Percent of health care dollars spent on health insurance and on medical services by region, 1987 and 1997 Insurance, Insurance, Services, Services, 1987 1997 1987 1997 Northeast 32.5 51 43.9 28.1 South 36.2 48.9 38.7 26.4 Midwest 35.3 47.9 38.5 27.4 West 32.6 43.2 45.8 35.6