According to the National Health Care Management Association analysis of 2008 healthcare spending:
- The top 1 percent of the population was responsible for 20.2 percent of spending.
- The top 5 percent of the population accounted for almost half (47.5 percent) of all health care spending.
- ABout 60% of the top 5 percent (and top 1 percent) are 55 and older; about 40% is 65 and over
- The top 10 percent of the population accounted for 63.6 percent of all spending.
- 15.6 percent of the civilian, non-institutionalized population had no health care spending at all in 2008
- The half of the population with the lowest spending accounted for only 3.1 percent of all expenditures.

