The U.S. health bill will account for 19.8 percent of the nation’s spending by 2020, up from 17.6 percent in 2009, outpacing projected average annual GDP growth, researchers say.

The data, published July 28 by the trade journal Health Affairs, projected health spending will reach nearly $4.64 trillion by 2020, half of which will be coughed up by the government. Federal and state government spending will increase due to new insurance exchanges and an increase in the number of Americans on the Medicaid program because of health care reform.

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