Health Care Costs as a Major Concern

A recent survey by KFF conducted from January 13 to January 20, 2026, indicates that health care costs have become the top financial concern for U.S. households.

According to the survey, 66% of Americans are worried about paying for health care, which surpasses worries about other expenses such as utilities, food, housing, and transportation.

Impact of ACA Subsidy Expiration

The survey results come shortly after the expiration of enhanced federal premium subsidies for health insurance purchased through the Affordable Care Act (ACA) marketplace.

KFF estimates that over 22 million people, who benefitted from these subsidies, will see their average insurance premiums more than double this year—from $888 per month to $1,904. This significant rise in costs is a major factor contributing to the heightened anxiety about health care among Americans.

Rising Health Costs Across Demographics

Among those who expressed concerns about health costs, 32% reported being 'very worried,' while 34% are 'somewhat worried.'

The KFF survey, which included 1,426 U.S. adults, found that over 20% of respondents indicated that their health care costs have increased more rapidly than other living expenses in the past year. This trend is particularly concerning as it places additional financial strain on households already grappling with rising costs in other areas.

Health Care Costs Influence Voter Behavior

As the midterm elections approach, health care costs are poised to play a significant role in shaping voter preferences. The KFF survey revealed that 43% of voters said that the cost of health care will have a major impact on their choice of candidate in the upcoming elections.

This sentiment is especially pronounced among independents, with many expressing concerns about health care affordability.

Political Landscape on Health Care Issues

In the current political landscape, Democrats appear to hold a substantial advantage over Republicans regarding health care cost issues. The survey shows that 43% of voters trust Democrats more on issues related to Medicaid, compared to just 25% who trust Republicans.

Additionally, regarding the future of the ACA and Medicare, Democrats lead with 42% and 40% trust levels respectively, while Republicans trail at 26% and 26%.

Interestingly, health care affordability concerns cross party lines. The survey found that 57% of Republicans, 68% of independents, and 71% of Democrats are worried about affording health care.

This broad consensus across party affiliations highlights the potential for health care costs to be a pivotal issue in the November elections.