(NEW YORK) — Fewer than 49% of Americans can afford healthcare, the lowest rate since tracking began in 2021, according to Gallup data released Thursday.
In a single year, roughly 2.8 million people no longer identified as being “Cost Secure” meaning they could no longer afford access to quality care or pay for visits and prescriptions, according to the data. Worry about future healthcare costs, including visits and prescriptions, amongst Americans is also at an all-time high of over 40%, according to Gallup.
Gallup developed what it calls the “Healthcare Affordability Index,” which is sponsored by West Health, in 2021 drawing on self‑reported experiences from nationally representative surveys. The latest data comes from a study conducted between October and December of 2025, according to Gallup and West Health.
Healthcare has become a financial burden across income levels, according to the new data. According to the index, one in three upper-middle income households ($120,00 to $180,000) are not cost secure, nor are one in five households earning above $180,000.
Young adults, aged 18-29, have experienced the sharpest decline in ability to afford healthcare with those identifying as “cost secure” dropping 7 percentage points in a year.
Women continue to trail behind men when it comes to affording healthcare.
Between 2021 and 2024 the difference between men and women being able to afford care was 9% but in 2025 the gap widened to 15%, making it the largest gender gap in healthcare affordability on record.
Healthcare and inflation continue to rise with healthcare spending reaching $5.3 trillion in 2024. This, in part, is due to hospital prices increasing to 3.4% in 2024, the fastest rate increase since 2007, and insurance premiums going up by 20% after the expiration of subsidies under the Affordable Care Act.
With many Americans experiencing significant healthcare-related financial challenges, studies show that this can lead to significant consequences, including delaying or deferring care, leading to worse health overall.
Torie A. Livingston, MD, MPH, is a third-year pediatric resident physician at the University of Chicago and is a medical intern of the ABC News Medical Unit.
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