Figure 1 and Fig. 2 show the total health spending per capita in inflation-adjusted 2019 purchasing power parity adjusted US$ and total health spending per Gross Domestic Product for BRICS countries. These figures show how per capita health spending is expected to increase between 2017 and 2030. This growth is inflation and purchasing power adjusted. Health spending is projected to be highest in Brazil, China and Russia that already spend the most on health. The health spending in 2030 is projected to be $1767 (95% PI: 1615, 1977) for Brazil, $1707 (95% PI: 1079, 2334) for China, $1933 (95% PI: 1549, 2317) for Russia, $1379 (95% PI: 755, 2004) for South Africa and $468 (95% PI: 400.4, 535) for India (Table 1). Health spending per GDP in 2030 is projected to be highest in Brazil and South Africa, following by China and Russia and last India. Health spending per GDP is projected to increase in South Africa and be 10.4% by 2030 (95% PI: 5.5, 15.3) while the health spending per GDP is projected to slightly decrease in Brazil and be 8.4% in 2030 (95% PI: 7.5, 9.4) (Table 1). China is also expected to steadily increase its health spending per GDP in the time period from 2020 to 2030, and it is projected to be 5.9% (95% PI: 4.9, 7.0) in 2030. Russia and India are not expected to experience any noticeable alteration in their health spending per GDP in the time horizon up to 2030, and their health spending per GDP in 2030 is projected to be 5.2% (95% PI: 4.5, 5.9) for Russia and 3.5% (95% PI: 2.9%,4.1%) for India.
The source of health spending per capita and its share on health spending for the years 2020, 2025 and 2030 are displaying in Table 3 and Table 4, respectively. The highest value on government health spending per capita in 2020 is observed for Russia $871 (95% PI: 716, 1028), following by Brazil $663 (95% PI: 616, 711), South Africa $648 (95% PI: 578, 719), China $609 (95% PI: 553, 664) and last India $85 (95% PI: 76, 94). In 2030, it is expected that the highest value on government health spending per capita will be observed for China $949 (95% PI: 527, 1370), following by Russia $870 (95% PI: 428, 1312), Brazil $761 (95% PI: 662, 860), South Africa $665 (95% PI: 311, 1020) and last India $135 (95% PI: 69, 201) (Table 3). In terms of the share of government health spending, the highest value in 2020 is observed for Russia 58.2% (95% PI: 55.2, 61.2), following by China 57.6% (95% PI: 52.2, 63.0), South Africa 52.9% (95% PI: 48.1, 57.8), Brazil 41.7% (95% PI: 40.0, 43.2) and last the India 27.4% (95% PI: 25.1, 29.7). All countries are not expected to experience any noticeable alteration in their government health spending share up to 2030. In 2030, the share of government health spending for Russia is projected to be 63.2% (95% PI: 57.3, 69.2), following by China 57.0% (95% PI: 25.6, 88.4), South Africa 53.0% (95% PI: 31.8, 74.2), Brazil 41.6% (95% PI: 36.9, 46.2) and last India 30.7 (95% PI: 25.4, 36.0) (Table 4).
In terms of prepaid private spending per capita, the highest value in 2020 is expected to be observed by Brazil $504 (95% PI: 468, 539), following by South Africa $444 (95% PI: 396, 492), China $82 (95% PI: 71, 91), Russia $40 (95% PI: 18, 63) and last India $32 (95% PI: 29, 36). In 2030, the prepaid private spending per capita of Brazil is expected to increase and be the highest again $667 (95% PI: 514, 820), following by South Africa $445 (95% PI 318, 571), China $161 (95% PI: 86, 235), India $53 (95% PI: 34, 72) and last $40 (95% PI: 1, 92) (Table 3). In terms of the share of prepaid private health spending, the highest value in 2020 is expected to be observed by South Africa 36.8% (95% PI: 32.0, 41.5), following by Brazil 32.4% (95% PI: 31.3, 33.5), India 10.9% (95% PI: 10.1, 11.5), China 8.0% (95% PI: 6.2, 9.8) and last the Russia 2.6% (95% PI: 0.5, 4.7). In 2030, Brazil and South Africa are expected to have the highest prepaid private spending shares, 39.7% (95% PI: 33.3, 46.1) for Brazil and 36.7% (95% PI: 18.9, 54.5) for South Africa. China and India are expected to have much smaller prepaid private spending shares, 14.0% (95% PI: 10.4, 17.7) for India and 13.0% (95% PI: 1.0, 27.1) for China while Russia is expected to have a minimal share of prepaid private spending 2.6% (95% PI: 0.0, 11.1) (Table 4).
The highest value of out-of-pocket spending per capita in 2020 is expected to be observed by Russia $670 (95% PI: 625, 715), following by Brazil $406 (95% PI: 394, 418), China $370 (95% PI: 348, 393), India $190 (95% PI: 179, 200) and last the South Africa $96 (95% PI: 85, 107). In 2030, the out-of-pocket spending per capita of Russia is expected to increase and be the highest again $848 (95% PI: 733, 763), following by China $573 (95% PI: 425, 719), Brazil $406 (95% PI: 393, 418), India $268 (95% PI: 198, 339) and last the South Africa $106 (95% PI: 19, 193) (Table 3). In terms of the share of out-of-pocket health spending, the highest value in 2020 is expected to be observed by India 60.9% (95% PI: 58.2, 63.7), following by Russia 42.3% (95% PI: 39.5, 45.1), China 34.3% (95% PI: 28.5, 40.1), Brazil 25.9% (95% PI: 23.7, 27.0) and last the South Africa 7.8% (95% PI: 6.4, 9.2). In 2030, India and Russia are expected to have the highest out-of-pocket spending shares, 55.7% (95% PI: 49.3, 62.0) for India and 49.0% (95% PI: 41.6, 56.4) for Russia, following by China 30.4% (95% PI: 3.0, 79.9), Brazil 20.6% (95% PI: 17.7, 23.6) and last the South Africa 7.8% (95% PI: 1.0, 18.3) (Table 4).