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FISCAL POLICY

Why are we spending more on healthcare?

Almost all developed countries are seeing health spending take up ever-larger shares of their national income. In this column, Olly Harvey-Rich of the Institute for Fiscal Studies tries to find out why

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In 2023/24, government spending on healthcare in the UK reached more than £220 billion. This figure has more than doubled in real terms over the last 25 years, and throughout the history of the NHS has consistently outpaced both economy-wide inflation and GDP growth. Spending is therefore not just growing, but taking up an ever-larger share of our national income, rising from 3.6% of GDP in 1949/50 to over 8% today.

This trend is not unique to the UK. In almost every developed country, we see the same pattern – health spending rising both in real terms, and as a share of the country’s national income. These statistics present two puzzles. First, why is spending on healthcare growing so quickly? And, second, can we expect it to continue rising indefinitely?

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Why do we procrastinate?

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Opportunity cost: The opportunity cost of going to university