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A Note on How the War in Iran May Affect Health Care in the Midterms

In a new column, Dr. Drew Altman, KFF’s President and CEO, discusses the impact of the war in Iran and rising gas prices on voter concerns about health care costs. He writes: “Recently, we saw health care costs rise to the top of the public’s list of economic worries, ahead of food, housing, utility costs and the cost of gas….Expect gas prices to rise and health care costs to fall on the list of affordability worries while the war in Iran lasts, but then to return to the top or near the top when President Trump decides to declare the major hostilities over...health care costs have staying power as one of the top voter concerns.”

Affordable care act

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Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees

This KFF survey is a follow-up survey of adults who had ACA Marketplace insurance in 2025. The survey examines the cost concerns and coverage changes of Marketplace enrollees following the end of the enhanced premium tax credits and finds that half of returning enrollees say their health care costs are “a lot higher” and most expect to cut back on basic household expenses to afford coverage.

Health System Tracker

In 2024, life expectancy in the U.S. reached an all-time high of 79 years but remained years behind the average in comparable countries

How Does U.S. Life Expectancy Compare to Other Countries? The life expectancy gap between the U.S. and peer countries decreased from 4.1 years in 2023 to 3.7 years in 2024 as U.S. mortality dropped.

How Does Cost Affect Access to Health Care? In 2024, about 1 in 6 adults reported delaying or not getting healthcare due to cost, including medical or mental health care.

How Does Health Spending in the U.S. Compare to Other Countries? While the U.S. still spends the most in total dollars, eight OECD nations had a higher percentage increase in per-person health spending in 2024.

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National Health Spending Explorer: Get up-to-date information on U.S. health spending by federal and local governments, private companies, and individuals.

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  • Average Annual Percentage Change in National Spending for Selected Health Services, 2001-2011

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    Average Annual Percentage Change in National Spending for Selected Health Services, 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).

  • 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).

  • Concentration of Health Care Spending in the U.S. Population, 2010

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    Concentration of Health Care Spending in the U.S. Population, 2010 Download Source Kaiser Family Foundation calculations using data from U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey (MEPS), Household Component, 2010.

  • 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.

  • Distribution of National Health Expenditures, by Type of Service, 2001 and 2011

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    Distribution of National Health Expenditures, by Type of Service, 2001 and 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).

  • Distribution of National Health Expenditures, by Type of Service (in Billions), 2011

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    Distribution-of-National-Health-Expenditures-by-Type-of-Service-in-Billions-2011-HEALTHCOSTS 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).