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KFF/AP Survey Probes Rural Voters’ Increasing Anxieties About the Rising Cost of Living, Including Health Costs, Heading into the Midterm Elections

The KFF/AP Rural Voters Survey examines the views and political priorities of voters living in rural areas across the United States ahead of the 2026 midterm elections. The survey gauges rural voters’ top election issues, growing struggles with cost of living and health care costs, as well as views on the Trump administration’s health care policies.

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How TrumpRx Brand-Name Drug Prices Compare

TrumpRx prices for brand-name drugs are about as likely to be higher as lower compared to average prices in other wealthy countries, according to an analysis that compares 32 brand-name drugs.

The MIDTERMS

“...the search for a single top issue through polling questions — whether it’s health costs, or gas prices, or the cost of food — is artificial. People worry about and experience these costs together. There is no top issue, unless that issue is the catchall, ‘cost of living.’” — Drew Altman, KFF Founding President and CEO

Are Health Care Costs THE Top Issue for Voters?

In a new column, Dr. Drew Altman, Founding President and CEO, analyzes the polling on health costs as a voting issue and concludes that there is no one top voting issue. He writes: “I have come to the conclusion that the search for a single top issue through polling questions—whether it’s health costs, or gas prices, or the cost of food—is artificial. People worry about and experience these costs together. There is no top issue, unless that issue is the catchall, “cost of living.”

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  • Net Cost of Private Health Insurance, Including Administrative Costs, per Person Covered, 1987-2012

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    Net Cost of Private Health Insurance, Including Administrative Costs, per Person Covered, 1987-2012-HEALTHCOSTS Download Source Kaiser Family Foundation calculations NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at  http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; National Expenditures by type of service and source of funds, CY1960-2012, file nhe2012.zip, Total Admin. & Total Net Cost of Hlth Insurance Exp, Pvt Health Insurance); and private health insurance enrollment data from Centers for…

  • Annual Increase in National Health Expenditures and Their Share of Gross Domestic Product, 2001-2011

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    Annual Increase in National Health Expenditures and Their Share of Gross Domestic Product, 2001-2011 Download Source Kaiser Family Foundation calculations using NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; National Health Expenditures by type of service and source of funds, CY 1960-2011; file nhe2011.zip). Gross Domestic Product data from Bureau of Economic Analysis, at http://bea.gov/national/index.htm#gdp (file gdplev.xls).

  • Annual Percent Change in National Health Expenditures, by Selected Sources of Funds, 1960-2011

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    Annual Percent Change in National Health Expenditures, by Selected Sources of Funds, 1960-2011 Download Source Kaiser Family Foundation calculations using NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; National Health Expenditures by type of service and source of funds, CY 1960-2011; file nhe2011.zip). 

  • Annual Percent Change in Private Health Insurance Expenditures Per Enrollee (Adjusted for Inflation), 1970-2011

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    Annual Percent Change in Private Health Insurance Expenditures Per Enrollee (Adjusted for Inflation), 1970-2011 Download Source Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; NHE Web tables, Table 21), and CPI data from Bureau of Labor Statistics at ftp://ftp.bls.gov/pub/special.requests/cpi/cpiai.txt (All Urban Consumers, All Items, 1982-1984=100, Not Seasonally Adjusted, U.S. city average). 

  • Average Annual Percent Change in National Health Expenditures, 1960-2011

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    Average Annual Percent Change in National Health Expenditures, 1960-2011 Download Source Kaiser Family Foundation calculations using NHE data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group, at http://www.cms.hhs.gov/NationalHealthExpendData/ (see Historical; National Health Expenditures by type of service and source of funds, CY 1960-2011; file nhe2011.zip). 

  • Cumulative Change in Single and Family Health Insurance Premiums and Federal Poverty Level, 1996-2011

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    Cumulative Change in Single and Family Health Insurance Premiums and Federal Poverty Level, 1996-2011 Download Source Premium data from Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, private sector data from Insurance Component, 1996-2010, at http://meps.ahrq.gov/mepsweb/.  Federal Poverty Level based on HHS Federal Poverty Guidelines (1996 through 2011) at http://aspe.hhs.gov/poverty/figures-fed-reg.shtml; rate of growth based on change for one person (change for a four-person family would be  43.3% rather than 40.7% over the period).