Govt health spending in India tripled to Rs 4.14 lakh crore in 10 years, while out-of-pocket household spending fell from 64.2% to 42.7%. New Delhi: India has registered substantial progress towards making healthcare more affordable and reducing the financial burden on households, with government health expenditure tripling and the share of out-of-pocket expenditure borne directly by families declining sharply over the past 10 years, according to a factsheet issued by the Ministry.