Out-of-pocket expenditure in Middle income
Middle income: Out-of-pocket expenditure was 33.1% in 2023. ▼ Falling
Out-of-pocket expenditure in Middle income, 2000–2023
Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.
Analysis
In 2023, out-of-pocket expenditure in Middle income stood at 33.1%.
Compared with earlier readings it is up 0.2% on the previous year and down 11.5% over ten years.
Over the whole period, out-of-pocket expenditure in Middle income peaked at 48.5% in 2002 and was at its lowest, 33.0%, in 2022.
Middle income ranks 17th of 47 groups on this measure, in the middle of the range.
The long-run direction has been consistently falling across the 24 years of available data.
Out-of-pocket expenditure in Middle income, year by year
| Year | % of current health expenditure | Change |
|---|---|---|
| 2000 | 45.5% | — |
| 2001 | 47.6% | +4.7% |
| 2002 | 48.5% | +1.9% |
| 2003 | 47.5% | -2.0% |
| 2004 | 46.2% | -2.7% |
| 2005 | 46.2% | +0.0% |
| 2006 | 44.9% | -2.9% |
| 2007 | 42.9% | -4.4% |
| 2008 | 40.9% | -4.6% |
| 2009 | 39.3% | -4.0% |
| 2010 | 38.4% | -2.3% |
| 2011 | 37.7% | -1.7% |
| 2012 | 37.7% | +0.1% |
| 2013 | 37.4% | -1.0% |
| 2014 | 36.4% | -2.6% |
| 2015 | 35.7% | -2.0% |
| 2016 | 35.7% | +0.1% |
| 2017 | 34.5% | -3.3% |
| 2018 | 34.9% | +1.2% |
| 2019 | 34.8% | -0.5% |
| 2020 | 34.3% | -1.2% |
| 2021 | 34.0% | -1.1% |
| 2022 | 33.0% | -2.9% |
| 2023 | 33.1% | +0.2% |
Averages by decade
| Decade | Average | Lowest | Highest | Years |
|---|---|---|---|---|
| 2000s | 44.9% | 39.3% | 48.5% | 10 |
| 2010s | 36.3% | 34.5% | 38.4% | 10 |
| 2020s | 33.6% | 33.0% | 34.3% | 4 |
Countries ranked near Middle income
More health data for Middle income
- Population ages 40-44, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 45-49, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 15-64, male, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 45-49, female, annual growth rate 1.24 % change on previous year (2025)
- Population ages 40-44, male, per capita 0.0345 units per person (2025)
- Population ages 40-44, male, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 05-09, male, annual growth rate -1.59 % change on previous year (2025)
- Population ages 40-44, male, annual growth rate 2.23 % change on previous year (2025)
- Population ages 40-44, female, per capita 0.0335 units per person (2025)
- Population ages 35-39, female, per capita 0.0371 units per person (2025)
Frequently asked questions
- What is out-of-pocket expenditure in Middle income?
- Out-of-pocket expenditure in Middle income was 33.1% in 2023, according to Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
- What is the highest out-of-pocket expenditure recorded in Middle income?
- The highest recorded value was 48.5% in 2002.
- What is the lowest out-of-pocket expenditure recorded in Middle income?
- The lowest recorded value was 33.0% in 2022.
- How does Middle income rank for out-of-pocket expenditure?
- Middle income ranks 17th out of 47 groups with data for 2023.
- Is out-of-pocket expenditure rising or falling in Middle income?
- Over the last ten years it is down 11.5%. The long-run trend across the full record is falling.
- Where does this Middle income data come from?
- The figures come from Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as part of Out-of-pocket expenditure (% of current health expenditure). Statizoid updates them automatically from the source API.
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About this data
Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.