Health economics public finance Governments play a huge role in health markets because of the features just discussed. In countries like the United Kingdom,Sweden, and Canada,the government is responsible for the vast majority of health care expenditures. Even in the US,with its private health care system,the government is responsible for half of all health care spending. Bhattacharya,Hyde and Tu-HealthEconomics Bhattacharya, Hyde and Tu – Health Economics Health economics = public finance  Governments play a huge role in health markets because of the features just discussed.  In countries like the United Kingdom, Sweden, and Canada, the government is responsible for the vast majority of health care expenditures.  Even in the US, with its private health care system, the government is responsible for half of all health care spending