Care

Brick is the national health bill per person — CMS National Health Expenditures, as dollars a month. Steel is what households paid at the counter: out of pocket, not the premium. The pie on the cards is who financed the bill. 2025–26 are CMS projections.

The bill

$1,458

$17,496 a year · NHE per person / 12

At the counter

$152

$153 in 2026 $ · out of pocket / 12

Government paid

47.9%

27.3% household · federal + state sponsor

At this year

2026*

Trump 2 · $1,416/mo

By administration

Term average bill · pie is who paid it

Bush 41

1989–1992

$245

Gov

33%

Household

35%

Employers

32%

Counter $44 · $109 in 2026 $

Clinton

1993–2000

$342

Gov

37%

Household

32%

Employers

31%

Counter $49 · $103 in 2026 $

Bush 43

2001–2008

$554

Gov

40%

Household

31%

Employers

30%

Counter $73 · $125 in 2026 $

Obama

2009–2016

$755

Gov

45%

Household

29%

Employers

26%

Counter $88 · $127 in 2026 $

Trump 1

2017–2020

$953

Gov

47%

Household

28%

Employers

25%

Counter $102 · $135 in 2026 $

Biden

2021–2024

$1,185

Gov

48%

Household

28%

Employers

24%

Counter $126 · $142 in 2026 $

Trump 2

2025–2026*

$1,416

Gov

48%

Household

27%

Employers

25%

Counter $148 · $151 in 2026 $