Average of the 27-country panel (2024)
8.8
percent of GDP
+0.3pp vs 2023
Highest
12.2
Germany
Lowest
5.3
Liechtenstein
Countries ranked
28
with a published figure

Data

Health Spending in Europe by Country (2024) — source data. Eurostat.
# Country % of GDP Change vs 2023
1 Germany 12.2 +0.6pp
2 Austria 11.7 +0.5pp
3 Switzerland 11.4 +0.2pp
4 France 11.3 unchanged
5 Sweden 11.2 unchanged
6 Belgium 11.1 +0.3pp
7 Portugal 10.2 +0.2pp
8 Netherlands 10.1 +0.1pp
9 Slovenia 9.8 +0.5pp
10 Denmark 9.6 unchanged
11 Spain 9.3 +0.1pp
12 Iceland 9.2 +0.6pp
13 Bulgaria 8.5 +0.6pp
14 Czechia 8.5 +0.1pp
15 Italy 8.5 +0.1pp
16 Greece 8.4 unchanged
17 Latvia 8.4 +1.1pp
18 Cyprus 8 +0.2pp
19 Slovakia 8 +0.6pp
20 Estonia 8 +0.6pp
21 Poland 7.8 +0.7pp
22 Lithuania 7.6 +0.3pp
23 Croatia 7.6 +0.6pp
24 Hungary 6.5 +0.1pp
25 Ireland 6.5 +0.2pp
26 Romania 6.2 +0.4pp
27 Luxembourg 5.7 +0.1pp
28 Liechtenstein 5.3 -0.2pp

About this Dataset

Current health expenditure ranges from 12.2% of GDP in Germany to 5.3% in Liechtenstein among the 28 countries covered, against a panel average of 8.8%. That average moved +0.3pp on 2023. Eurostat also publishes 2024 figures for Bosnia and Herzegovina and Moldova, which are not covered here.

Share of GDP and spending per person answer different questions. The first measures the claim health makes on the economy; the second measures what is actually available per patient.

Germany, Austria, Switzerland, France and Sweden lead the table, all at 11.2% of GDP or more. What they have in common is an old population and comprehensive coverage rather than a single financing model. Germany and France run social insurance, Sweden a tax-funded service, Switzerland compulsory private insurance. At the bottom, Liechtenstein, Luxembourg, Romania, Ireland and Hungary spend under 7% of GDP, though for different reasons: Luxembourg and Ireland have GDP denominators that flatter them, while in Hungary and Romania the low figure is real and a high share of it is paid directly by patients. Out-of-pocket financing is the arrangement most associated with people going without care.

Every row is the figure published for 2024; no value is carried over from an adjacent year to fill a gap. Finland, Malta, Montenegro, Norway and Serbia have not published a 2024 figure and are left out rather than carried forward from an older year. The chart tracks a fixed panel of 27 countries: those reporting in every year from 2013. The line therefore moves because the countries moved, not because the sample changed. Figures follow the System of Health Accounts (SHA 2011) and cover current expenditure only, excluding capital investment.

Country pages: Germany · Austria · Switzerland · France · Sweden · Belgium · Portugal · Netherlands · Slovenia · Denmark · Spain · Iceland · Bulgaria · Czechia · Italy · Greece · Latvia · Cyprus · Slovakia · Estonia · Poland · Lithuania · Croatia · Hungary · Ireland · Romania · Luxembourg · Liechtenstein

Frequently Asked Questions

As a share of GDP, Germany at 12.2% in 2024, the highest among the 28 countries covered, followed by Austria, Switzerland and France. The ordering changes if you measure spending per person instead: Switzerland, Iceland, Ireland, Luxembourg and Liechtenstein spend more per head than Germany does, because a smaller share of a larger income can still be a larger amount.

Across this group the relationship is weak. Spain and Italy achieve some of Europe's highest life expectancies on health budgets of 9.3% and 8.5% of GDP, well below Germany's 12.2% (the panel average is 8.8%). Above roughly 8% of GDP, how money is allocated — primary care capacity, prevention, and the share of costs falling directly on patients — predicts outcomes better than the total does.

All final consumption of healthcare goods and services in the year, whoever pays: government schemes, compulsory and voluntary insurance, and out-of-pocket payments by households. It covers curative and rehabilitative care, long-term care, medical goods including pharmaceuticals, prevention and administration. It excludes capital investment in hospitals and equipment, which is reported separately, so it understates total resources going into health systems in years of heavy construction.