Direct consumer payments for healthcare have risen sharply as a share of total spending during the last five years.
O fell from 47 percent of total spending in 1960 to 11.4 percent in 2011.
O fell from 47 percent of total spending in 1980 to 34 percent in 2011.
O rose from 25 percent of total spending in 1960 to 46 percent in 2011.