Based on the relationship between changes in real per capita health-care spending and changes in unemployment rates at the state level, the recent Economic Report of the President concludes that the recession and lackluster recovery account for less than 20% of the slowdown in health-care spending since 2007 – and for an even smaller share of the slowdown that began in 2002. And difficult macroeconomic conditions explain little (if any) of the slowdown in Medicare spending per enrollee since 2001.
基于真实人均医保支出变化和稳定水平失业率之间的关系，最新一期的《总统经济报告》认为衰退和复苏无力只能解释不到两成的2007年以来医疗支出减速，对2002年开始的减速解释力就更低了。而困难的宏观经济环境几乎与2001年以来医疗保险覆盖者人均支出减速无关。