures.Therearelikelyamultitudeofreasonsthatexplainthelackofawarenessregarding
governmenthealthcarespending.In2020,totalspendingforU.S.healthcarewasapproximately
$4.1trillion(CMS.gov,2021);thatisanincrediblylargenumberthatsomemayhavedifficulty
comprehendingintermsofdollarsspent.Ofthatspending,approximately$1.5trillionwasspent
throughMedicareandMedicaid,withfederalgovernmentspendinginhealthcaregrowingby
36%in2020(CMS.gov,2021).MuchofthatgrowthhasbeenattributedtotheCOVID-19
pandemic(CMS.gov,2021).ConsideringthecurrentpoliticalsituationintheUnitedStates,itis
possiblethatAmericansarepayingattentiontoitemsthataredeemedmorenews-worthy,more
shocking,ormorepolarizing.Americansmaybemoreupsetaboutthingstheycansee,liketax
dollarsspentonvaccinedevelopmentortheenormousdefensebudget,thanthingsthathave
alreadybeengoingonbehindthescenesallalong.
WemayalsohaveasituationwheretheaverageAmericandoesnotrealizetheaverage
healthcarecostsintermsofagegroups,regardlessofpayer.InformationfromCMSregarding
2014dataindicatesalargerportionofhealthcarepaymentsforfemalesincomparisontotheir
malecounterpartsandadvisesthat,percapita,healthcareexpenditureswerenearlyninetimes
greaterforadultsovertheageof85thanforchildren(CMS,n.d.).Healthcarespendingforolder
adultsovertheageof65wasapproximately$11,000greaterthanthepercapitaaverageofthe
entirepopulation(CMS.gov,n.d.);withMedicareeligibilitybeginningatage65,itiseasytosee
howthegovernmentcouldberesponsibleforalargeportionoftheseexpenses(Backman,2021)
buttheaveragelaypersoncouldcontinuetobeunawareofthehealthcarecoststhegovernment
isresponsiblefor.
References
Backman,M.(2021,July16).Do I need to sign up for Medicare at 65 if I’m still
working? MedicareResources.org.https://www.medicareresources.org/faqs/do-i-need-
to-sign-up-for-medicare-at-65-if-im-still-working/#:~:text=Medicare%20eligibility
%20starts%20at%20age,over%20the%20course%20of%20retirement
.
NHE fact sheet. CMS.gov.(2021,December15).https://www.cms.gov/Research-Statistics-Data-
and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NHE-Fact-
Sheet#:~:text=Historical%20NHE%2C%202020%3A&text=Medicaid%20spending%20grew
%209.2%25%20to,16%20percent%20of%20total%20NHE.&text=Out%20of%20pocket
%20spending%20declined,the%205.9%25%20growth%20in%202019
.
U.S. personal health care spending by age and gender – 2014 highlights. CMS.gov.
(n.d.).https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-
Reports/NationalHealthExpendData/Downloads/AgeandGenderHighlights.pdf