Recent data indicates a significant reduction in the proportion of American adults capable of accessing quality healthcare and managing associated costs.

近期數據顯示，能夠獲得優質醫療服務並處理相關成本的美國成年人比例大幅下降。

The West Health-Gallup Affordability Index reveals a downward trajectory in 'cost security' among U.S. adults. This metric, representing the simultaneous availability of quality care and the financial capacity to procure it, declined to 49% in 2025, a marked decrease from the 61% peak observed in 2022. The data suggests that financial instability is not confined to low-income brackets; approximately one-third of households earning between $120,000 and $179,999, and one-fifth of those earning $180,000 or more, reported difficulties in affording prescriptions or securing quality coverage.

West Health-Gallup 負擔能力指數顯示，美國成年人的「成本安全性」呈下降趨勢。此指標代表優質護理的可用性與支付該護理的財務能力同時具備，該比例在 2025 年下降至 49%，較 2022 年觀察到的 61% 最高峰顯著下降。數據顯示，財務不穩定並不侷限於低收入階層；約有三分之一年收入在 120,000 至 179,999 美元之間的家庭，以及五分之一年收入 180,000 美元或以上的家庭，報告在負擔處方藥或獲取優質保險覆蓋方面存在困難。

Demographic disparities are evident in the findings. The 18-to-29 age cohort exhibits the highest vulnerability, with only one-third categorized as cost-secure. Furthermore, a widening gender gap has emerged, with 57% of men maintaining cost security compared to 42% of women. Even the older population, primarily supported by Medicare, experienced a decline in security from 73% in 2021 to 61% in 2025. These systemic pressures have necessitated behavioral modifications among consumers, including the deferment of medical treatment and the reduction of non-medical household expenditures to satisfy healthcare debts.

調查結果顯示人口統計差異明顯。18 至 29 歲的年齡組最為脆弱，僅有三分之一被歸類為成本安全。此外，性別差距正在擴大，57% 的男性維持成本安全，而女性僅為 42%。即使是主要由 Medicare 支持的年長人口，安全性也從 2021 年的 73% 下降至 2025 年的 61%。這些系統性壓力迫使消費者改變行為，包括推遲醫療治療以及減少非醫療家庭支出以償還醫療債務。

This erosion of affordability occurs amidst a volatile policy environment. The survey was conducted prior to the cessation of Affordable Care Act (ACA) subsidies and Medicaid reductions. Consequently, the current data may underrepresent the actual strain, as KFF estimates a potential reduction of 5 million ACA enrollments following premium increases. In response to these conditions, the administration has introduced 'The Great Healthcare Plan' and the 'TrumpRx' platform, initiatives characterized by the executive branch as mechanisms to reduce premiums and provide direct financial assistance for pharmaceutical costs.

這種負擔能力的侵蝕發生在動盪的政策環境中。該調查是在《平價醫療法案》(ACA) 補貼停止和 Medicaid 削減之前進行的。因此，目前的數據可能低估了實際壓力，因為 KFF 估計在保費增加後，ACA 的投保人數可能會減少 500 萬。為了應對這些情況，政府推出了「偉大醫療計劃」(The Great Healthcare Plan) 和 「TrumpRx」平台，行政部門將這些舉措描述為降低保費並為藥品成本提供直接財務援助的機制。

The U.S. healthcare landscape is currently defined by a record high in affordability concerns and a diminishing percentage of cost-secure citizens.

目前美國的醫療體系特徵在於負擔能力的擔憂達到歷史新高，以及成本安全公民的比例正在下降。