This study examines health care spending in European countries, amounting to 33 countries, by looking at health care expenditure data for the last 4 years. Health development is as part of national development, in health development goal to be achieved is to improve the optimal public health status. The fact that until now the degree of public health is still low, especially the poor. It can be illustrated that the health status of the poor based on the indicator of Infant Mortality Rate (MMR) and Maternal Mortality Rate (AKI) in Indonesia is still high, namely IMR of 35 per 1000 live births and MMR of 307 per 100,000 live births. One reason is because of the high cost of health so that access to health services in general is still low. Health insurance is an effort to overcome the problem of inability to finance health services.This type of research is a type of cause and effect. The purpose of this study was to determine the effect of health care spending by providers, functions, financial schemes on health care income. To analyze and prove this hypothesis, empirical testing in the form of Q square prediction with SmartPLS 3.3.3 was carried out on the magnitude of the influence of the activity sub-sector. The method used in data collection is a combination of secondary data derived from the European Statistical Recovery Dashboard. The method used to analyze the data is the time series method.