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Health care costs are measured as part of the U.S. GDP. The GDP is an economic measure of a country's national income and output within a year and reflects the market value of goods and services produced within the country. The GDP is used as a barometer of the national economy. Health care costs in the U.S. were increased by 3.9% percentage points in 2017 (CMS, 2018). Employer‐based health care premiums have doubled since 2000, yet those who are insured incur greater financial burdens as they pay for more out‐of‐pocket expenses.

U.S. national health care expenditures were $3.5 trillion in 2017 (CMS, 2018). Health spending totaled $74.6 billion in 1970. In 2000, health expenditures had increased to about $1.4 trillion, and in 2017 the amount spent on health had more than doubled to $3.5 trillion (CMS, 2018). Health care spending continues to increase faster than the overall U.S. economy and analysts project this number to keep rising.