Countries in North America Ranked by Health expenditure share of GDP (2023)
Health expenditure share of GDP: each country's latest value (2018–2023), ranked from highest to lowest. Source: The World Bank (CC BY 4.0).
Summary
United States ranks #1 with 16.7% of GDP. Canada is second with 11.3% of GDP, 47.6% behind. The top five are United States, Canada, Cuba, El Salvador and Panama. The median across all 23 is 6.3% of GDP; Haiti is last at 3.19% of GDP. United States's figure has risen 34% since 2000 (12.5% of GDP to 16.7% of GDP in 2023).
- #1
- United States · 16.7% of GDP
- Median
- 6.3% of GDP
- Coverage
- 23 countries in North America
- Data year
- 2023
- Last updated
- 2026-11-14
Full ranking
| Rank | Country | Health expenditure share of GDP (% of GDP) | Year |
|---|---|---|---|
| 1 | United States | 16.7 | 2023 |
| 2 | Canada | 11.3 | 2024 |
| 3 | Cuba | 9.38 | 2023 |
| 4 | El Salvador | 9.29 | 2023 |
| 5 | Panama | 8.33 | 2023 |
| 6 | Nicaragua | 8.3 | 2023 |
| 7 | Honduras | 7.71 | 2023 |
| 8 | Jamaica | 7.6 | 2023 |
| 9 | Trinidad and Tobago | 7.53 | 2023 |
| 10 | Costa Rica | 6.87 | 2023 |
| 11 | Guatemala | 6.8 | 2023 |
| 12 | Bahamas, The | 6.3 | 2023 |
| 13 | St. Kitts and Nevis | 5.74 | 2023 |
| 14 | Mexico | 5.5 | 2023 |
| 15 | Barbados | 5.4 | 2023 |
| 16 | Dominica | 5.01 | 2023 |
| 17 | St. Lucia | 4.73 | 2023 |
| 18 | Grenada | 4.65 | 2023 |
| 19 | Dominican Republic | 4.6 | 2023 |
| 20 | St. Vincent and the Grenadines | 4.44 | 2023 |
| 21 | Belize | 4.15 | 2023 |
| 22 | Antigua and Barbuda | 3.91 | 2023 |
| 23 | Haiti | 3.19 | 2023 |
About the top 10
#1 United States
United States ranks #1 on this list with 16.7% of GDP.
- Capital
- Washington, D.C.
- Continent
- North America
- Income group
- High income
- Population
- 341.78 million people (2025)
- GDP
- US$30.77 trillion (2025)
- GDP per person
- US$90,027 (2025)
- Life expectancy
- 78.9 years (2024)
- Urban population
- 80.2% of population (2025)
Largest cities: New York metropolitan area, New York City, Chicago.
Also ranks #1 in gdp (current us$) · #1 in health expenditure per capita · #1 in imports of goods and services.
#2 Canada
Canada ranks #2 on this list with 11.3% of GDP (2024).
- Capital
- Ottawa
- Continent
- North America
- Income group
- High income
- Population
- 41.65 million people (2025)
- GDP
- US$2.32 trillion (2025)
- GDP per person
- US$55,698 (2025)
- Life expectancy
- 82.1 years (2024)
- Urban population
- 82.9% of population (2025)
Largest cities: Toronto, Montreal, Calgary.
Also ranks #2 in surface area · #3 in forest area · #4 in land area.
#3 Cuba
Cuba ranks #3 on this list with 9.38% of GDP.
- Capital
- Havana
- Continent
- North America
- Income group
- Upper middle income
- Population
- 10.94 million people (2025)
- GDP
- US$107.35 billion (2020)
- GDP per person
- US$9,605 (2020)
- Life expectancy
- 78.3 years (2024)
- Urban population
- 77.2% of population (2025)
Largest cities: Havana.
Also ranks #1 in physicians per 1,000 · #2 in women in parliament share · #3 in immunisation (measles) rate.
#4 El Salvador
El Salvador ranks #4 on this list with 9.29% of GDP.
- Capital
- San Salvador
- Continent
- North America
- Income group
- Upper middle income
- Population
- 6.37 million people (2025)
- GDP
- US$36.71 billion (2025)
- GDP per person
- US$5,767 (2025)
- Life expectancy
- 72.3 years (2024)
- Urban population
- 75.5% of population (2025)
Also ranks #1 in debt service share of exports · #6 in government debt share of gdp · #14 in mobile subscriptions per 100.
#5 Panama
Panama ranks #5 on this list with 8.33% of GDP.
- Capital
- Panama City
- Continent
- North America
- Income group
- High income
- Population
- 4.57 million people (2025)
- GDP
- US$90.46 billion (2025)
- GDP per person
- US$19,790 (2025)
- Life expectancy
- 79.8 years (2024)
- Urban population
- 66.2% of population (2025)
Largest cities: Panama City.
Also ranks #7 in gini index · #8 in income share of richest 10% · #15 in gross capital formation rate.
#6 Nicaragua
Nicaragua ranks #6 on this list with 8.3% of GDP.
- Capital
- Managua
- Continent
- North America
- Income group
- Lower middle income
- Population
- 7.01 million people (2025)
- GDP
- US$22.24 billion (2025)
- GDP per person
- US$3,173 (2025)
- Life expectancy
- 75.1 years (2024)
- Urban population
- 59.4% of population (2025)
Also ranks #3 in women in parliament share · #3 in women in ministerial positions share · #28 in homicide rate.
#7 Honduras
Honduras ranks #7 on this list with 7.71% of GDP.
- Capital
- Tegucigalpa
- Continent
- North America
- Income group
- Lower middle income
- Population
- 11.01 million people (2025)
- GDP
- US$39.6 billion (2025)
- GDP per person
- US$3,598 (2025)
- Life expectancy
- 73 years (2024)
- Urban population
- 59.3% of population (2025)
Largest cities: Tegucigalpa.
Also ranks #6 in deposit interest rate · #10 in gini index · #11 in homicide rate.
#8 Jamaica
Jamaica ranks #8 on this list with 7.6% of GDP.
- Capital
- Kingston
- Continent
- North America
- Income group
- Upper middle income
- Population
- 2.84 million people (2025)
- GDP
- US$22.71 billion (2025)
- GDP per person
- US$8,003 (2025)
- Life expectancy
- 71.6 years (2024)
- Urban population
- 59.4% of population (2025)
Also ranks #3 in debt service share of exports · #4 in homicide rate · #6 in immunisation (dpt) rate.
#9 Trinidad and Tobago
Trinidad and Tobago ranks #9 on this list with 7.53% of GDP.
- Capital
- Port of Spain
- Continent
- North America
- Income group
- High income
- Population
- 1.37 million people (2025)
- GDP
- US$25.94 billion (2025)
- GDP per person
- US$18,967 (2025)
- Life expectancy
- 73.6 years (2024)
- Urban population
- 54% of population (2025)
Also ranks #3 in energy use per capita · #6 in co2 emissions per capita · #8 in homicide rate.
#10 Costa Rica
Costa Rica ranks #10 on this list with 6.87% of GDP.
- Capital
- San José
- Continent
- North America
- Income group
- High income
- Population
- 5.15 million people (2025)
- GDP
- US$102.9 billion (2025)
- GDP per person
- US$19,970 (2025)
- Life expectancy
- 81 years (2024)
- Urban population
- 79.7% of population (2025)
Also ranks #3 in immunisation (dpt) rate · #4 in fertiliser consumption · #8 in women in parliament share.
Profile facts: World Bank (CC BY 4.0) and Wikidata (CC0); weather links go to Purr Weather, another ChowChow Labs site.
Source and method
Health expenditure share of GDP: each country's latest value (2018–2023), ranked from highest to lowest.
Source: The World Bank, indicator SH.XPD.CHEX.GD.ZS. Licence: CC BY 4.0. Retrieved: 2026-11-14.
The World Bank: Current health expenditure (% of GDP): Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO) (via World Development Indicators)
Original data provider, as recorded by the World Bank: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
Values are shown as published. Provider terms: The World Bank. All licences: Sources & licences.