Has spending really increased?
A larger rupee total can buy little more, or less per person. Separate price changes, population changes and accounting stages before judging growth.
“Spending increased by 10%” answers only part of the question. Ten percent of what, compared with which year, at which prices, and for how many people?
Nominal means the amount expressed in the money values of the period. A real comparison adjusts for price changes using an appropriate price measure. Per-person divides by a defined population. These adjustments answer different questions; none automatically measures service quality.
A worked example with invented numbers
Everything in this example is hypothetical. It is not an Indian budget series.
Suppose a programme spends ₹100 crore in Year A and ₹110 crore in Year B. The relevant price index rises from 100 to 108, and the covered population rises from 100,000 to 105,000 people.
| Comparison | Calculation | Result |
|---|---|---|
| Nominal spending growth | 110 / 100 − 1 | 10.00% |
| Real spending in Year A prices | 110 × 100 / 108 | About ₹101.85 crore |
| Real spending growth | 110 / 108 − 1 | About 1.85% |
| Real spending per person growth | (110 / 100) / (108 / 100) / (105,000 / 100,000) − 1 | About −3.00% |
The nominal total rose, real total spending rose a little, and real spending per person fell. There is no contradiction. The accompanying teaching dataset stores the inputs and calculations, explicitly labelled synthetic.
Choose a price measure that matches the question
Do not automatically use headline consumer inflation to deflate every government programme. The prices relevant to household purchases need not match those for construction, medical equipment or another programme’s inputs.
MoSPI’s September 2026 release distinguishes the overall consumer basket, food measures and detailed divisions, and specifies a 2024 index base. That is a reminder to state the price series and base you actually used, rather than attaching an unexplained “inflation adjusted” label. 1 2
Keep the periods aligned. Comparing a financial-year expenditure with a single month’s year-on-year inflation rate may not answer the intended question.
A GDP ratio is a different adjustment
Spending divided by GDP expresses its size relative to measured economic output. It is not the same calculation as spending per person or a direct purchasing-power adjustment.
The National Health Accounts release illustrates a denominator change: the same 2022–23 government health expenditure is presented as 1.43% of GDP and as 1.48% with the new GDP series. Those figures must not be plotted as successive spending increases. 3
Do not repair one comparison while breaking another
Before doing any price adjustment, check the accounting stage. The Union Budget’s table distinguishes actuals, budget estimates and revised estimates. A real-terms comparison still misleads if an article calls a proposed allocation an achieved expenditure. 4
Also define the population. All residents, eligible applicants, enrolled pupils and actual service users are not interchangeable denominators. A higher per-user figure could reflect fewer users rather than a better service.
Publish the input values, formula, units and rounding. Then state the limited conclusion: spending increased in this defined sense. Whether that money produced better public services remains a separate question.
Source-linked data
Teaching examples: real spending and causal comparisons
Hypothetical teaching example — invented inputs, not observed Indian data.
Invented inputs with executable arithmetic. Never chart as observed Indian data. Reference period: Invented Year A/Year B and before/after periods; not calendar observations
- All numerical inputs in this asset are invented for teaching.
- The difference-in-differences arithmetic is not a valid causal estimate unless its assumptions are justified for actual data.
- An appropriate deflator and population are needed for a real spending-per-person analysis.
Hypothetical spending inputs (2 rows)
| example id | period | nominal spending INR crore | price index | population | synthetic | Source and dates |
|---|---|---|---|---|---|---|
| spending | Year A | 100 | 100 | 100000 | true | Source detailsAuthored hypothetical inputs; not extracted from a real programme. Published: Not supplied |
| spending | Year B | 110 | 108 | 105000 | true | Source detailsAuthored hypothetical inputs; not extracted from a real programme. Published: Not supplied |
Hypothetical absence rates (4 rows)
| example id | group | period | absence rate percent | synthetic | data origin | Source and dates |
|---|---|---|---|---|---|---|
| absence | programme | before | 20 | true | Authored example; cited source supports the method, not these invented inputs. | Source detailsOriginal sourceChapter 7, printed pages 137–138 / PDF pages 167–168: assessing the equal-trends assumption Published: 2016 |
| absence | programme | after | 12 | true | Authored example; cited source supports the method, not these invented inputs. | Source detailsOriginal sourceChapter 7, printed pages 137–138 / PDF pages 167–168: assessing the equal-trends assumption Published: 2016 |
| absence | comparison | before | 18 | true | Authored example; cited source supports the method, not these invented inputs. | Source detailsOriginal sourceChapter 7, printed pages 137–138 / PDF pages 167–168: assessing the equal-trends assumption Published: 2016 |
| absence | comparison | after | 14 | true | Authored example; cited source supports the method, not these invented inputs. | Source detailsOriginal sourceChapter 7, printed pages 137–138 / PDF pages 167–168: assessing the equal-trends assumption Published: 2016 |
Data sources and scope (2)
- Impact Evaluation in Practice, Second Edition
World Bank and Inter-American Development Bank · Chapter 3, especially printed page 49 / PDF page 79: counterfactual; subsequent before/after discussion
Published: 2016
Reference period: Not supplied
Source checked: 2026-10-14Original book inspected: counterfactual discussion in chapter 3 and equal-trends discussion in chapter 7.
Method explanation, not an evaluation of an Indian policy. Numerical teaching examples in this pack are newly authored and explicitly synthetic.
- Impact Evaluation in Practice, Second Edition
World Bank and Inter-American Development Bank · Chapter 7, printed pages 137–138 / PDF pages 167–168: assessing the equal-trends assumption
Published: 2016
Reference period: Not supplied
Source checked: 2026-10-14Original book inspected: counterfactual discussion in chapter 3 and equal-trends discussion in chapter 7.
Method explanation, not an evaluation of an Indian policy. Numerical teaching examples in this pack are newly authored and explicitly synthetic.
Research checked 14 October 2026. Not a live data feed.
Health financing: selected NHA 2022–23 comparisons
Official statistics — dated observations, not a live feed.
Fifteen selected observations with denominator and GDP-series distinctions. Reference period: Selected financial years 2013–14, 2021–22 and 2022–23
- Official release inspected; full NHA report not retrieved. Figures do not describe all health services in 2026.
- 1.43% and 1.48% are alternative FY 2022–23 GDP ratios, not sequential spending increases.
- Amounts in lakh crore are rounded as published; do not display invented rupee-level precision.
- OOPE is a share of total health expenditure, not a percentage of household income or proof that each household paid less.
- The long-run OOPE-share fall coexists with a rise from 2021–22 to 2022–23.
Selected health-financing observations (15 rows)
| indicator id | financial year | value | unit | denominator | series variant | price basis | rounded amount | geography | status | Source and dates |
|---|---|---|---|---|---|---|---|---|---|---|
| government_health_expenditure | 2013-14 | 1.3 | INR_lakh_crore | not_applicable | release_comparison | nominal_current_prices | true | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| government_health_expenditure | 2022-23 | 3.85 | INR_lakh_crore | not_applicable | release_comparison | nominal_current_prices | true | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| ghe_gdp_share | 2013-14 | 1.15 | percent | GDP | earlier_GDP_presentation | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGDP note: FY 2022–23 GHE/GDP is 1.43% in the earlier presentation and 1.48% using the new GDP series with base 2022–23 Published: 2026-05-27 |
| ghe_gdp_share | 2021-22 | 1.84 | percent | GDP | earlier_GDP_presentation | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGDP note: FY 2022–23 GHE/GDP is 1.43% in the earlier presentation and 1.48% using the new GDP series with base 2022–23 Published: 2026-05-27 |
| ghe_gdp_share | 2022-23 | 1.43 | percent | GDP | earlier_GDP_presentation | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGDP note: FY 2022–23 GHE/GDP is 1.43% in the earlier presentation and 1.48% using the new GDP series with base 2022–23 Published: 2026-05-27 |
| ghe_gdp_share | 2022-23 | 1.48 | percent | GDP | new_GDP_series_base_2022_23 | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGDP note: FY 2022–23 GHE/GDP is 1.43% in the earlier presentation and 1.48% using the new GDP series with base 2022–23 Published: 2026-05-27 |
| ghe_gge_share | 2013-14 | 3.78 | percent | General Government Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| ghe_gge_share | 2022-23 | 4.89 | percent | General Government Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| ghe_per_capita | 2013-14 | 1042 | INR_per_person | population | release_comparison | nominal_current_prices | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| ghe_per_capita | 2022-23 | 2786 | INR_per_person | population | release_comparison | nominal_current_prices | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| ghe_the_share | 2013-14 | 28.6 | percent | Total Health Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| ghe_the_share | 2022-23 | 43.7 | percent | Total Health Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| oope_the_share | 2013-14 | 64.2 | percent | Total Health Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| oope_the_share | 2021-22 | 39.4 | percent | Total Health Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
| oope_the_share | 2022-23 | 43.4 | percent | Total Health Expenditure | release_comparison | ratio_as_published | false | India | published_estimate | Source detailsOriginal sourceGovernment spending, per-capita values, GHE/THE and OOPE/THE comparisons Published: 2026-05-27 |
Data sources and scope (2)
- National Health Accounts 2022–23 release
Ministry of Health and Family Welfare, via PIB · Government spending, per-capita values, GHE/THE and OOPE/THE comparisons
Published: 2026-05-27
Reference period: FY 2013–14, 2021–22 and 2022–23 (selected comparisons)
Source checked: 2026-10-14Official release inspected, including the GDP-series note. Full NHA report was too large for successful web retrieval; no claim of full-table inspection.
The source is the official release, not the full report. Percentages use different denominators. Rounded expenditure amounts must not be converted into invented exact totals. Aggregate spending does not establish access, quality or individual bills.
- National Health Accounts 2022–23 release
Ministry of Health and Family Welfare, via PIB · GDP note: FY 2022–23 GHE/GDP is 1.43% in the earlier presentation and 1.48% using the new GDP series with base 2022–23
Published: 2026-05-27
Reference period: FY 2013–14, 2021–22 and 2022–23 (selected comparisons)
Source checked: 2026-10-14Official release inspected, including the GDP-series note. Full NHA report was too large for successful web retrieval; no claim of full-table inspection.
The source is the official release, not the full report. Percentages use different denominators. Rounded expenditure amounts must not be converted into invented exact totals. Aggregate spending does not establish access, quality or individual bills.
Research checked 14 October 2026. Not a live data feed.
Sources and scope (4)
The check date records a research check, not continuous monitoring or a guarantee of current law.
- Consumer Price Index release: September 2026
National Statistics Office, MoSPI · PDF page 1: rural/urban/combined CPI and CFPI inflation and indices
Edition: CPI base 2024=100
Published: 2026-10-12
Reference period: September 2026 provisional; August 2026 finalLimits: Year-on-year rates are not month-on-month price changes. CFPI is not identical to the Food and Beverages division. September figures are provisional. Rounded indices do not reproduce every published rate exactly.
Source checked 14 October 2026.
- Consumer Price Index release: September 2026
National Statistics Office, MoSPI · Annexure I, PDF page 6: division-wise indices and year-on-year inflation; division code 12 absent
Edition: CPI base 2024=100
Published: 2026-10-12
Reference period: September 2026 provisional; August 2026 finalLimits: Year-on-year rates are not month-on-month price changes. CFPI is not identical to the Food and Beverages division. September figures are provisional. Rounded indices do not reproduce every published rate exactly.
Source checked 14 October 2026.
- National Health Accounts 2022–23 release
Ministry of Health and Family Welfare, via PIB · GDP note: FY 2022–23 GHE/GDP is 1.43% in the earlier presentation and 1.48% using the new GDP series with base 2022–23
Published: 2026-05-27
Reference period: FY 2013–14, 2021–22 and 2022–23 (selected comparisons)Limits: The source is the official release, not the full report. Percentages use different denominators. Rounded expenditure amounts must not be converted into invented exact totals. Aggregate spending does not establish access, quality or individual bills.
Source checked 14 October 2026.
- Budget at a Glance 2026–27
Ministry of Finance · Printed page 1 / PDF page 3: complete main table and GDP/adjustment notes
Edition: Union Budget 2026–27
Reference period: FY 2024–25 actuals; FY 2025–26 BE and RE; FY 2026–27 BELimits: Union figures, not consolidated Union/state/local finances. Estimates are not actual expenditure. Published crore values can produce small arithmetic differences because of rounding; no source total is silently adjusted.
Source checked 14 October 2026.
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