Health spending which accounts for 10 per cent of global gross domestic product (GDP) is pushing 100 million people into extreme poverty each year says a report by the World Health Organization (WHO). Health spending is made up of government expenditure out-of-pocket payments (people paying for their own care) and sources such as voluntary health insurance employer-provided health programmes and activities by non-governmental organisations. The report 2018 Global Health Expenditure revealed that in low and middle-income countries health spending is growing on average 6 per cent annually compared with 4 per cent in high-income countries. While governments provide an average