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

Less than half of Americans could afford medical expenses and access to quality care last year, according to a new Gallup poll , highlighting mounting financial strain even among many higher-income households. The share of "cost secure" Americans — those who could afford access to quality care and pay for doctors' visits and prescriptions — fell to 49% last year, down from a peak of 61% in 2022 and marking the lowest level since Gallup began tracking the metric in 2021. The decline in affordability is coupled with rising concerns among Americans about their ability to cover healthcare costs. Fifty-one percent of those polled by Gallup said they are concerned about paying for medical services in the next year, while 42% worry about affording prescription drugs. The difficulty spans income levels. About one-third of households earning between $120,000 and $179,999 a year and one-fifth of those making at least $180,000 said they either lacked quality coverage or struggled to afford expenses such as prescription drugs, Gallup found. Affordability is also a challenge across generations. Every age group in Gallup's data, aside from those aged 50 to 65, shows a decline in the share of people who can afford healthcare from 2023 to 2025. Adults aged 18 to 29 are the most vulnerable, with only about a third considered cost-secure. …