New Research Reveals Only 49% of Americans Are Cost Secure in Healthcare
New research from the West Health-Gallup Center on Healthcare in America reveals that 49% of Americans are considered “Cost Secure,” meaning they can consistently afford health care and prescription medications when needed, the lowest level recorded since the Healthcare Affordability Index began in 2021.
What the Data Shows
The study defines “Cost Secure” as individuals who report no difficulty affording necessary health care or medications. The 49% figure marks a decline from previous years, reflecting growing financial strain on households. The research methodology includes nationwide surveys conducted by Gallup, with data collected through interviews and standardized questionnaires.
Why This Matters
The drop in cost security highlights systemic challenges in accessing affordable health care. For context, the 2021 baseline was 55%, indicating a 6-point decline over three years. This trend could exacerbate health disparities, as individuals may delay or forgo care due to financial barriers, potentially leading to worse health outcomes.
Did You Know?
What May Happen Next
Policymakers may face increased pressure to address rising health care costs, though legislative action is uncertain. Analysts suggest that without intervention, the trend could persist, particularly if inflation and prescription drug prices remain high. Alternative solutions, such as expanded insurance subsidies or employer-based programs, may be explored, but these depend on political and economic conditions.
Expert Insight:
Frequently Asked Questions
What does “Cost Secure” mean?
“Cost Secure” refers to individuals who can consistently afford health care and prescription medications when needed, according to the West Health-Gallup Center on Healthcare in America.

When was the Healthcare Affordability Index launched?
The Healthcare Affordability Index was launched in 2021 by the West Health-Gallup Center on Healthcare in America.
How is the data collected?
The data is collected through nationwide surveys conducted by Gallup, involving interviews and standardized questionnaires to assess Americans’ ability to afford health care and medications.
How might this trend influence future health policy decisions?