After nearly a decade of generous increases, health-care spending across the 34 countries of the OECD was largely flat in 2010. Spending increased by a real annual average of 4.8% between 2000 and 2009. In 2010, eight countries cut spending, while only three increased it by more than 3% in real terms. After its spending on health more than doubled in 2000-09, austerity-hit Ireland cut it by 7.6% in 2010. Similarly, Greece's health-care spending declined by 6.5%. In 2010 OECD governments spent an average of 9.5% of their GDP on health care, up from 6.9% in 1990. At 17.6% of its national income (up from 12.4% in 1990), America spends by far the greatest amount on health, half of it from public funds.