Given

And x = 0 corresponds to 2004, we can estimate that the year 2008 corresponds to x = 4, then, if we put x = 4 in our function we will have the estimated out-of-pocket household spending on health care in 2008. Therefore

If we round it to the nearest dollar we will have

Final answer:
a) The total expenditures per household in the year 2008 were approximately $2969
For the second item:
Now we have the value of f(x) and we want to find which value of x satisfies the equation:

To solve that equation we will need to apply the natural logarithm on both sides and remember that:

Then, doing the ln both sides we have

Now we have a "linear equation" and we can solve it for x, it will be

Rounding it to the nearest year, it will be 2 years.
Final answer:
During the year 2006 spending reached $2807 per household.