Healthcare Spending: San Marino

Analysis# San Marino Healthcare Spending San Marino allocated 6.608% of its GDP to healthcare in 2023, down from its peak of 8.989% in 2012. Since 2000, the country has increased overall healthcare spending by 14.2%, though the trajectory reveals significant volatility. The all-time low of 4.772% occurred in 2003, making the current figure substantially higher than two decades ago. A notable shift began in 2021, when spending dropped to 7.513% after remaining above 8% for nearly a decade. Spending continued declining through 2022 and 2023, suggesting a deliberate reorientation of fiscal priorities or improved healthcare efficiency. The downward trend from 2021 onward represents the steepest consecutive decline in the dataset, indicating San Marino may be moving toward a more sustainable healthcare spending model relative to its economy.