Years 1960 1970 1980 1990 2000 2015 2019 By expenditure By type Hospital ($) 8,985,000,000 $ 168,00 $ 100,517,000,000 $ 0,430,000,000 $ 415,532,000,000 $ 988,970,000,000 1,191,978,000,000 Dental services ($) 1,987,000,000 4,718,000,000 13,327,000,000 $ 31,620,000,000 62,133,000,000 $ 119,961,000,000 143,191,000,000 Home health care ($) 57,000,000 220,000,000 2,378,000,000 $ 12,534,000,000 32,294,000,000 89,872,000,000 113,510,000,000