Slide 1. Spesa sanitaria pro-capite, pubblica e privata, Paesi OCSE, 2007 USA Italy Slide 2. Spesa sanitaria come % del Pil, Paesi OCSE, 2007 USA Italy Slide 3. Evoluzione della spesa sanitaria USA – 1960-2007 Slide 4. USA. Spesa sanitaria totale procapite. 1990-2007 $8.000 $7.421 $7.062 $7.000 $6.687 $6.319 $5.967 $6.000 $5.560 $5.149 $4.789 $5.000 $4.296 $4.000 $3.618 $3.937 $3.266 $3.000 $2.814 $2.000 $1.000 $0 1990 1992 1994 1996 1998 2000 2001 2002 2003 2004 2005 2006 2007 Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; NHE summary including share of GDP, CY 1960-2007; file nhegdp07.zip). Slide 5. USA. Spesa sanitaria totale (miliardi di $) e % sul PIL. 1960-2007 $2.500 2,241.2 2,112.7 1,980.6 1,854.8 1,734.9 1,602.3 1,469.4 1,353.2 1,265.2 1,190.1 1,124.9 $2.000 Dollars in Billions $1.500 $1.000 714.1 $500 253.4 27.5 74.9 1960 1970 $0 1980 1990 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 NHE as a Share of GDP 5.2% 7.2% 9.1% 12.3% 13.5% 13.6% 13.7% 13.8% 14.5% 15.3% 15.8% 15.9% 15.9% 16.0% 16.2% Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; NHE summary including share of GDP, CY 1960-2007; file nhegdp07.zip). 2007 US Annual inflation Rate 1969 1970 1971 1972 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 5.46 5.84 4.30 3.27 7.62 11.22 13.58 10.35 6.16 3.22 4.30 3.55 1.91 3.66 4.08 4.83 5.39 4.25 3.03 2.96 2.61 2.81 2.93 2.34 1.55 2.19 3.38 2.83 1.59 2.27 2.68 3.39 3.24 2.85 3.85 Nixon Slide 6. USA. Tassi annuali medi di crescita della Spesa sanitaria totale (NHE), del PIL (GDP) e del Tasso annuale d’inflazione Carter Reagan Bush, G.H.W. Clinton Bush, G.W. Annual inflation Rate Slide 7. USA. Spesa sanitaria totale. Distribuzione % per tipologia di servizio. 2007. Fonte: Centers for Medicare and Medicaid Services. Slide 8. Crescita percentuale annua delle tre principali voci di spesa della sanità USA. 1996-2006. Slide 9. USA. Finanziamento del sistema sanitario, suddiviso in privato e pubblico (valori assoluti in $ e % del totale). Fonte: Centers for Medicare and Medicaid Services. Assicurazioni private 42% Out-Of-Pocket 12% $1.205,5 bln 54% Medicare 19% Medicaid 15% Altri finanziamenti federali e statali 12% Slide 10. Spesa sanitaria pro-capite 1990-2018 Fonte: Centers for Medicare and Medicaid Services