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Less than half of Americans can afford quality healthfcare, Gallup finds

Less than half of Americans can afford quality healthfcare, Gallup finds

Summary

Less than half of Americans could afford quality healthcare and medical expenses last year, according to a Gallup poll. Many people, including those with higher incomes, are worried about paying for medical services and prescription drugs in the coming year.

Key Facts

  • Only 49% of Americans were "cost secure" for healthcare in 2025, down from 61% in 2022.
  • 51% of people are concerned about paying for medical services next year, and 42% worry about prescription drug costs.
  • About one-third of households earning $120,000 to $179,999 and one-fifth earning $180,000 or more struggle with healthcare costs or lack quality coverage.
  • Most age groups, except those 50 to 65, showed a decline in being able to afford healthcare between 2023 and 2025.
  • Adults aged 18 to 29 are the most likely to lack healthcare affordability, with only about one-third "cost secure."
  • The poll was done before ACA tax subsidies expired in early 2026, which caused insurance premiums to rise and some people to drop coverage.
  • ACA enrollment dropped by over 1 million in January 2026, and estimates suggest nearly 5 million fewer people will enroll this year.
  • The Trump administration introduced "The Great Healthcare Plan" and TrumpRx, aiming to lower insurance premiums and provide discounted drugs.
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