Health Care Costs Emerging as Major Concern for Voters

A recent study reveals that health care expenses have become the primary financial worry for American families. This could impact the Republican majority in Congress ahead of the midterm elections, where affordability is likely to be a significant concern for voters.

The survey finds that 66% of Americans are anxious about covering their medical bills. In fact, health care costs are now outpacing other essential household expenses, including utilities, food, and transportation. This data was shared by KFF, a nonpartisan health policy research group, in a public opinion poll released recently.

KFF notes that medical expenses encompass both health insurance premiums and out-of-pocket costs related to doctor visits and prescription medications.

Of those concerned about health care costs, 32% expressed that they are “very worried,” while another 34% said they are “somewhat worried.” The survey, which included 1,426 U.S. adults conducted earlier this month, indicated a significant trend in health care worries among the populace.

Nick Fabrizio, a health policy expert at Cornell University, remarked, “This is very likely to be the biggest issue for Americans in the polls in November.”

Implications of ACA Subsidy Expiration

KFF conducted the survey from January 13 to January 20, shortly after the expiration of enhanced federal premium subsidies for health insurance bought through the Affordable Care Act (ACA) Marketplace.

In 2025, about 22 million people, representing over 90% of ACA subscribers, benefited from these subsidies. KFF estimates that average monthly premiums for these recipients will increase from $888 to $1,904 this year.

While Democrats advocate for the extension of this aid, the Republican majority in Congress has largely obstructed these efforts.

According to Shannon Schumacher, a senior research analyst at KFF, health care typically ranks as a secondary election issue. However, this year seems different.

Most adults report that their medical expenses have risen over the past year, with a notable number indicating that the increases have outpaced other costs such as food and utilities.

Widespread Cost Concerns

The survey shows that a significant majority of individuals with employer-provided insurance, Medicare, or those who purchase their own coverage report an increase in their medical expenses in the past year. “Health care has always been a top priority for Americans,” Fabrizio noted, reflecting on the heightened concerns in light of current economic pressures.

Interestingly, concerns about health care affordability appear consistent across political lines. Among those surveyed, 57% of Republicans, 68% of independents, and 71% of Democrats expressed worry about managing health care costs.

Schumacher pointed out, “What’s striking is that health care costs are the number one economic concern for everyone, regardless of their political allegiance.”

As these issues continue to emerge in the lead-up to the midterm elections, health care costs are anticipated to become crucial for voters. Currently, Republicans control the House, Senate, and White House, but they hold only a slim majority in the House.

According to KFF, 43% of respondents said health care costs would significantly influence their voting decisions in the midterm elections.

Democratic Advantage on Health Care Issues

KFF’s findings suggest that Democrats hold an edge over Republicans concerning health care costs. Voters tend to trust Democrats more, with substantial margins for issues like Medicaid and health care expenses.

While there are debates over which party can better handle prescription drug costs, many independents express distrust toward both parties—an important factor as they could sway election outcomes.

Schumacher stated, “This continues to be a potentially pivotal issue among independent voters.”