I'm not from the US, but from what I could gather: Since 2014 (ACA) that chart includes most private insurance payment under government/compulsory. You can see

I'm not from the US, but from what I could gather: Since 2014 (ACA) that chart includes most private insurance payment under government/compulsory. You can see the same change in the WHO data [1]. Their database [2] lists for 2018 (per capita): - $4,089 "Transfers from government domestic revenue" (Medicare & Medicaid ?) - $3,642 "Compulsory prepayment" (ACA private insurance ?) - $1,267 "Social insurance contributions" - $1,626 "Other domestic revenues" Again, I'm not from the US so I don't know how to interpret those numbers. But it seems gov spending is >$4,089 which is already higher than most western countries with national health insurance. [1] https://apps.who.int/nha/database/country_profile/Index/en https://apps.who.int/nha/database/country_profile/Index/en (select USA) [2] https://apps.who.int/nha/database/Select/Indicators/en https://apps.who.int/nha/database/Select/Indicators/en (in indicators select everything under 'Health Expenditure Data' > 'Revenues', country USA, all years, unit 'current US$ per capita')