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Health Services Expenditure

Dáil Éireann Debate, Tuesday - 27 January 2015

Tuesday, 27 January 2015

Questions (388)

Caoimhghín Ó Caoláin

Question:

388. Deputy Caoimhghín Ó Caoláin asked the Minister for Health if he will provide the overall health spend here per capita and also as a percentage of GDP and of GNI in tabular form over the past five years and also with estimates of private expenditure on health, including but not limited to private health insurance and out of pocket expenses; the comparison that his Department has made with other European countries or similarly developed countries; Ireland's health spend compared to similar countries; if Ireland has above or below average health spend according to various analyses; and if he will make a statement on the matter. [3718/15]

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Written answers

The latest data available for health expenditure in OECD countries are for 2012 and are given in the following table. In 2012, Ireland’s total health expenditure on health was 8.9% of GDP and 10.9% of GNI. This compares with the OECD averages of 9.3% and 9.8% respectively. Comparable data for Ireland for the years 2008-2012 are also provided.

Health Expenditure per capita and as a % of GDP and GNI by financing agent, Ireland 2008-2012

Financing Agent

per capita, Euro

% gross domestic product

% gross national income

2008

General government

 2,721

6.8

7.8

Private sector

    889

2.2

2.6

Total expenditure

3,610

9.0

10.4

2009

General government

2,584

7.2

  8.7

Private sector

   976

2.7

  3.3

Total expenditure

3,560

9.9

11.9

2010

General government

2,223

6.4

  7.6

Private sector

   969

2.8

  3.3

Total expenditure

3,192

9.2

11.0

2011

General government

2,100

5.9

   7.3

Private sector

   995

2.8

   3.5

Total expenditure

3,096

8.7

10.7

2012

General government

2,143

6.0

7.3

Private sector

1,029

2.9

3.5

Total expenditure

3,172

8.9

10.9

Sources: OECD and EUROSTAT.

When expressed in US$ purchasing power parities, Ireland's total health expenditure in 2012 of US$ppp 3,890 per capita was above the OECD average of US$ppp 3,493 per capita. Comparable expenditure data using Euro per capita for Ireland for the years 2008-2012 is also provided.

Total health expenditure per capita (US$PPPs) and as % of GDP and GNI for selected OECD countries, 2012

Country

Per Capita

Per Capita

Per Capita

% GDP

% GDP

% GDP

% GNI

-

Public

Private

Total

Public

Private

Total

Total

Australia*

2,733

1,264

3,997

6.2

2.9

9.1

n/a

Austria

3,716

1,180

4,896

8.4

2.7

11.1

11.2

Belgium

3,323

1,096

4,419

8.2

2.7

10.9

10.9

Canada (e)

3,224

1,378

4,602

7.7

3.3

10.9

n/a

Chile

776

801

1,577

3.6

3.7

7.3

n/a

Czech Republic

1,745

332

2,077

6.3

1.2

7.5

8.2

Denmark

4,029

669

4,698

9.4

1.6

11.0

10.7

Estonia

1,139

286

1,447

4.6

1.2

5.9

6.2

Finland (e)

2,669

889

3,559

6.8

2.3

9.1

9.0

France

3,317

971

4,288

9.0

2.6

11.6

11.4

Germany

3,691

1,120

4,811

8.6

2.6

11.3

11.0

Greece

1,617

759

2,409

6.2

2.9

9.3

9.2

Hungary

1,128

675

1,803

5.0

3.0

8.0

8.4

Iceland (e)

2,847

689

3,536

7.3

1.8

9.0

10.1

Ireland

2,628

1,261

3,890

6.0

2.9

8.9

10.9

Israel

1,377

890

2,304

4.4

2.8

7.3

n/a

Italy

2,481

728

3,209

7.1

2.1

9.2

9.2

Japan (e)

2,997

652

3,649

8.4

1.8

10.3

n/a

Korea

1,248

1,043

2,291

4.2

3.5

7.6

n/a

Luxembourg

3,846

762

4,578

6.0

1.2

7.1

10.5

Mexico

531

517

1,048

3.1

3.0

6.2

n/a

Netherlands*

n/a

n/a

5,219

n/a

n/a

12.1

12.1

New Zealand* (d)

2,623

549

3,172

8.3

1.7

10.0

n/a

Norway

5,222

918

6,140

7.9

1.4

9.3

9.1

Poland

1,065

467

1,540

4.7

2.0

6.8

7.1

Portugal*

1,718

924

2,642

6.7

3.6

10.2

10.6

Slovak Republic

1,468

637

2,105

5.7

2.5

8.1

n/a

Slovenia (e)

1,907

761

2,667

6.7

2.7

9.4

9.5

Spain*

2,190

808

2,998

6.9

2.5

9.4

9.6

Sweden

3,336

770

4,106

7.8

1.8

9.6

9.3

Switzerland (e)

4,001

2,078

6,080

7.5

3.9

11.4

11.1

Turkey

756

228

984

4.1

1.3

5.4

n/a

United Kingdom

2,762

527

3,289

7.8

1.5

9.3

9.3

United States

4,160

4,585

8,745

8.0

8.9

16.9

n/a

Sources: OECD, EUROSTAT.

Notes:

(i) Per Capita Expenditure is expressed in Purchasing Power Parities (US$PPPs).

(ii) GDP: Gross Domestic Product.

(iii) GNI: Gross National Income.

(iv) n/a: indicates 'Not available'.

(v) * indicates data for 2011.

(vi) e indicates estimated.

(vii) d indicates difference in methodology.

(viii) As PPPs are statistical constructs rather than precise measures, minor differences between countries should be interpreted with caution.

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