Personal Health Care Expenditures by State, Selected Years 1966-1978

In 1978, $745 per person was spent for personal health care services within the U.S. Massachusetts led the nation in spending with $935 per person. The lowest spending for personal health—$521 per capita—occurred in South Carolina. Expenditures for hospital care ranged from a high of $490 per capita in Massachusetts to a low of $197 per capita in Idaho, with the U.S. expenditure level at $337 per person. Spending for physician services in 1978 was $161 per person nationwide. The highest level of spending—$238—was in California, and the lowest—$90—was in Vermont. Florida, with the largest proportion of aged residents in the U.S., registered expenditure levels of $208 per person for physician services. Despite a 29.5 percent increase nationwide in the number of physicians from 1969 to 1978, little change has occurred in the rank of states and regions in their physician-to-population concentrations. Minnesota led the nation in nursing home care expenditures, spending $126 per person for this service in 1978. Minnesota's high per capita spending for nursing home care correlates with its large number of nursing home beds per 65 years of age and over population. In 1978, the 96 beds per 1000 elderly residents which were maintained in Minnesota contrasted sharply with the 56 beds maintained per 1000 elderly residents nationwide. Personal health care expenditures per capita grew an average of 11.6 percent per year between 1966 and 1978. Growth was most dramatic in the Southeast, where expenditures per capita more than quadrupled, growing 12.6 percent per year. Mississippi registered an average annual growth rate of 14.0 percent to lead the region and the nation in rate of increase in per capita personal health care spending growth. The region with the smallest rate of increase in personal health expenditures per capita was the Rocky Mountain Region with an average annual growth of 10.4 percent between 1966 and 1978. Wyoming registered the slowest growth in personal health care expenditures per capita in that region and the nation, with 8.9 percent average annual growth. Expenditures for personal health care in states and regions have grown at different rates. However, when the effects of population and the changing age structure of a geographic area are removed, much of the variation disappears.