How many Americans can afford high-quality healthcare? A new poll finds the number has fallen

June 18, 2026 - 09:01

A recent survey shows that the share of Americans able to afford high-quality healthcare has declined, with only about half of U.S. adults reporting they could both pay for their medical needs and access good care last year. The findings come from the latest West Health-Gallup Affordability Index, which tracks the financial strain of healthcare on households.

The index, which measures how easily people can afford treatment and prescriptions, found that 51 percent of adults were considered "cost secure" in 2024. That figure is down from previous years, signaling that rising premiums, deductibles, and out-of-pocket expenses are pushing more families into financial hardship. The remaining 49 percent either struggled to pay for care or went without it entirely due to cost.

Experts point to several factors behind the decline, including inflation, higher drug prices, and gaps in insurance coverage. Even among those with employer-sponsored plans, many reported skipping medications or delaying doctor visits because of copays and deductibles. The poll also highlighted persistent disparities, with older adults and lower-income households more likely to report being unable to afford necessary treatments.

The results underscore a growing concern for policymakers and healthcare providers. While the Affordable Care Act expanded coverage, the data suggests that having insurance alone does not guarantee access to affordable, high-quality care. As costs continue to rise, the number of Americans who feel financially protected against medical bills appears to be shrinking.