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  Back Health Care [real dollars]
  State 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
  United States 20,815,093,944 22,558,310,273 23,978,326,573 26,811,686,564 30,856,630,736 31,730,327,126 32,571,366,196 35,356,269,822 37,646,029,368 40,124,269,960 41,230,362,768
  District of Columbia 46,524,777 90,851,981 85,736,467 94,210,613 104,868,142 106,259,153 100,318,351 118,382,747 113,731,766 109,118,361 115,269,611
  Alabama 121,897,831 149,409,045 154,084,887 223,682,939 303,514,168 318,556,112 309,307,156 338,557,121 369,527,035 374,723,988 456,047,886
  Alaska 93,007,715 84,831,285 106,054,574 139,460,001 157,094,360 176,877,626 179,040,371 199,169,306 228,574,738 215,041,505 191,105,209
  Arizona 336,039,456 342,566,533 378,500,710 464,694,824 669,398,836 701,049,347 804,285,968 914,201,534 1,155,861,714 1,246,078,291 1,053,835,656
  Arkansas 198,905,204 188,208,372 189,119,263 223,988,191 279,721,516 250,018,699 268,764,254 301,305,590 326,963,861 342,149,879 370,896,472
  California 2,798,005,090 3,083,034,532 3,321,012,781 3,746,980,743 4,329,190,532 4,636,514,499 4,498,988,310 4,885,415,290 5,241,788,722 5,361,743,481 5,749,645,844
  Colorado 241,036,556 282,941,542 313,910,927 345,292,711 366,647,548 392,006,385 388,372,781 406,156,380 443,505,483 435,060,219 478,596,353
  Connecticut 234,721,832 242,562,782 250,825,552 196,389,558 308,396,623 307,979,321 329,225,333 355,597,695 367,220,721 390,412,254 259,253,314
  Delaware 84,221,654 96,680,885 104,683,644 116,991,620 111,902,046 130,806,511 130,285,071 150,176,019 163,708,195 170,587,563 182,606,958
  Florida 857,457,591 1,004,604,694 1,057,876,199 1,234,324,901 1,387,434,386 1,424,902,445 1,523,523,730 1,586,051,148 1,583,881,186 1,656,172,968 1,889,956,735
  Georgia 478,408,385 531,918,127 600,315,925 735,756,692 955,415,846 982,351,298 985,098,742 1,077,891,063 1,020,288,313 1,102,699,848 1,041,125,172
  Hawaii 90,314,678 117,385,125 90,951,912 81,435,825 91,233,647 93,355,328 101,022,098 130,468,932 129,208,283 132,740,339 141,450,878
  Idaho 45,512,006 58,777,366 64,633,395 76,514,719 85,031,631 87,902,975 100,082,751 116,286,458 122,896,141 133,566,084 143,199,149
  Illinois 1,105,069,492 1,003,822,656 994,069,057 1,089,782,482 1,152,369,484 1,101,366,265 1,197,569,306 1,295,784,109 1,320,022,663 1,859,195,922 1,638,146,508
  Indiana 267,355,203 315,983,273 347,686,647 396,184,111 479,648,563 460,449,758 505,460,897 517,239,400 621,015,824 551,227,549 611,789,691
  Iowa 169,949,033 165,375,196 186,575,618 193,909,844 292,426,637 231,622,985 232,022,754 258,184,073 279,206,199 278,767,062 307,249,259
  Kansas 130,699,888 132,408,510 153,871,884 198,522,153 227,371,293 220,841,502 236,620,216 264,157,573 294,925,203 314,075,661 288,403,666
  Kentucky 261,996,626 647,110,520 315,517,356 344,943,935 402,101,382 373,232,820 384,636,333 425,067,527 437,409,586 475,870,028 496,158,916
  Louisiana 265,858,129 223,993,481 243,266,967 317,767,158 425,005,614 324,374,596 354,114,351 375,334,885 361,277,960 351,631,516 425,444,247
  Maine 104,782,446 152,204,015 160,227,521 182,471,913 205,838,121 233,532,181 245,144,373 256,184,082 237,027,075 228,133,669 243,178,043
  Maryland 437,878,269 531,464,218 559,808,781 606,177,064 657,328,654 724,861,241 735,395,979 810,749,079 829,589,357 865,849,104 876,117,087
  Massachusetts 575,134,213 582,138,082 642,608,436 659,042,443 791,379,280 747,253,181 1,088,468,193 1,162,186,217 1,363,553,871 1,406,969,989 1,410,698,039
  Michigan 695,155,698 645,705,193 698,805,098 807,323,264 767,645,781 891,007,707 1,014,932,535 947,787,977 981,650,176 1,095,606,582 1,028,946,806
  Minnesota 446,705,599 451,886,981 469,465,608 564,652,671 740,588,461 791,567,425 897,256,026 860,289,321 824,107,463 943,059,162 1,031,992,700
  Mississippi 123,779,493 132,439,395 143,290,960 185,854,174 232,433,373 215,755,415 203,930,986 230,441,317 239,678,755 252,170,059 315,948,171
  Missouri 304,205,615 340,567,446 425,834,515 537,031,701 593,992,039 574,544,971 579,061,431 640,587,570 682,127,351 720,944,629 766,807,933
  Montana 41,381,663 36,820,727 48,188,894 52,890,879 60,005,436 50,129,166 60,501,323 70,274,655 78,661,458 82,590,534 88,258,002
  Nebraska 112,211,033 124,699,621 137,342,170 160,325,273 179,951,013 177,842,109 175,855,391 189,172,855 217,564,288 224,499,219 230,693,862
  Nevada 107,912,983 103,592,427 113,711,038 122,790,236 146,511,723 179,022,575 163,726,980 178,323,950 188,640,394 206,641,218 236,121,800
  New Hampshire 90,195,116 101,766,173 98,930,535 110,140,008 130,365,208 113,539,560 131,996,015 140,815,886 149,144,222 162,788,787 161,906,194
  New Jersey 573,718,728 602,608,546 674,769,768 814,700,931 917,545,867 971,001,716 821,982,058 810,029,172 1,013,315,922 1,033,042,610 1,075,949,931
  New Mexico 169,148,758 152,168,471 156,526,506 182,358,512 211,132,275 208,216,104 209,384,966 230,501,693 268,958,283 267,911,059 339,949,687
  New York 2,874,821,166 3,029,996,949 3,009,888,146 3,041,708,409 3,500,093,287 3,660,925,234 3,411,730,434 3,677,606,327 3,713,657,218 3,689,948,111 3,653,924,361
  North Carolina 561,409,290 554,828,445 624,514,615 712,927,176 833,721,903 851,897,267 925,216,791 1,051,142,983 1,110,766,888 1,283,246,943 1,292,233,106
  North Dakota 23,706,236 24,555,226 28,465,668 26,420,158 29,501,317 30,088,901 32,029,252 36,703,038 39,224,592 39,634,578 45,043,339
  Ohio 665,612,987 636,511,744 682,671,324 796,777,166 895,903,137 932,371,152 1,010,819,310 1,076,682,756 1,096,827,832 1,129,249,394 1,115,812,563
  Oklahoma 165,718,741 165,502,021 178,965,363 219,776,990 252,825,125 263,167,680 272,620,171 320,758,895 371,584,449 419,738,573 444,020,097
  Oregon 250,837,999 299,724,686 297,902,729 362,627,369 347,340,756 355,017,563 324,080,703 364,357,023 390,726,649 380,940,155 411,239,861
  Pennsylvania 1,255,069,448 1,453,169,729 1,525,619,013 1,600,617,349 1,770,940,374 1,835,666,358 1,870,181,965 2,192,102,732 2,351,500,158 2,507,385,128 2,445,885,648
  Rhode Island 98,534,211 109,966,386 117,839,426 160,019,878 197,083,137 187,232,915 225,865,765 234,295,929 241,878,077 268,291,853 245,223,621
  South Carolina 202,772,988 228,361,801 269,085,847 287,122,569 325,240,550 326,370,605 320,042,024 364,438,279 367,178,567 355,125,172 405,825,848
  South Dakota 42,930,233 41,039,470 44,458,964 52,474,327 73,559,761 68,089,781 69,572,236 79,126,826 82,467,098 87,775,787 101,029,978
  Tennessee 406,734,128 509,387,217 734,914,163 608,593,486 551,862,818 526,909,773 577,224,336 620,852,413 689,129,771 793,585,441 814,050,950
  Texas 1,240,369,719 1,357,769,391 1,445,055,033 1,754,993,873 2,319,204,606 2,549,459,329 2,594,708,150 2,819,388,980 3,079,671,076 3,595,347,691 3,975,450,662
  Utah 84,902,880 70,679,687 91,179,135 108,101,479 127,371,939 113,266,189 113,553,017 121,107,797 126,010,397 127,338,621 138,389,467
  Vermont 50,683,632 62,752,584 78,621,984 88,362,182 99,873,873 98,781,952 101,499,217 115,606,759 128,739,847 138,311,193 135,582,004
  Virginia 353,588,987 348,658,764 396,997,876 423,263,499 563,502,045 512,433,497 557,931,569 670,277,042 757,120,483 821,796,435 875,986,581
  Washington 474,656,749 504,572,970 699,704,416 785,918,861 612,516,704 592,989,629 652,252,684 729,383,161 763,423,764 789,515,311 832,376,779
  West Virginia 95,279,925 90,881,080 96,083,616 114,218,719 116,957,989 119,700,638 110,365,585 142,599,103 160,083,161 160,630,392 149,085,930
  Wisconsin 332,623,627 325,106,187 341,470,016 429,705,183 436,575,313 459,095,308 391,599,027 428,015,705 443,519,088 469,718,105 412,370,119
  Wyoming 25,650,238 24,318,739 26,685,644 31,465,801 39,066,617 48,122,378 53,698,930 69,053,449 77,488,040 75,621,936 90,082,075