Health spending in the OECD keeps growing faster than countries' economies. Between 1990 and 2005, per capita health spending, from public and private sources, grew by more than twice as much as per capita GDP. One in four OECD countries now spends more than 10% of its income on health. America is the biggest spender, devoting 15.3% of national income to health; followed by Switzerland (11.6%), France (11.1%) and Germany (10.7%). The increased health spending is straining public coffers and patients' wallets. As long as health spending outpaces economic growth, governments have tough choices to make. They can raise taxes, reduce other spending or make people pay more out of their own pockets.