Countries Where Patients Pay Least Out of Pocket 2023
About This Dataset
Countries Where Patients Pay Least Out of Pocket 2023
The twenty countries with the lowest out-of-pocket health spending (% of health costs) in 2023, from World Bank figures for the 170 countries that reported that year. Tuvalu records the lowest figure at 0.04, with Nauru (0.73) and Marshall Islands (1.05) next. The share of total health spending that patients pay directly at the point of care. A high share means the cost falls on households rather than on insurance or the state, and it usually goes with low total spending.
Analysis
Tuvalu (0.04), Nauru (0.73) and Marshall Islands (1.05) record the three lowest figures. Across the twenty shown, values run from 0.04 up to 9.38, a spread of 9.34. Nauru, the next country up, records 18.25 times the figure for Tuvalu. No other country in the table is within double the lowest figure of 0.04. The chart shows the twenty lowest of 170 reporting countries, so it describes the bottom of the distribution rather than the world average. Countries recorded as zero are left out: the World Bank writes zero where a country did not report.
Source:
World Bank
Key Findings
🏆
Tuvalu records the lowest in Out-of-Pocket Health Spending (% of Health Costs) at 0.04 in 2023.
📊
Average Out-of-Pocket Health Spending (% of Health Costs) in 2023: 6 · median: 7.
Data Insights
Numbers, trends & sources behind this chart
Methodology & source
- Data source
- World Bank
- Coverage
- 20 entities · 2023 · 20 observations
- Measure
- Out-of-Pocket Health Spending (% of Health Costs)
- Last updated
- 6 September 2026
- Compiled by
- The ANYSTAT team, from the source above
How the figures are calculated
- Values are shown as reported by the source. Nothing is rescaled, rebased or converted — the only changes are thousand separators and decimals shown to two places.
- Entities are ranked lowest-first, because on this measure a lower number is the better result.
Data Sources & References
All external sources cited in this dataset
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