Developing countries in the Middle East and North Africa (MENA) region spent 5.8 percent of their gross domestic product (GDP) on health in 2011, compared to 4.4 percent in 1995. On the surface, this rise in health spending may seem like MENA governments are prioritizing health. Yet, between 2006 and 2011 public spending on health as a proportion of government budget in the MENA region was the second lowest globally, after South Asia. As a result, the people are paying the price. Out-of-pocket expenditures on healthcare remained close to 47 percent of the total health spending throughout the period. These trends suggest that increased spending on healthcare is mainly due to increased private spending at the point of service and as such made health systems less fair and affordable for the people of MENA.