Chart

The Record · 1989–2026

The bill vs. the counter

1989 · Bush 41

The bill

$0

Counter

$0

Gov paid

0%

0$400$800$1,200$1,60089939701050913172125

Bush 41

—

Clinton

—

Bush 43

—

Obama

—

Trump 1

—

Biden

—

Trump 2

—

The billCounter

Source: CMS National Health Expenditures per person · out-of-pocket at the counter · 2025–26 projected