Of great concern and puzzlement to many has been the decline in the U.
S. personal saving rate. From 8 percent of personal income 20 years ag
o, saving has fallen to less than 4 percent. This is a matter of conce
rn because saving and investment are closely linked, and investment is
believed critical to productivity gains and a rising standard of livi
ng. The decline in saving is also a source of puzzlement because it ru
ns counter to many people's perception of what is happening. This arti
cle investigates the decline in saving, focusing on ''where the money
went.'' The authors find that rising expenditures on medical services
are absorbing a growing fraction of income. Thus, the saving problem i
s not about thrift versus profligacy, but rather a competition between
more and better medical care, on the one hand, and more investment, o
n the other. They point out that efforts to stimulate saving are only
one way to increase the economy's productive capacity, and the ultimat
e goal is higher standards of living.