Healthcare Spending: North Macedonia

Analysis# North Macedonia Healthcare Spending North Macedonia allocated 7.427% of its GDP to healthcare in 2023, remaining well below its all-time peak of 9.009% in 2003. The country has reduced healthcare spending as a percentage of GDP by 16.3% over the past two decades, though the 2023 figure sits above the historic low of 6.29% recorded in 2014. This positioning reflects moderate healthcare investment relative to the country's economic output. The most significant shift occurred between 2014 and 2021, when spending jumped from 6.29% to 8.419%, likely driven by pandemic-related healthcare demands. After peaking during the COVID-19 crisis, spending declined slightly to 7.427% by 2023, suggesting stabilization around a mid-range level. Current trajectory indicates North Macedonia maintains healthcare spending between 7–8% of GDP, a sustainable middle ground between its historical extremes.