9 -7 1 4 -0 2 9

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Health spending as % of
GDP
18 % Uninsured

16

14

12

10
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

40

35

30

25

20
All other noninterest spending

15

10 Federal Spending on Major Health Programs

Social Security
0

13
14
 Employer-
Sponsored
18% Insurance
Medicare and
8% 47% Medicaid

Nongroup
27% Insurance

Uninsured

Family Work Status Age

0-18
16% 12% 16%
Part-Time 19-25
Workers 17% 26-34
22% 34%
62% 35-54
21%
55-64

Family Income
10%
<100% FPL
100-250% FPL
14% 38% 251-399% FPL
400%+ FPL

38% FPL = Federal Poverty

Level, was $22,350 for
family of 4 in 2011

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OECD Average 81.8 76.2 6.1 80% 61% n/a n/a
United States 80.7 75.4 6.3 84% 72% 99% 59%
Canada 83.0 78.4 5.0 83% 73% 85% 55%
France 84.1 77.2 4.0 80% 66% 82% 57%
Germany 82.4 77.2 3.8 76% 66% 84% 58%
Japan 85.8 79.0 2.8 82% 71% 50% 61%
Mexico 77.2 72.4 18.4 52% 41% n/a n/a
Switzerland 84.2 79.2 3.9 76% 72% 82% 59%
United Kingdom 81.7 77.3 4.9 70% 72% 70% 49%

OECD Average 9.5 3265 72.2 2377.8

United States 17.6 8233 48.2 3966.7
Canada 11.4 4445 71.1 3158.2
France 11.6 3974 77 3060.9
Germany 11.6 4338 76.8 3331.0
Japan 9.5 3035 80.5 2443.3
Mexico 6.2 916 47.3 433.3
Switzerland 11.4 5270 65.2 3436.6
United Kingdom 9.6 3433 83.2 2857.3

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(Millions of nonelderly people,
by calendar year)

Prior-Law Medicaid and CHIP 36 36 36 34 34 34 34 35 35 36 36

Coverageb Employer 154 155 157 160 162 164 165 166 166 167 167
Nongroup and Otherc 24 25 25 26 26 27 27 27 27 28 28
Uninsuredd 58 58 58 57 56 56 56 56 56 56 56
TOTAL 272 274 276 277 279 281 282 284 285 286 288

Change Medicaid and CHIP 1 8 11 11 11 11 11 12 12 12 12

Employere 1 * -2 -6 -7 -8 -8 -8 -7 -7 -7
Nongroup and Otherc * -1 -2 -3 -3 -3 -3 -3 -3 -4 -4
Exchanges 0 7 13 24 26 27 27 26 26 26 25
Uninsuredd -2 -14 -20 -26 -27 -27 -27 -27 -27 -27 -27

Uninsured Under the Affordable Care Act

Number of Uninsured Nonelderly Peopled 55 44 37 31 29 29 29 29 29 29 30

Insured Share of the Nonelderly
Populationa
Including All
Residents 80% 84% 86% 89% 90% 90% 90% 90% 90% 90% 90%
Excluding
Unauthorized
Immigrants 81% 86% 89% 91% 92% 92% 92% 92% 92% 92% 92%

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(Billions of dollars, by fiscal year)

Medicaid and CHIP Outlaysc 2 17 37 54 62 68 72 75 79 84 89 638

Exchange Subsidies and

Related Spendingd 4 28 55 96 122 137 143 147 154 161 169 1,216

Small-Employer Tax Creditse 2 3 4 3 1 2 2 2 2 2 2 26

Gross Cost of Coverage

Provisions 7 47 96 153 186 206 217 224 236 247 260 1,879

Penalty Payments by Uninsured

Individuals 0 0 -3 -5 -6 -6 -6 -6 -7 -7 -7 -52

Penalty Payments by
Employerse 0 -5 -10 -12 -14 -16 -17 -18 -19 -20 -21 -150

Excise Tax on High-Premium

Insurance Planse 0 0 0 0 0 -10 -17 -21 -25 -30 -35 -137

Other Effects on Tax Revenues

and Outlaysf -1 -1 -2 -9 -18 -24 -28 -31 -32 -32 -33 -211

NET COST OF COVERAGE

PROVISIONS 6 41 81 127 148 151 149 149 154 159 164 1,329

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