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Compare state and local health care spending for the 50 states against state growth and population.

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Health Care
in percent GDP
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Comparison of State and Local Government Spending
in the United States
-5yr -1yr   Fiscal Year 2019  +1yr +4yr
Amounts in percent GDP

State State
State and
 Alabama4.36%2.40%6.76%$226.212.9%4.9 more
 Alaska4.52%1.30%5.82%$51.881.7%0.7 more
 Arizona4.84%0.42%5.26%$340.293.1%7.2 more
 Arkansas6.70%0.21%6.90%$132.172.8%3.0 more
 California2.68%1.48%4.16%$2,940.823.3%40.0 more
 Colorado2.78%0.46%3.24%$360.933.1%5.8 more
 Connecticut3.14%0.07%3.21%$291.872.9%3.6 more
 Delaware3.73%0.05%3.78%$77.522.7%1.0 more
 District of Columbia0.00%2.91%2.91%$143.703.2%0.7 more
 Florida2.63%0.97%3.59%$1,052.193.3%21.7 more
 Georgia2.11%0.80%2.91%$595.683.3%10.7 more
 Hawaii4.15%0.05%4.20%$94.453.1%1.4 more
 Idaho3.10%1.30%4.39%$74.563.0%1.8 more
 Illinois2.27%0.44%2.71%$874.832.8%12.7 more
 Indiana3.61%1.68%5.29%$378.063.0%6.7 more
 Iowa4.32%1.20%5.52%$195.742.8%3.2 more
 Kansas3.84%0.72%4.56%$166.452.7%2.9 more
 Kentucky6.27%0.59%6.86%$218.172.9%4.5 more
 Louisiana4.10%1.37%5.47%$249.552.5%4.7 more
 Maine4.12%0.25%4.37%$66.162.9%1.3 more
 Maryland2.78%0.16%2.94%$421.702.9%6.1 more
 Massachusetts4.28%0.20%4.48%$571.263.1%6.9 more
 Michigan3.71%0.74%4.45%$544.703.0%10.0 more
 Minnesota4.48%0.79%5.27%$370.502.9%5.7 more
 Mississippi7.45%2.32%9.77%$117.942.8%3.0 more
 Missouri3.96%0.91%4.87%$333.562.9%6.2 more
 Montana4.62%0.52%5.14%$49.632.7%1.1 more
 Nebraska2.00%0.50%2.50%$126.272.9%1.9 more
 Nevada2.70%0.57%3.27%$166.803.2%3.1 more
 New Hampshire3.01%0.03%3.04%$88.353.3%1.4 more
 New Jersey3.16%0.11%3.28%$645.512.9%9.1 more
 New Mexico7.04%0.38%7.43%$100.402.5%2.1 more
 New York4.43%1.17%5.60%$1,652.152.8%19.9 more
 North Carolina2.45%2.62%5.07%$579.653.0%10.5 more
 North Dakota1.82%0.10%1.92%$52.391.5%0.8 more
 Ohio4.66%0.69%5.35%$695.493.0%11.7 more
 Oklahoma3.41%0.69%4.10%$191.352.2%4.0 more
 Oregon3.72%0.64%4.36%$257.193.4%4.3 more
 Pennsylvania4.60%0.63%5.23%$799.532.9%12.8 more
 Rhode Island3.99%0.03%4.02%$63.972.9%1.1 more
 South Carolina4.31%2.61%6.92%$235.463.1%5.2 more
 South Dakota1.81%0.29%2.10%$53.053.0%0.9 more
 Tennessee3.48%1.23%4.71%$368.773.1%6.9 more
 Texas2.82%0.76%3.58%$1,744.992.7%29.1 more
 All states combined3.42%0.91%4.33%$21,003.103.1%330.4 more
 Utah3.20%0.30%3.51%$177.513.3%3.2 more
 Vermont6.00%0.03%6.04%$34.402.8%0.6 more
 Virginia3.14%0.34%3.48%$546.972.8%8.6 more
 Washington3.33%0.94%4.27%$535.583.5%7.7 more
 West Virginia5.59%0.57%6.15%$78.892.5%1.8 more
 Wisconsin3.72%-0.02%3.70%$342.542.9%5.8 more
 Wyoming2.40%3.58%5.98%$39.122.0%0.6 more
Notes: guesstimated1 budgeted estimated

1. "Guesstimated" by projecting the latest change in reported number forward to future years. GSP deviation from national GDP growth cut by 40% per year.

Data Sources:
State GDP Information
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years

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See FEDERAL BUDGET breakdown and estimated vs. actual.

MILITARY SPENDING details, budget and history.


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Spending Data Sources

Spending data is from official government sources.

Gross Domestic Product data comes from US Bureau of Economic Analysis and

Detailed table of spending data sources here.

Federal spending data begins in 1792.

State and local spending data begins in 1820.

State and local spending data for individual states begins in 1957.

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Next Data Update

> US, State Pop FY17

> data update schedule.

Data Sources for 2019:

GDP, GO: GDP, GO Sources
Federal: Fed. Budget: Hist. Tables 3.2, 5.1, 7.1
State and Local: State and Local Gov. Finances
'Guesstimated' by projecting the latest change in reported spending forward to future years

> data sources for other years
> data update schedule.

Federal Deficit, Receipts, Outlays Actuals for FY18

On October 15, 2018, the US Treasury reported in its Monthly Treasury Statement (and xls) for September that the federal deficit for FY 2018 ending September 30, 2018, was $779 billion. Here are the numbers, including total receipts, total outlays, and deficit compared with the numbers projected in the FY 2019 federal budget published in February 2018:

Federal Finances
FY 2018 Outcomes
Receipts $3,340$3,329
Deficit$833$779 now shows the new numbers for total FY 2018 total outlays and receipts on its Estimate vs. Actual page.

The Monthly Treasury Statement includes "Table 4: Receipts of the United States Government, September 2018 and Other Periods." This table of receipts by source is used for to post details of federal receipt actuals for FY 2018.

This FTS report on FY 18 actuals is a problem for because this site uses Historical Table 3.2--Outlays by Function and Subfunction from the Budget of the United States as its basic source for federal subfunction outlays. But the Monthly Treasury Statement only includes "Table 9. Summary of Receipts by Source, and Outlays by Function of the U.S. Government, September 2018 and Other Periods". Subfunction amounts don't get reported until the FY20 budget in February 2019. Until then estimates actual outlays by "subfunction" for FY 2018 by factoring subfunction budgeted amounts for FY18 by the ratio between relevant actual and budgeted "function" amounts where actual outlays by subfunction cannot be gleaned from the Monthly Treasury Statement.

Final detailed FY 2018 actuals will not appear on until the FY 2020 federal budget is published in February 2019 with the actual outlays for FY 2018 in Historical Table 3.2--Outlays by Function and Subfunction.

Spend links

us numbersus budgetcustom chartdeficit/gdpspend/gdpdebt/gdpus gdpus real gdpstate gdpbreakdownfederalstatelocal201720182019californiatexas

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