
A recent study by West Health and Gallup reveals a troubling trend in healthcare affordability and access in the United States. The percentage of Americans classified as “Cost Desperate” — those unable to afford or access quality healthcare — has reached 11%, the highest level since 2021. This equates to nearly 29 million people struggling to meet their healthcare needs. The disparities are most pronounced among Hispanic adults (18%), Black adults (14%), and low-income households earning under $24,000 annually (25%).
The study highlights a widening gap in healthcare access based on race, ethnicity, and income. While 51% of Americans are considered “Cost Secure,” this figure has dropped significantly among Hispanic and Black adults, as well as low-income households. Meanwhile, higher-income and White Americans have seen little to no change, underscoring the growing inequities.
The inability to access affordable, quality care has reached a new high, with 35% of Americans reporting difficulties. Low-income households have been hit hardest, with over half unable to afford care. These challenges are exacerbated by rising medical costs, inflation, and policy changes like Medicaid disenrollment.
The implications are severe: many Americans are borrowing money, cutting basic expenses, or staying in unwanted jobs just to afford healthcare. The financial strain disproportionately affects marginalized communities, further entrenching systemic inequities. As the gap between the “haves” and “have-nots” widens, the need for systemic reform becomes increasingly urgent.
To read the entire survey, click here.




