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KFF Health Tracking Poll: Health Care Costs and the Midterms

This KFF poll finds that health care costs continue to top the public’s list of affordability worries, even as concerns about gas prices have risen in recent weeks, with two-thirds of the public expressing worry over affording health care costs. Majorities say health costs will influence their vote this election. Voters favor Democrats on the issue, while Republicans hold an advantage on addressing fraud and abuse.

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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  • Public Opinion on Prescription Drugs and Their Prices

    Poll Finding

    This chart collection draws on recent KFF poll findings to provide an in-depth look at the public's attitudes toward prescription drugs and their prices. Results include the U.S. public’s experiences with prescription drug costs, use of GLP-1 medications, and support for policy solutions.

  • How Does U.S. Life Expectancy Compare to Other Countries?

    Issue Brief

    This chart collection examines how life expectancy in the U.S. compares to that of other similarly large and wealthy countries. Life expectancy at birth in the U.S. increased 0.6 years from 78.4 years in 2023 to 79.0 years in 2024, its highest-ever level. However, the average life expectancy in comparable countries was 82.7 years, about 3.7 years longer than in the U.S., reflecting a persistently wide difference in life expectancy between the U.S. and comparable…

  • The New Ideas Conundrum in Health Policy

    From Drew Altman

    In a new column, President and CEO Dr. Drew Altman writes about the "conundrum of health policy ideas" facing Democrats searching for new proposals because of competing, and complex, priorities: rebuilding Medicaid and the ACA after trillion-dollar cuts, reconstructing federal health agencies, and tackling underlying health care costs, when candidates want simple ideas they can campaign on and voters want their costs to come down.

  • 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 44.7 million uninsured), an increase of 1.4 million over 2002. The proportion of Americans with employer-based insurance declined from 63.3% in 2002 to 61.9%…

  • 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. CHARTPACK Download TOPLINE Download NEWS RELEASE Download

  • 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 as a balanced geographic and demographic distribution. The brief lists the panel for a California Health Policy Roundtable held in…

  • 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. Findings from The NewsHour with Jim Lehrer/Kaiser Family Foundation/Harvard School of Public Health "National Survey on Prescription Drugs," a Public Opinion Update…

  • The Prescription Drug Conundrum: Pharmaceutical Coverage, Costs, and Affordability — Issue Brief

    Issue Brief

    A 2-page issue brief that discusses significant trends in prescription drug coverage, expenditures, utilization, along with how the pharmaceutical industry prices drugs. The brief also looks at what states are doing to control drug costs and to address issues of affordability and access for low-income and elderly populations, how health plans are controlling prescription drug costs, and proposed prescription legislation in California. The brief lists the panel for a California Health Policy Roundtable held in…

  • Protection in Managed Care Plans: A Side-by-Side Comparison of Proposal Federal Legislation

    Report

    Protection in Managed Care Plans: A Side-by-Side Comparison of Proposed Federal Legislation. A side-by-side comparison of the provisions for consumer protection in managed care plans contained in the House and Senate budget reconciliation bills and in eight other consumer protection bills currently under consideration by Congress. These bills, which would increase the regulatory oversight of the managed care industry by the federal government, are compared in 22 different categories of managed care issues. Report Report