Global ranking · 49 economies · World Bank data
Health Spending by Country 2026
Health Spending by Country 2026: 49 economies ranked by health spending (% of GDP), with nominal & PPP figures, 10-year trends, regional breakdowns, charts and a downloadable dataset. United States leads at 16.7%; Sweden ranks 7th of 49 at 11.2% (2024). Source: World Bank. Free to cite.
Executive summary
This index ranks 49 of the world's largest economies by health spending (% of GDP), using World Bank Open Data for cross-country comparability, and goes beyond a single snapshot: it shows the nominal figure, a ten-year history, a regional breakdown and the biggest movers. United States leads at 16.7% (2023); Indonesia is lowest among those ranked at 2.7%. Sweden ranks 7th of 49 at 11.2% (2024). As reference points, the EU stands at 10.5%, the OECD at 12.7% and the world at 10.1%. Every figure carries its World Bank series and reference year, and the complete dataset is free to download as CSV and JSON under a CC BY 4.0 licence.
Key findings
United States tops the ranking
United States has the highest health spending (% of GDP) among the 49 economies in this index at 16.7% (2023).
Source: World Bank Open Data · 2023 · confidence: High
Where Sweden ranks
Sweden ranks 7th of 49 at 11.2% (2024), below the OECD reference of 12.7%.
Source: World Bank Open Data · 2024 · confidence: High
Top five
The five highest by health spending (% of GDP) are United States (16.7%), Germany (12.3%), Austria (11.8%), Switzerland (11.7%), France (11.5%).
Source: World Bank Open Data · 2023 · confidence: High
Data vintage — July 2026
Figures reflect the most recent year available in the World Bank Open Data API for each economy (shown next to every value). This index of health spending as a share of GDP by country regenerates automatically as new data is published.
Overview
How much a country spends on health, as a share of GDP, shapes access, outcomes and fiscal pressure. This index ranks countries by total health expenditure as a percentage of GDP (World Bank, compiled from WHO).
The United States is a persistent outlier, spending far more of its economy on health than any peer without correspondingly better outcomes — a fact cited in almost every health-policy debate.
What drives the ranking
Health spending rises with income, ageing populations and medical-technology costs. How it is organised — single-payer, insurance-based, or mixed — strongly affects both the level of spending and what it buys.
High spending does not guarantee good outcomes: several countries achieve top-tier life expectancy at a fraction of US spending, which is why this index pairs naturally with the life-expectancy ranking.
How it has changed over time
The chart tracks health spending (% of GDP) for United States (the current leader) against Sweden over the past decade; the table below shows the top economies year by year.
| Country | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| United States | 16.6% | 16.5% | 16.5% | 18.5% | 17.4% | 16.5% | 16.7% | — |
| Germany | 11.1% | 11.2% | 11.4% | 12.5% | 12.7% | 12.4% | 11.7% | 12.3% |
| Austria | 10.6% | 10.5% | 10.6% | 11.4% | 12.2% | 11.2% | 11.2% | 11.8% |
| Switzerland | 11.4% | 11.2% | 11.4% | 12.0% | 12.0% | 11.6% | 11.7% | — |
| France | 11.4% | 11.3% | 11.2% | 12.1% | 12.2% | 11.8% | 11.5% | 11.5% |
| Canada | 10.9% | 10.9% | 11.0% | 13.0% | 12.4% | 11.1% | 11.2% | 11.3% |
| Sweden | 10.9% | 11.1% | 10.9% | 11.4% | 11.2% | 10.9% | 11.2% | 11.2% |
| United Kingdom | 9.7% | 9.8% | 10.0% | 12.1% | 12.1% | 11.1% | 11.0% | 11.1% |
By region
Median health spending (% of GDP) by world region among the ranked economies. Regional medians reveal patterns the country ranking alone can hide.
| Region | Economies | Median | Highest | Lowest |
|---|---|---|---|---|
| Europe | 23 | 9.4% | 12.3% | 5.7% |
| Asia-Pacific | 12 | 4.8% | 10.7% | 2.7% |
| Americas | 7 | 10.3% | 16.7% | 5.5% |
| Middle East & Africa | 7 | 5.0% | 8.9% | 4.2% |
Biggest movers
The largest changes in health spending (% of GDP) over the available window — where the action has been.
| Country | Change | Δ | Period |
|---|---|---|---|
| Russia | 5.4% → 7.0% | +1.7% | 2018–2023 |
| Poland | 6.4% → 8.1% | +1.7% | 2019–2024 |
| New Zealand | 8.6% → 10.1% | +1.4% | 2019–2024 |
| Finland | 9.1% → 10.5% | +1.4% | 2018–2023 |
| Chile | 9.3% → 10.5% | +1.2% | 2019–2024 |
| Austria | 10.6% → 11.8% | +1.2% | 2019–2024 |
| United Kingdom | 10.0% → 11.1% | +1.2% | 2019–2024 |
| Philippines | 4.0% → 5.1% | +1.1% | 2018–2023 |
Full ranking — 49 economies
Complete ranking by health spending (% of GDP), most recent World Bank data, with world region. Region aggregates (EU, OECD, World) appear in the At-a-glance box as reference points.
| # | Country | Health Spending (% Of Gdp) | Region | Year |
|---|---|---|---|---|
| 1 | United States | 16.7% | Americas | 2023 |
| 2 | Germany | 12.3% | Europe | 2024 |
| 3 | Austria | 11.8% | Europe | 2024 |
| 4 | Switzerland | 11.7% | Europe | 2023 |
| 5 | France | 11.5% | Europe | 2024 |
| 6 | Canada | 11.3% | Americas | 2024 |
| 7 | Sweden | 11.2% | Europe | 2024 |
| 8 | United Kingdom | 11.1% | Europe | 2024 |
| 9 | Belgium | 10.8% | Europe | 2023 |
| 10 | Japan | 10.7% | Asia-Pacific | 2023 |
| 11 | Chile | 10.5% | Americas | 2024 |
| 12 | Finland | 10.5% | Europe | 2023 |
| 13 | Australia | 10.4% | Asia-Pacific | 2023 |
| 14 | Argentina | 10.3% | Americas | 2023 |
| 15 | Portugal | 10.2% | Europe | 2024 |
| 16 | New Zealand | 10.1% | Asia-Pacific | 2024 |
| 17 | Netherlands | 10.0% | Europe | 2024 |
| 18 | Brazil | 9.7% | Americas | 2023 |
| 19 | Norway | 9.4% | Europe | 2023 |
| 20 | Denmark | 9.4% | Europe | 2024 |
| 21 | Spain | 9.2% | Europe | 2023 |
| 22 | Iceland | 9.0% | Europe | 2024 |
| 23 | South Africa | 8.9% | Middle East & Africa | 2023 |
| 24 | South Korea | 8.7% | Asia-Pacific | 2024 |
| 25 | Czechia | 8.5% | Europe | 2024 |
| 26 | Italy | 8.4% | Europe | 2024 |
| 27 | Greece | 8.4% | Europe | 2023 |
| 28 | Ukraine | 8.2% | Europe | 2021 |
| 29 | Colombia | 8.1% | Americas | 2024 |
| 30 | Poland | 8.1% | Europe | 2024 |
| 31 | Israel | 7.1% | Middle East & Africa | 2023 |
| 32 | Russia | 7.0% | Europe | 2023 |
| 33 | Ireland | 6.9% | Europe | 2024 |
| 34 | Hungary | 6.4% | Europe | 2023 |
| 35 | China | 5.9% | Asia-Pacific | 2023 |
| 36 | Romania | 5.7% | Europe | 2023 |
| 37 | Saudi Arabia | 5.7% | Middle East & Africa | 2023 |
| 38 | Mexico | 5.5% | Americas | 2023 |
| 39 | Philippines | 5.1% | Asia-Pacific | 2023 |
| 40 | United Arab Emirates | 5.0% | Middle East & Africa | 2023 |
| 41 | Egypt | 4.9% | Middle East & Africa | 2023 |
| 42 | Viet Nam | 4.6% | Asia-Pacific | 2023 |
| 43 | Thailand | 4.5% | Asia-Pacific | 2023 |
| 44 | Singapore | 4.5% | Asia-Pacific | 2023 |
| 45 | Turkiye | 4.3% | Middle East & Africa | 2023 |
| 46 | Nigeria | 4.2% | Middle East & Africa | 2023 |
| 47 | Malaysia | 4.0% | Asia-Pacific | 2023 |
| 48 | India | 3.3% | Asia-Pacific | 2023 |
| 49 | Indonesia | 2.7% | Asia-Pacific | 2023 |
Scoreboard (machine-readable data)
Every headline indicator with its value, period, source and confidence. Free to reuse under CC BY 4.0.
| Indicator | Value | Period | Source | Conf. |
|---|---|---|---|---|
| United States | 16.69 % | 2023 | World Bank Open Data | High |
| Germany | 12.27 % | 2024 | World Bank Open Data | High |
| Austria | 11.83 % | 2024 | World Bank Open Data | High |
| Switzerland | 11.69 % | 2023 | World Bank Open Data | High |
| France | 11.54 % | 2024 | World Bank Open Data | High |
| Canada | 11.31 % | 2024 | World Bank Open Data | High |
| Sweden | 11.22 % | 2024 | World Bank Open Data | High |
| United Kingdom | 11.13 % | 2024 | World Bank Open Data | High |
| Belgium | 10.8 % | 2023 | World Bank Open Data | High |
| Japan | 10.74 % | 2023 | World Bank Open Data | High |
| Chile | 10.53 % | 2024 | World Bank Open Data | High |
| Finland | 10.47 % | 2023 | World Bank Open Data | High |
| Australia | 10.4 % | 2023 | World Bank Open Data | High |
| Argentina | 10.27 % | 2023 | World Bank Open Data | High |
| Portugal | 10.24 % | 2024 | World Bank Open Data | High |
| New Zealand | 10.06 % | 2024 | World Bank Open Data | High |
| Netherlands | 10.01 % | 2024 | World Bank Open Data | High |
| Brazil | 9.73 % | 2023 | World Bank Open Data | High |
| Norway | 9.43 % | 2023 | World Bank Open Data | High |
| Denmark | 9.39 % | 2024 | World Bank Open Data | High |
| Spain | 9.22 % | 2023 | World Bank Open Data | High |
| Iceland | 8.98 % | 2024 | World Bank Open Data | High |
| South Africa | 8.91 % | 2023 | World Bank Open Data | High |
| South Korea | 8.68 % | 2024 | World Bank Open Data | High |
| Czechia | 8.51 % | 2024 | World Bank Open Data | High |
| Italy | 8.44 % | 2024 | World Bank Open Data | High |
| Greece | 8.39 % | 2023 | World Bank Open Data | High |
| Ukraine | 8.2 % | 2021 | World Bank Open Data | High |
| Colombia | 8.14 % | 2024 | World Bank Open Data | High |
| Poland | 8.06 % | 2024 | World Bank Open Data | High |
| Israel | 7.1 % | 2023 | World Bank Open Data | High |
| Russia | 7.04 % | 2023 | World Bank Open Data | High |
| Ireland | 6.85 % | 2024 | World Bank Open Data | High |
| Hungary | 6.37 % | 2023 | World Bank Open Data | High |
| China | 5.94 % | 2023 | World Bank Open Data | High |
| Romania | 5.71 % | 2023 | World Bank Open Data | High |
| Saudi Arabia | 5.69 % | 2023 | World Bank Open Data | High |
| Mexico | 5.5 % | 2023 | World Bank Open Data | High |
| Philippines | 5.1 % | 2023 | World Bank Open Data | High |
| United Arab Emirates | 4.97 % | 2023 | World Bank Open Data | High |
| Egypt | 4.88 % | 2023 | World Bank Open Data | High |
| Viet Nam | 4.56 % | 2023 | World Bank Open Data | High |
| Thailand | 4.54 % | 2023 | World Bank Open Data | High |
| Singapore | 4.49 % | 2023 | World Bank Open Data | High |
| Turkiye | 4.28 % | 2023 | World Bank Open Data | High |
| Nigeria | 4.19 % | 2023 | World Bank Open Data | High |
| Malaysia | 3.96 % | 2023 | World Bank Open Data | High |
| India | 3.34 % | 2023 | World Bank Open Data | High |
| Indonesia | 2.7 % | 2023 | World Bank Open Data | High |
Methodology & verification
Economies are ranked by health spending (% of GDP) using the World Bank Open Data API, which harmonises national statistics for cross-country comparison. Each value is the most recent year available for that economy, shown alongside the figure; the trend table uses each economy's reported history. Economies with no reported value are omitted rather than estimated. Region aggregates (EU, euro area, OECD, World) are reference points, not ranked. Total health expenditure combines public and private spending; the public/private split, not shown here, varies enormously and matters for access and equity. Confidence: High (official multilateral source).
Data dictionary
| Field | Type | Description |
|---|---|---|
| metric | string | World Bank indicator code : country ISO3 |
| label | string | Country name |
| value | number | health spending (% of GDP) value |
| unit | string | % |
| period | string | Reference year |
| geography | string | Country |
| source_url | string | World Bank indicator page |
Frequently asked questions
Which country has the highest health spending (% of GDP)?
United States, at 16.7% (2023). Source: World Bank Open Data.
Where does Sweden rank by health spending (% of GDP)?
Sweden ranks 7th of 49 at 11.2% (2024). Source: World Bank.
What are the top five by health spending (% of GDP)?
United States (16.7%), Germany (12.3%), Austria (11.8%), Switzerland (11.7%), France (11.5%). Source: World Bank.
How is health spending (% of GDP) defined?
Health expenditure (% of GDP), as reported by the World Bank. See the methodology and glossary for details.
How many economies are ranked?
49 of the world's largest economies, plus the EU, OECD and World aggregates as reference points.
What is the caveat with this metric?
Total health expenditure combines public and private spending; the public/private split, not shown here, varies enormously and matters for access and equity.
Where does the data come from?
The World Bank Open Data API, which harmonises national statistics for cross-country comparison. Every figure shows its reference year and links to its World Bank indicator page.
How current is it, and how often does it update?
Each figure is the latest year the World Bank reports for that economy. The index regenerates automatically as new data is released.
Can I download this ranking?
Yes — the full ranking is available as CSV and JSON under a CC BY 4.0 licence, free to reuse with attribution to Affärslivet.
Glossary
- Health Spending (% Of Gdp)
- Health expenditure (% of GDP) — as reported by the World Bank. ↗
- World Bank Open Data
- A free, authoritative database of harmonised economic indicators for every country. ↗
- Purchasing-power parity (PPP)
- A conversion that equalises the price of a comparable basket of goods across countries, so output and incomes can be compared in real terms rather than at market exchange rates. ↗
- Nominal (current US$)
- A value converted at prevailing market exchange rates and not adjusted for differences in price levels. ↗
- GNI per capita
- Gross national income per person — like GDP per capita but including net income earned abroad; useful where cross-border corporate flows are large. ↗
- Reference year
- The year a figure applies to; it can differ across countries because national statistics are published on different schedules. ↗
- Region aggregate
- A World Bank grouping (e.g. European Union, OECD, World) whose value is a weighted regional total or average, shown here for reference rather than ranked. ↗
How to cite this report
APA
Affärslivet Research. (2026). Health Spending by Country 2026. Affärslivet. Version 1.1. https://xn--affrslivet-s5a.com/en/reports/health-spending-by-country
MLA
Affärslivet Research. "Health Spending by Country 2026." Affärslivet, 2026-07-01, https://xn--affrslivet-s5a.com/en/reports/health-spending-by-country.
BibTeX
@techreport{affarslivet_health_spending_by_country,
title = {Health Spending by Country 2026},
author = {{Affärslivet Research}},
year = {2026},
note = {Version 1.1},
url = {https://xn--affrslivet-s5a.com/en/reports/health-spending-by-country}
}