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During the peak COVID-19 pandemic in 2021, the U.S. spent nearly $4.3 trillion on health care, according to the Centers for Medicare and Medicaid Services, reports BenefitsPro. Government insurance programs, such as Medicare and Medicaid, made up 42%, or $1.8 trillion, of national health care spending in 2021, CMS said. Private insurance programs, including employer-sponsored plans and plans purchased through the Affordable Care Act, made up 28% of spending, or about $1.2 trillion.