In 2024, the Brazilian government spent more than 155 billion reals on health, out of which almost 56 percent, or over 86 billion Brazilian reals, were allocated to hospital and outpatient care. Meanwhile, epidemiological monitoring concentrated around 0.7 percent of the public health expenditure in the South American country, amounting to around 11.2 billion reals.
Public health spending by state
During the 2024 fiscal year, the Brazilian state with the highest public health expenditure was São Paulo, reaching nearly 20.99 billion Brazilian reals. Minas Gerais and Rio de Janeiro followed as the districts with the second and third-largest government expenditure on healthcare. In comparison, the states with the lowest health expenditure in the South American country were Acre, Amapá, and Roraima, with under 800 million Brazilian reals each.
Health spending is expected to increase in the coming years
Current health expenditure in Brazil is forecast to increase in the following years. By 2029, the figure, which includes government and consumer expenditure on health, is estimated to reach more than 312 billion U.S. dollars. In relation to its gross domestic product, Brazil allocated over 10 percent of its GDP to healthcare in 2021, being the Latin American country with the third-highest health spending relative to its gross domestic product, after Cuba and Argentina, and along with a group of countries. In addition, Brazilian households spent over 48 billion U.S. dollars on health out of their pockets in 2022, an increase of around four billion U.S. dollars in comparison to 2019.
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Controladoria-Geral da União (Brazil) (Portal da Transparência). (April 25, 2025). Governmental health expenditure in Brazil in 2024, by area (in billion Brazilian reals) [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved July 29, 2026, from /statistics/1104489/brazil-health-expenditure-area/
Controladoria-Geral da União (Brazil) (Portal da Transparência). "Governmental health expenditure in Brazil in 2024, by area (in billion Brazilian reals)." Chart. April 25, 2025. ÌÇÐÄÆÆ½â°æ. Accessed July 29, 2026. /statistics/1104489/brazil-health-expenditure-area/
Controladoria-Geral da União (Brazil) (Portal da Transparência). (2025). Governmental health expenditure in Brazil in 2024, by area (in billion Brazilian reals). ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: July 29, 2026. /statistics/1104489/brazil-health-expenditure-area/
Controladoria-Geral da União (Brazil) (Portal da Transparência). "Governmental Health Expenditure in Brazil in 2024, by Area (in Billion Brazilian Reals)." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 25 Apr 2025, /statistics/1104489/brazil-health-expenditure-area/
Controladoria-Geral da União (Brazil) (Portal da Transparência), Governmental health expenditure in Brazil in 2024, by area (in billion Brazilian reals) ÌÇÐÄÆÆ½â°æ, /statistics/1104489/brazil-health-expenditure-area/ (last visited July 29, 2026)
Governmental health expenditure in Brazil in 2024, by area (in billion Brazilian reals) [Graph], Controladoria-Geral da União (Brazil) (Portal da Transparência), April 25, 2025. [Online]. Available: /statistics/1104489/brazil-health-expenditure-area/