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The Congressional Budget Office says that federal spending for major health care programs and Social Security are on track to 14 percent of the gross domestic product by 2038, twice the 7 percent average of the past 40 years.
Per capita health care spending in Massachusetts is the highest of any state in the United States, with higher spending than the national average across all payer types. Massachusetts devoted 16.6 percent of its economy to per-sonal health care expenditures in 2012, compared with 15.1 percent for the nation.ompared to the U.S. average in 2011, Massachusetts residents were admitted to a hospital 10 percent more of-ten after adjusting for age vi, visited emergency rooms 13 percent more often, and used hospital-based outpatient services vii (excluding the emergency department) 72 per-cent more often (Table 1.2).