Health care spending in America accounts for a larger share of GDP than in any other country Health spending in the ., at about of Gross Domestic Product (GDP) in 2010, is projected to grow to about 20% by 2020. Despite the incredible investment America continues to make in health care, of people in the . ( million people, up from million the previous year) lacked health care coverage for the entire year of 2009. For some, insurance was unavailable or unaffordable. In other cases, a lack of insurance was due to a personal decision not to pay for it. | A study of service quality management on health care industry in Bangalore