Recent data shows that a smaller number of American adults are now able to access high-quality healthcare and manage the related costs.

最新數據顯示，目前能獲得高品質醫療服務並能負擔相關費用的美國成年人數量有所減少。

The West Health-Gallup Affordability Index shows a downward trend in 'cost security' for U.S. adults. This term refers to having both access to quality care and the money to pay for it. In 2025, this figure dropped to 49%, which is a significant decrease from the 61% peak seen in 2022. Furthermore, financial problems are not only affecting low-income families; about one-third of households earning between $120,000 and $179,999, and 20% of those earning over $180,000, reported that they struggle to pay for prescriptions or find good insurance coverage.

West Health-Gallup 負擔能力指數顯示，美國成年人的「成本安全性」呈現下降趨勢。此詞彙是指既能獲得優質護理，又擁有支付能力的狀態。在 2025 年，這一數字下降至 49%，較 2022 年最高峰的 61% 大幅減少。此外，財務問題不僅影響低收入家庭；在年收入介於 120,000 至 179,999 美元的家庭中，約有三分之一，而年收入超過 180,000 美元的家庭則有 20%，表示他們在支付處方藥費用或尋找良好保險保障方面面臨困難。

There are also clear differences between different groups of people. Young adults aged 18 to 29 are the most vulnerable, as only one-third are cost-secure. Additionally, there is a growing gap between genders, with 57% of men maintaining cost security compared to only 42% of women. Even older people using Medicare saw their security drop from 73% in 2021 to 61% in 2025. Consequently, many people have changed their behavior by delaying medical treatment or spending less on other household needs to pay off healthcare debts.

不同群體之間也存在明顯差異。18 至 29 歲的年輕人最為脆弱，僅有三分之一具有成本安全性。此外，性別差距正在擴大，57% 的男性維持成本安全性，而女性僅為 42%。即使是使用 Medicare 的年長者，其安全性也從 2021 年的 73% 下降到 2025 年的 61%。因此，許多人改變了行為，例如延遲醫療治療或減少其他家庭開支以償還醫療債務。

This decline in affordability is happening during a period of unstable government policy. The survey was completed before certain Affordable Care Act (ACA) subsidies ended and Medicaid was reduced. Because of this, the current data might actually underestimate the problem, as KFF predicts that 5 million people could lose their ACA enrollment due to higher premiums. In response, the administration has introduced 'The Great Healthcare Plan' and the 'TrumpRx' platform, which officials claim will lower premiums and provide direct financial help for medicine costs.

這次負擔能力的下降發生在政府政策不穩定的時期。該調查在某些《平價醫療法案》(ACA) 補貼結束及 Medicaid 削減前完成。因此，目前的數據實際上可能低估了問題，因為 KFF 預測，由於保費增加，可能導致 500 萬人失去 ACA 投保資格。作為回應，政府推出了「偉大醫療計劃」(The Great Healthcare Plan) 和 「TrumpRx」平台，官員聲稱這些措施將降低保費並為藥費提供直接的財政援助。

The U.S. healthcare system is currently facing a record high in affordability concerns and a decreasing number of citizens who can afford their care.

美國醫療體系目前正面臨對負擔能力擔憂的歷史新高，且能夠負擔醫療費用的公民人數正在減少。