Countries Spending Most on Healthcare (2026)

Tuvalu spends the most on healthcare as a share of GDP at 27.1%. Healthcare spending reflects a nation's commitment to public health, though higher spending does not always equate to better outcomes.

Countries Spending Most on Healthcare - 193 countries ranked by Health Spend (% GDP)
RankCountryHealth Spend (% GDP)
1Tuvalu flagTuvalu27.1% GDP
2Nauru flagNauru18.2% GDP
3United States flagUnited States16.7% GDP
4Afghanistan flagAfghanistan15.0% GDP
5Marshall Islands flagMarshall Islands13.4% GDP
6Liberia flagLiberia13.0% GDP
7Micronesia flagMicronesia12.9% GDP
8Lesotho flagLesotho12.6% GDP
9Germany flagGermany12.3% GDP
10Austria flagAustria11.8% GDP
11Switzerland flagSwitzerland11.7% GDP
12South Sudan flagSouth Sudan11.6% GDP
13France flagFrance11.5% GDP
14Canada flagCanada11.3% GDP
15Sweden flagSweden11.2% GDP
16United Kingdom flagUnited Kingdom11.1% GDP
17Kiribati flagKiribati10.9% GDP
18Palau flagPalau10.8% GDP
19Belgium flagBelgium10.8% GDP
20Japan flagJapan10.7% GDP
21Palestine flagPalestine10.7% GDP
22Central African Republic flagCentral African Republic10.7% GDP
23Chile flagChile10.5% GDP
24Finland flagFinland10.5% GDP
25Australia flagAustralia10.4% GDP
26Argentina flagArgentina10.3% GDP
27Portugal flagPortugal10.2% GDP
28New Zealand flagNew Zealand10.1% GDP
29Netherlands flagNetherlands10.0% GDP
30Slovenia flagSlovenia9.9% GDP
31Brazil flagBrazil9.7% GDP
32Yemen flagYemen9.7% GDP
33Montenegro flagMontenegro9.7% GDP
34Timor-Leste flagTimor-Leste9.6% GDP
35Namibia flagNamibia9.5% GDP
36Norway flagNorway9.4% GDP
37Denmark flagDenmark9.4% GDP
38Cuba flagCuba9.4% GDP
39Armenia flagArmenia9.3% GDP
40El Salvador flagEl Salvador9.3% GDP
41Maldives flagMaldives9.3% GDP
42Spain flagSpain9.2% GDP
43Burundi flagBurundi9.1% GDP
44Uruguay flagUruguay9.0% GDP
45Iceland flagIceland9.0% GDP
46Bosnia and Herzegovina flagBosnia and Herzegovina8.9% GDP
47South Africa flagSouth Africa8.9% GDP
48Malta flagMalta8.8% GDP
49Guinea-Bissau flagGuinea-Bissau8.8% GDP
50South Korea flagSouth Korea8.7% GDP
51Czechia flagCzechia8.5% GDP
52Mozambique flagMozambique8.5% GDP
53Italy flagItaly8.4% GDP
54Greece flagGreece8.4% GDP
55Paraguay flagParaguay8.4% GDP
56Panama flagPanama8.3% GDP
57Nicaragua flagNicaragua8.3% GDP
58Ukraine flagUkraine8.2% GDP
59Colombia flagColombia8.1% GDP
60Cyprus flagCyprus8.1% GDP
61Poland flagPoland8.1% GDP
62Serbia flagSerbia8.0% GDP
63Tunisia flagTunisia8.0% GDP
64Bulgaria flagBulgaria7.9% GDP
65Estonia flagEstonia7.8% GDP
66Libya flagLibya7.8% GDP
67Burkina Faso flagBurkina Faso7.8% GDP
68Honduras flagHonduras7.7% GDP
69Andorra flagAndorra7.7% GDP
70Jordan flagJordan7.7% GDP
71Lithuania flagLithuania7.6% GDP
72Jamaica flagJamaica7.6% GDP
73Ecuador flagEcuador7.6% GDP
74Trinidad and Tobago flagTrinidad and Tobago7.5% GDP
75Eswatini flagEswatini7.5% GDP
76Tajikistan flagTajikistan7.4% GDP
77North Macedonia flagNorth Macedonia7.4% GDP
78Tonga flagTonga7.4% GDP
79Slovakia flagSlovakia7.3% GDP
80Latvia flagLatvia7.3% GDP
81Croatia flagCroatia7.2% GDP
82Israel flagIsrael7.1% GDP
83Belarus flagBelarus7.1% GDP
84Albania flagAlbania7.0% GDP
85Russia flagRussia7.0% GDP
86Bolivia flagBolivia6.9% GDP
87Costa Rica flagCosta Rica6.9% GDP
88Georgia flagGeorgia6.9% GDP
89Ireland flagIreland6.8% GDP
90Guatemala flagGuatemala6.8% GDP
91Samoa flagSamoa6.8% GDP
92Uzbekistan flagUzbekistan6.7% GDP
93Moldova flagMoldova6.7% GDP
94San Marino flagSan Marino6.6% GDP
95Comoros flagComoros6.5% GDP
96Malawi flagMalawi6.5% GDP
97Hungary flagHungary6.4% GDP
98Bahamas flagBahamas6.3% GDP
99Botswana flagBotswana6.3% GDP
100Nepal flagNepal6.2% GDP
101Togo flagTogo6.1% GDP
102Mongolia flagMongolia6.1% GDP
103Morocco flagMorocco6.1% GDP
104Iran flagIran6.0% GDP
105Zambia flagZambia6.0% GDP
106China flagChina5.9% GDP
107Luxembourg flagLuxembourg5.9% GDP
108Cape Verde flagCape Verde5.8% GDP
109São Tomé and Príncipe flagSão Tomé and Príncipe5.8% GDP
110Saint Kitts and Nevis flagSaint Kitts and Nevis5.7% GDP
111Romania flagRomania5.7% GDP
112Liechtenstein flagLiechtenstein5.7% GDP
113Saudi Arabia flagSaudi Arabia5.7% GDP
114Peru flagPeru5.6% GDP
115Lebanon flagLebanon5.6% GDP
116Mauritius flagMauritius5.6% GDP
117Iraq flagIraq5.5% GDP
118Mexico flagMexico5.5% GDP
119Turkmenistan flagTurkmenistan5.5% GDP
120Suriname flagSuriname5.4% GDP
121Barbados flagBarbados5.4% GDP
122Solomon Islands flagSolomon Islands5.4% GDP
123Rwanda flagRwanda5.1% GDP
124Philippines flagPhilippines5.1% GDP
125Dominica flagDominica5.0% GDP
126Chad flagChad5.0% GDP
127United Arab Emirates flagUnited Arab Emirates5.0% GDP
128Kuwait flagKuwait5.0% GDP
129Egypt flagEgypt4.9% GDP
130Saint Lucia flagSaint Lucia4.7% GDP
131Sierra Leone flagSierra Leone4.7% GDP
132Grenada flagGrenada4.7% GDP
133Cambodia flagCambodia4.6% GDP
134Dominican Republic flagDominican Republic4.6% GDP
135Vietnam flagVietnam4.6% GDP
136Cameroon flagCameroon4.5% GDP
137Thailand flagThailand4.5% GDP
138Kyrgyzstan flagKyrgyzstan4.5% GDP
139Singapore flagSingapore4.5% GDP
140Seychelles flagSeychelles4.5% GDP
141Myanmar flagMyanmar4.5% GDP
142Saint Vincent and the Grenadines flagSaint Vincent and the Grenadines4.4% GDP
143Bhutan flagBhutan4.4% GDP
144Kenya flagKenya4.3% GDP
145Algeria flagAlgeria4.3% GDP
146Mauritania flagMauritania4.3% GDP
147Senegal flagSenegal4.3% GDP
148Turkey flagTurkey4.3% GDP
149Azerbaijan flagAzerbaijan4.3% GDP
150Uganda flagUganda4.2% GDP
151Nigeria flagNigeria4.2% GDP
152Belize flagBelize4.2% GDP
153Vanuatu flagVanuatu4.1% GDP
154Niger flagNiger4.0% GDP
155Bahrain flagBahrain4.0% GDP
156Malaysia flagMalaysia4.0% GDP
157Antigua and Barbuda flagAntigua and Barbuda3.9% GDP
158Mali flagMali3.8% GDP
159Venezuela flagVenezuela3.8% GDP
160Kazakhstan flagKazakhstan3.8% GDP
161Somalia flagSomalia3.7% GDP
162Guinea flagGuinea3.7% GDP
163DR Congo flagDR Congo3.7% GDP
164Sri Lanka flagSri Lanka3.7% GDP
165Eritrea flagEritrea3.7% GDP
166Fiji flagFiji3.6% GDP
167Equatorial Guinea flagEquatorial Guinea3.5% GDP
168Oman flagOman3.5% GDP
169Madagascar flagMadagascar3.4% GDP
170Ivory Coast flagIvory Coast3.4% GDP
171India flagIndia3.3% GDP
172Benin flagBenin3.3% GDP
173Republic of the Congo flagRepublic of the Congo3.3% GDP
174Haiti flagHaiti3.2% GDP
175Gabon flagGabon3.1% GDP
176Monaco flagMonaco3.1% GDP
177Tanzania flagTanzania3.0% GDP
178Ghana flagGhana3.0% GDP
179Zimbabwe flagZimbabwe2.9% GDP
180Gambia flagGambia2.9% GDP
181Papua New Guinea flagPapua New Guinea2.9% GDP
182Sudan flagSudan2.9% GDP
183Ethiopia flagEthiopia2.8% GDP
184Syria flagSyria2.7% GDP
185Indonesia flagIndonesia2.7% GDP
186Angola flagAngola2.5% GDP
187Pakistan flagPakistan2.5% GDP
188Qatar flagQatar2.5% GDP
189Guyana flagGuyana2.5% GDP
190Djibouti flagDjibouti2.3% GDP
191Brunei flagBrunei2.2% GDP
192Bangladesh flagBangladesh2.2% GDP
193Laos flagLaos1.3% GDP

Does Spending More on Healthcare Lead to Better Outcomes?

Tuvalu spends the most on healthcare at 27.1% of GDP, compared to a global average of 6.8%. The relationship between spending and outcomes is complicated. The United States consistently spends far more than any other country yet has worse outcomes than many peers, suggesting how money is spent matters as much as how much.

Many countries with excellent health outcomes achieve them spending only 5-8% of GDP through universal coverage systems that control costs and emphasize preventive care.

Why Healthcare Costs Are Rising

Aging populations drive higher spending — older people require more medical care, medications, and long-term care. Countries like Germany and Austria face growing costs driven partly by demographic aging.

Low health spending is not always a choice. Many developing countries spend less than 4% of GDP on health because governments have limited revenue and competing priorities. International health aid supplements domestic spending in the world's poorest countries.