Pew reporting on 2026 shows the cost of health care is a top economic worry, with roughly seven-in-ten U.S. adults very concerned. Affordability of care and prescriptions remains a persistent national political issue alongside broader cost-of-living pressures.
How should policymakers address the high cost of health care?
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Move to a government-run single-payer system covering everyone
Expand public coverage options and aggressively regulate hospital and drug prices
Protect employer coverage while adding targeted subsidies and price transparency
Increase competition, cross-border drug options, and limit federal coverage expansions
Repeal major federal health mandates and subsidies and rely on private markets
Health care costs
Health care affordability has emerged as a top concern for Americans in 2026, with mentions of health care issues rising from 33% to 41% year-over-year in AP-NORC polling. A full 71% of Americans say they are very concerned about health care costs. Both Democrats and Republicans express concern, though Democrats do so at higher rates.
How should the U.S. address the high cost of health care?
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Roughly seven-in-ten adults (71%) say they are very concerned about the cost of health care. More than half of adults in each party say they are concerned about these issues.
Positions on this issue Β· liberal → conservative
Establish a single-payer Medicare for All system to guarantee universal coverage and eliminate insurance costs.
Create a public option alongside private insurance and expand Medicaid to cover more Americans.
Lower drug prices through negotiation and modest reform while preserving the current mixed system.
Increase market competition among insurers and providers to drive costs down through deregulation.
Fully privatize health care, eliminate mandates, and rely on free-market competition with no government plans.