NHE in trillions 6.7% annual growth $5.2 $4.6 $4.2 4.7% annual growth

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Total National Health Expenditures (NHE), 2009–2020 Current Projection and Alternative Scenarios NHE in trillions 6.7% annual growth $5.2 $4.6 $4.2 4.7% annual growth 5.5% annual growth $2.6 Cumulative reduction in NHE through 2020: $3 trillion Note: GDP = Gross Domestic Product. Data: Estimates by The Lewin Group for The Commonwealth Fund. Source: The Commonwealth Fund Commission on a High Performance Health System, The Path to a High Performance U.S. Health System: A 2020 Vision and the Policies to Pave the Way (New York: The Commonwealth Fund, Feb. 2009).