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The MIDTERMS

Democrats Hold a Nearly 2-to-1 Advantage Over Republicans on Handling the Cost of Health Care

Poll: Cost of Health Care and Gas Top Voters’ Midterm Concerns; Democrats Hold Significant Advantage on Health Care Costs and Cost of Living 

With the 2026 midterms about a month away, health care costs remain tied with gas as voters’ top midterm concerns and the Democrats hold a clear edge over the Republicans Party on who voters trust to handle many top electoral issues, including the cost of health care and the cost of living. Two-thirds of U.S. adults now favor Medicare-for-all, a new high in KFF Polling, but support shifts when competing claims from critics and proponents are heard.

New and noteworthy

Americans’ Challenges with Health Care Costs

This data note reviews our recent polling data that finds that many Americans struggle to afford many aspects of health care, including disproportionate shares of uninsured adults, Black and Hispanic adults and those with lower incomes.

Health System Tracker

U.S. Health Spending Is Expected to Reach $9 Trillion by 2034

How Much is Health Spending Expected to Grow?

This chart collection explores how much health spending is expected to grow in the coming years, with a look at growth in prescription drug spending, out-of-pocket spending, and related trends.

Is This A Healthcare Economy?

Health care employment has grown faster than other sectors of the economy, with jobs in physician offices, hospitals, outpatient care centers, home health, and other settings increasing over the past year even as the rest of the job market plateaued. 

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.

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  • How Medicare HMO Withdrawals Affect Beneficiary Benefits, Costs, and Continuity of Care

    Report

    Results from the 1999 Survey of Experiences with Medicare HMOs This report examines the effects of Medicare HMO withdrawals on elderly and disabled beneficiaries who were involuntarily disenrolled from their HMO at the end of 1998. Based on a nationally-representative survey, the report describes new insurance arrangements made by beneficiaries after their HMO withdrew and considers the effects of this insurance transition on benefits, costs, and continuity of care. The study finds that most beneficiaries…

  • The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance

    Report

    The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance This paper estimates and compares the impacts of alternative mechanisms for expanding health insurance coverage. A variety of approaches-expansions of existing public programs, direct subsidies, and tax credits-and target populations-including children, poor adults, parents of Medicaid- or CHIP-covered children, and early retirees-are considered. The impacts of the proposals on coverage, costs and other program outcomes are compared. This paper is part of the Kaiser…

  • Beneath the Averages: An Analysis of Medicare and Private Expenditures

    Report

    This report compares Medicare and private health insurance per capita spending between 1970 and 1997, demonstrating that Medicare has done better or as well as the private sector in controlling the growth in health spending. Using National Health Expenditure accounts data, the analysis reveals the cumulative increase in per capita health care spending was lower for Medicare than the private sector between 1970 and 1997. Medicare most likely maintained its cumulative advantage, due to the…

  • Implementation of Managed Care Consumer Protections in Missouri, New Jersey, Texas and Vermont Overview

    Report

    This study goes beyond the legislative debates over expanded patients' rights to explore how managed care consumer protections have actually been implemented in four states (Missouri, New Jersey, Texas & Vermont) all of which have been active in this area. The study describes the details of the reforms, the issues that have arisen in implementation, and the lessons for policymakers from the experiences of these states. The Full Report (document #1518) is available on-line. Executive…

  • Alternative Approaches to Liability: Models for Health Plan Liability

    Report

    This report looks at the different ways in which liability is handled in a number of industries, and explores how these models might apply to health plans. The report also discusses health plan liability in the context of the ongoing Consumer Protection debate. Report: Models for Health Plan Liability

  • Implementation of Managed Care Consumer Protections in Missouri, New Jersey, Texas & Vermont

    Report

    This study goes beyond the legislative debates over expanded patients' rights to explore how managed care consumer protections have actually been implemented in four states (Missouri, New Jersey, Texas & Vermont) all of which have been active in this area. The study describes the details of the reforms, the issues that have arisen in implementation, and the lessons for policymakers from the experiences of these states. An Overview/Executive summary of the full report is also…

  • Analysis of Benefits Offered By Medicare HMOs, 1999: Complexities and Implications

    Report

    This report analyzes supplemental benefits offered and premiums charged by Medicare HMOs nationwide in 1999, assessing the generosity of selected benefits, including prescription drugs. The study finds that the level of monthly premiums charged by Medicare HMOs, and the generosity of many supplemental benefits, especially prescription drugs, vary widely within and across markets. The study also finds that variations in benefits offered by Medicare HMOs can expose beneficiaries to complex choices and have a significant…

  • Medicare State Profiles: State and Regional Data on Medicare and the Population it Serves

    Report

    Although Medicare is a national program, there are substantial variations across states and regions in terms of beneficiary characteristics, health needs, and utilization of Medicare-covered services. Likewise, there are also considerable differences in Medicare spending and the emergence of Medicare managed care. In a single resource document, , presents state-by-state demographic data on the Medicare population, along with information on health service utilization, spending, and Medicare HMO penetration. It also provides regional data on the…

  • Medicaid and HIV/AIDS Policy: A Basic Primer

    Report

    The Medicaid Primer presents in depth information on Medicaid, the federal/state program that provides health coverage for low-income families and people with disabilities and is the largest source of public financing for HIV/AIDS care in the U.S. The Medicaid Primer is designed to help policymakers and advocates navigate through the complexities of Medicaid with regard to the program's role for people with HIV/AIDS. REPORT Download