Healthcare Costs as an Economic Anxiety
For many households, healthcare is no longer a separate policy issue but a central part of their economic struggle. KFF data shows that 55% of adults reported an increase in their healthcare expenses over the past year. For at least one in five of those individuals, these costs have risen faster than the price of utilities and food. This trend suggests a growing gap between income and the cost of maintaining health. With 56% of adults anticipating that healthcare will become even less affordable in the coming year, the financial burden is shifting from a theoretical concern to a daily operational challenge for millions of families.A significant driver of current cost increases is the expiration of enhanced Affordable Care Act (ACA) tax credits. These subsidies, originally implemented under President Joe Biden, helped lower premiums for Marketplace enrollees. Because Congress failed to extend these credits, many individuals are now facing sharply higher monthly premiums.
The Policy Driver: ACA Marketplace Shifts

Historical Patterns in Voter Concern
Healthcare has been a consistent fixture in U.S. Election polling since 1992, usually ranking among the top concerns for voters. Although “the economy” typically holds the top spot, KFF research indicates that healthcare costs are often a primary component of those economic worries. There are historical precedents for healthcare moving to the forefront of a midterm cycle. In the 2018 midterm exit polls, healthcare rose to the top priority for voters immediately following a failed attempt to repeal and replace the Affordable Care Act. Partisan divides also persist in how these issues are viewed. Democratic voters have consistently been more likely than Republicans to identify healthcare as a top electoral issue. Historically, voters have shown more trust in Democrats to handle healthcare issues, while Republicans have been viewed as stronger on the broader economy. The 2026 cycle may test this divide as the affordability of care sits directly at the intersection of health policy and economic stability.Key Poll Findings at a Glance
- 66% of Americans worry about affording healthcare for their families.
- 55% of adults saw their healthcare expenses increase over the last year.
- 56% expect healthcare to become less affordable in the next year.
- 1 in 5 reported healthcare costs outpaced the rising cost of food and utilities.
Analysis: Affordability and the 2026 Midterms
How does healthcare affordability differ from general economic concerns in this cycle?While inflation affects many sectors, healthcare costs are uniquely tied to specific legislative decisions, such as the expiration of ACA subsidies. This makes the issue more direct and potentially more influential in candidate selection than general economic trends. Which groups are most affected by these trends?
ACA Marketplace enrollees are currently the most vulnerable due to the loss of enhanced tax credits, though the broader trend of rising costs is affecting a majority of adults across the political spectrum. As these financial pressures mount, will the focus of the 2026 midterms shift toward systemic healthcare reform or toward immediate subsidies for insurance premiums?





