Expenditure on formal health-related LTC represents 0.4% of GDP in Poland and is fully publicly funded. This level, although potentially underreported, is relatively low within the OECD but similar to other less affluent Member countries (Figure 22). In 2008, approximately 0.9% of the over-65 Polish population received long-term care in an institutional setting, well below the OECD average of 4.2% (OECD, 201 lb), reflecting a lack of supply.