Americans Prioritize Healthcare Costs Over Gas and Groceries

New poll shows health care affordability is top economic concern ahead of midterm elections

Feb. 1, 2026 at 4:55am

According to a new KFF poll, two-thirds of Americans are more worried about the cost of healthcare than other economic issues like gas, groceries, and utilities. Over half of adults reported their healthcare costs increased this year, and more than 40% of voters plan to cast their ballots with healthcare costs top of mind. The end of Affordable Care Act subsidies is expected to cause millions to lose coverage, further straining household budgets.

Why it matters

Healthcare affordability has become a major political issue, with both parties vying to address rising costs and insurance premiums. The public's concerns over healthcare expenses could give Democrats an advantage in the upcoming midterm elections, as voters trust the party more on issues like Medicaid, the Affordable Care Act, and Medicare.

The details

The KFF poll found that two-thirds of Americans report worrying about healthcare costs more than other economic factors like groceries, utilities, gas, or housing. Over half of adults said their healthcare costs increased in 2026, with most saying Congress made the wrong decision by not extending Affordable Care Act premium subsidies. The end of these subsidies is expected to cause 7.3 million people to lose ACA coverage, 4.8 million of whom will become uninsured.

  • The KFF poll was conducted just after the ACA subsidies expired on Jan. 1, 2026.
  • The enhanced tax credits that helped pay for ACA coverage are set to expire at the end of 2026.

The players

KFF

A health policy research firm that published the poll on Americans' top economic concerns.

Donald Trump

The former president who has proposed a "Great Healthcare Plan" to give Americans money to purchase health care directly, rather than subsidizing coverage.

Urban Institute

A Washington-based think tank that estimates 7.3 million people will lose ACA coverage in 2026, with 4.8 million becoming uninsured, due to the end of enhanced tax credits.

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What’s next

Lawmakers from both parties are expected to continue scrutinizing health insurance companies and prescription drug prices in the lead-up to the midterm elections, as they seek to address voters' top economic concern.

The takeaway

The public's heightened worry over healthcare costs could be a pivotal issue in the upcoming midterm elections, with voters trusting Democrats more than Republicans on issues like the Affordable Care Act and Medicaid. However, the former president's proposal for direct healthcare payments may also resonate with some voters frustrated by rising premiums.