medical expense vs disbursement

medical expense and disbursement both are nouns.

Word	Noun	Adjective	Verb	Adverb
medical expense	Yes	No	No	No
disbursement	Yes	No	No	No

As nouns, disbursement is a hypernym of medical expense; that is, disbursement is a word with a broader meaning than medical expense:

medical expense: amount spent for diagnosis or treatment or prevention of medical problems
disbursement: amounts paid for goods and services that may be currently tax deductible (as opposed to capital expenditures)

Other hypernyms of medical expense include disbursal, expense.

medical expense (noun)	disbursement (noun)
amount spent for diagnosis or treatment or prevention of medical problems	the act of spending or disbursing money
	amounts paid for goods and services that may be currently tax deductible (as opposed to capital expenditures)