Health spending grew only 3.8 percent in May, continuing a trend of roughly 4 percent annual growth since 2009, according to a new report. That’s down from 4.2 percent in April, and about as low a growth rate as the country’s seen in the last 15 years.

The data come from the July Health Sector Economic Indicators briefs released by Altarum Institute’s Center for Sustainable Health Spending.

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