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Chapter 1 | The impact of the crisis on the health system and health in Belgium
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savings, without taking the growth cap into account. Furthermore, no new
initiatives were introduced in 2012. For 2013 and 2014, the growth cap was
reduced to 2% and 3%, respectively. In 2013, structural savings amounted to
€406 million. In addition, a specific budget was made available for job creation
in the non-profit-making sector. Even with the reduced budget growth in 2013,
a (smaller) budget surplus was expected (Table 1.3).
Table 1.2 Growth rate of the health budget in Belgium and actual spending between
2002 and 2013
Health budget
(million €)
Percentage
increase over
previous year
Actual
spending
(million €)
Percentage
increase over
previous year
2002 14,412 – 14,163 –
2003 15,342 6. 45 15,384 8.62
2004 16,258 5. 97 16,822 9.35
2005 17,398 7. 01 17,250 2.54
2006 18,473 6. 18 17,735 2.81
2007 19,619 6. 20 18,875 6.43
2008 21,434 9. 25 20,677 9.55
2009 23,084 7. 70 22,422 8.44
2010 24,249 5. 05 22,826 1.80
2011 25,869 6. 68 24,077 5.48
2012 25,627 −0. 94 24,985 3.77
2013 26,677 4.10 26,215 a 4.92
Note: a Actual spending for 2013 is based on estimations (RIZIV, 2013a).
Source: Yearly reports and budget documents from RIZIV.
Table 1.3 Distribution of the health budget in Belgium between current spending and
transfers, 2007 to 2011
Health budget
(million €)
Current spending
(million €)
Fund for the
Future (million €)
Other subsectors
of social security
(million €)
2007 19,619 19,444 175 –
2008 21,434 21,128 306 –
2009 23,084 22,785 300 –
2010 24,249 23,605 294 350
2011 25,869 24,776 – 1,094
Source: Belgian Court of Audit, 2011.