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A Preview of the Role Health Care May Play in the 2026 Election

Ahead of the 2026 midterm elections, this KFF issue brief examines the role health care has played in previous elections and what that may suggest about its potential role in 2026. KFF polls have consistently found that the cost of health care is an important part of voters’ economic concerns.

Affordable care act

ACA Marketplace Survey Feature Image - Website

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

What Are the Recent Trends in Employer-Based Health Coverage? Employer-sponsored health insurance is the largest source of health coverage for people under 65, but its reach is uneven.

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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  • The Public and Prescription Drugs

    Other Post

    Prescription drugs have become an integral part of medical practice - they help keep people healthy and save lives. But rising prescription drug costs have placed a growing burden on consumers, employers, and public programs. The issue of drug coverage for seniors under Medicare has moved to center stage in the Presidential election.

  • Section 2: Health Insurance Enrollment

    Other Post

    Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 next > Exhibit 2.1: Trends in Health Coverage for the Nonelderly Population, 2002 and 2003 The percent of the nonelderly population without insurance rose from 17.3% in 2002 to 17.7% in 2003 (or 44.

  • National Survey of Small Business Executives on Health Care

    Report

    A survey of 800 small business executives on their views on health care and the coverage they offer their employees. The survey also asked small employers how they feel about current proposals to protect consumers and regulate managed care.

  • Guide to Federal Patients Bill of Rights Debate

    Report

    This guide, prepared by Stephanie Lewis, JD, MHSA for the Kaiser Family Foundation, explores key issues in the Congressional debate over a federal patients bill of rights.

  • Assessing the Status of California’s Physician Workforce: Shortage or Surplus? — Issue Brief

    Issue Brief

    Assessing the Status of California's Physician Workforce: Shortage or Surplus? -- Issue Brief A 4-page issue brief that looks at recent estimates of California's present and future physician supply, various issues that affect the state s physician workforce, and approaches for ensuring an adequate number and mix of primary care and specialty physicians, as well…

  • Prescription Drugs: Results from a National Survey

    Fact Sheet

    Prescription drugs have become an integral part of medical practice - they help keep people healthy and save lives. But rising prescription drug costs have placed a growing burden on consumers, employers, and public programs. The issue of drug coverage for seniors under Medicare has moved to center stage in the Presidential election.