The document discusses health care costs in the United States from 1999-2009. It shows that: 1) Average health insurance premiums for family coverage increased 131%, rising from $5,791 to $13,375, while workers' contributions increased 128%. 2) Cumulative increases in health insurance premiums vastly outpaced inflation and workers' earnings increases over this period. 3) Hospital care accounted for the largest share (31%) of national health expenditures in 2008, followed by physician/clinical services (21%) and prescription drugs (10%).