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Countries Ranked by Health expenditure share of GDP in 2020

Health expenditure share of GDP for each country in 2020, ranked from highest to lowest. Source: The World Bank (CC BY 4.0).

Summary

In 2020, United States ranks #1 with 18.5% of GDP. Tuvalu is second with 17.9% of GDP, 3.5% behind. The top five are United States, Tuvalu, Afghanistan, Kiribati and Palau. The median across all 193 is 6.65% of GDP; Lao PDR is last at 2.06% of GDP.

#1
United States · 18.5% of GDP
Median
6.65% of GDP
Coverage
193 countries
Data year
2020
Last updated
2026-11-14
Top 10: Health expenditure share of GDPBar chart of the top 10: 1. United States 18.5; 2. Tuvalu 17.9; 3. Afghanistan 15.5; 4. Kiribati 13.7; 5. Palau 13.3; 6. Canada 13; 7. Liberia 12.9; 8. Cuba 12.5; 9. Germany 12.5; 10. Armenia 12.2.United States18.5Tuvalu17.9Afghanistan15.5Kiribati13.7Palau13.3Canada13Liberia12.9Cuba12.5Germany12.5Armenia12.2
Top 10: Health expenditure share of GDP (% of GDP). Bar chart of the top 10: 1. United States 18.5; 2. Tuvalu 17.9; 3. Afghanistan 15.5; 4. Kiribati 13.7; 5. Palau 13.3; 6. Canada 13; 7. Liberia 12.9; 8. Cuba 12.5; 9. Germany 12.5; 10. Armenia 12.2.
Health expenditure share of GDP over time, top 5United States: 12.5 in 2000 to 18.5 in 2020; Tuvalu: 22.3 in 2000 to 17.9 in 2020; Afghanistan: 9.44 in 2002 to 15.5 in 2020; Kiribati: 7.77 in 2000 to 13.7 in 2020; Palau: 8.64 in 2000 to 13.3 in 2020.06.1112.218.324.5200020102020United StatesTuvaluAfghanistanKiribatiPalau
Health expenditure share of GDP over time, top 5 (% of GDP). United States: 12.5 in 2000 to 18.5 in 2020; Tuvalu: 22.3 in 2000 to 17.9 in 2020; Afghanistan: 9.44 in 2002 to 15.5 in 2020; Kiribati: 7.77 in 2000 to 13.7 in 2020; Palau: 8.64 in 2000 to 13.3 in 2020.

Full ranking

Countries Ranked by Health expenditure share of GDP in 2020, 2020
RankCountryHealth expenditure share of GDP (% of GDP)
1United States18.5
2Tuvalu17.9
3Afghanistan15.5
4Kiribati13.7
5Palau13.3
6Canada13
7Liberia12.9
8Cuba12.5
9Germany12.5
10Armenia12.2
11France12.1
12Marshall Islands12.1
13United Kingdom12.1
14Switzerland12
15Micronesia, Fed. Sts.12
16Yemen, Rep.11.6
17Naoero11.6
18Belgium11.5
19Japan11.5
20Maldives11.4
21Sweden11.4
22Norway11.4
23Montenegro11.4
24Austria11.4
25Netherlands11
26Spain10.8
27Burundi10.7
28Australia10.7
29Denmark10.7
30Argentina10.7
31Portugal10.5
32Lesotho10.4
33West Bank and Gaza10.3
34Panama10.2
35Malta9.85
36Bosnia and Herzegovina9.7
37Finland9.7
38Chile9.7
39Iceland9.65
40Brazil9.62
41Italy9.56
42Namibia9.56
43Slovenia9.49
44Greece9.38
45South Sudan9.35
46New Zealand9.25
47Georgia9.23
48Honduras9.22
49Uruguay9.09
50South Africa9.02
51Guinea-Bissau8.99
52Central African Republic8.98
53Czechia8.97
54El Salvador8.95
55Tajikistan8.89
56Andorra8.78
57Colombia8.7
58Cyprus8.65
59Ecuador8.61
60Nicaragua8.56
61San Marino8.48
62Bulgaria8.44
63Serbia8.31
64Russian Federation8.04
65Korea, Rep.8.03
66Bolivia8.02
67Costa Rica7.83
68Israel7.75
69North Macedonia7.73
70Croatia7.68
71Paraguay7.68
72Ukraine7.56
73Mozambique7.55
74Jordan7.55
75Latvia7.51
76Lebanon7.48
77Trinidad and Tobago7.48
78Jamaica7.48
79Estonia7.47
80Albania7.47
81Lithuania7.42
82Bahamas, The7.4
83São Tomé and Principe7.32
84Timor-Leste7.26
85Hungary7.23
86Libya7.11
87Eswatini7.1
88Slovak Republic7.06
89Tunisia7.06
90Malawi7.04
91Cabo Verde7.03
92St. Lucia7.01
93Moldova7
94Ireland6.97
95Burkina Faso6.89
96Barbados6.73
97Saudi Arabia6.65
98Guatemala6.46
99Poland6.43
100Belarus6.41

Showing the top 100 of 193. Premium downloads the full list as CSV or JSON.

About the top 10

#1 United States

United States ranks #1 on this list with 18.5% 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.

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 for each country in 2020, 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.