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The Silver Book® is an almanac of more than 1,000 facts, statistics, graphs, and data from more than 200 agencies, organizations, and experts. It is a searchable database that is constantly updated and expanded in order to highlight the latest research and data on the burden of chronic disease and the value of investing in medical research.

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Most Recent Facts

Last Updated: January 14, 2010

Total Medicare spending reached $469.2 billion in 2008.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

Nursing home spending reached $138.4 billion in 2008.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

Spending on physician and clinical services reached $496.2 billion in 2008.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

Hospital spending by Medicare increased 7.7% in 2008--from 4.7% in 2007.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

In 2008, overall spending on hospital services reached $718.4 billion.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

National health spending in 2008 reached $2.3 trillion, or $7,681 per person.  This was a 4/4% increase from 2007.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

The health care portion of the gross domestic product (GDP) grew from 15.9% in 2007 to 16.2% in 2008.


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Hartman, Micah, Anne Martin, Olivia Nuccio, Aaron Catlin, and the National Health Care Expenditure Accounts Team. "Health Spending Growth at a Historic Low in 2008". Health Affairs. Vol. 29, No. 1, pp. 147-55. [ Permalink ]

Government forecasts may have underestimated life expectancy by inadvertently leaving out the effect of advances in biomedical techology that delay the onset of disease or slow the aging process. Results from the study indicate that in 2050, the rise in life expectancy at birth for men and women combined may be closer to 7.9 years, not 3.1 as currently forecasted by the U.S. Social Security Administration and U.S. Census Bureau.


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Olshansky, S. Jay, Dana P. Goldman, Yuhui Zheng, and John W. Rowe. "Aging in America in the Twenty-first Century: Demographic Forecasts from the MacArthur Foundation Research Network on an Aging Society". Milbank Quarterly. Vol. 87, No. 4,  [ Permalink ]