Health spending per capita is lower than most OECD countries, with a significant Health expenditure in Bulgaria has grown modestly over the last decade, having spent 7.9% of its GDP in health in 2023, below the OECD average (9.3%) but similar to the neighbouring EU5 average (8.2%) A. Health expenditure as a share of GDP, 2023 or nearest year OOP spending (36%). Though one of the highest OOP spending levels when compared to OECD countries