This document discusses two tables of data on national health expenditures in the United States from 1970 to 2009. Table 1 shows changes in sources of expenditures over time, with out-of-pocket costs decreasing and payments by third-party payers like insurance increasing. Table 2 breaks down public program payments, putting state and local officials in an difficult position as Medicaid and other healthcare programs rise faster than other budget items like education. The document asks the reader to comment on changes observed in the tables.