In 2025, a significant number of Americans are feeling the pinch when it comes to healthcare expenses. A recent survey reveals that nearly half of the adults in the country are anxious about affording medical care in the upcoming year. This worry is the highest it has been in the past four years.

The survey, which included responses from nearly 20, 000 people across all 50 states, provides a comprehensive look at how Americans are managing healthcare costs, quality, and access. The findings show a stark contrast between states. For instance, Iowa and Massachusetts are doing well in terms of cost, quality, and access to care. On the other hand, states like Alaska, Arkansas, and Texas are struggling, with residents facing difficulties in paying for medications and accessing necessary services.

Even in the states that are performing the best, many people are still having a hard time. In the top 10 states, a quarter of adults have skipped recommended care due to cost, while in the lowest-ranked states, this number jumps to 40%. Additionally, 15% of adults in top states couldn't afford a prescription in the last three months, compared to 29% in the bottom 10 states.

Long wait times are also a major issue, with over half of Americans saying delays have prevented or postponed needed care. This problem is particularly severe in Vermont, where 72% of residents report this barrier, compared to 46% in Nebraska, a top state for access.

The survey also highlights significant gaps in prescription access, preventive care, and finding providers. For example, 36% of adults in New Mexico said they didn’t know how to find a medical professional when needed, compared with 14% in Iowa.

Overall, Americans gave the U. S. healthcare system a C grade, with a D+ for cost and a C+ for quality and access. No states earned an A in any category, indicating that there is still much room for improvement.

PRESCRIPTION AFFORDABILITY

Healthcare Costs: A Growing Concern for Americans

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