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Americans increasingly struggle with healthcare costs, survey finds

Jun 18, 2026, 4:20am EDT
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A pharmacy aisle
Jayla Whitfield-Anderson/Reuters

The share of Americans who are secure about their healthcare costs — meaning they can access quality healthcare and afford the medicine and care they need — fell to a five-year low of 49% last year, a new Gallup and West Health poll found.

Forty-one percent are ā€œcost insecureā€ — meaning either they don’t have access to good, affordable care or were recently unable to pay for care or medicine they needed.

A chart showing how Americans feel about their finances, based on a survey.

Healthcare costs promise to be a leading issue in the midterm elections, and they’re a challenge for Americans of all income brackets, to some degree; 34% of those living in households making between $120,000 and $179,999 aren’t cost secure.

And while older Americans tend to be covered by Medicare, the share of adults 65 and older who are cost secure still declined from 69% in 2024 to 61% last year.

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