OpenCampaign

Health and Health Care

Healthcare affordability

Healthcare affordability has emerged as a top voter concern nationally and in Alabama heading into the 2026 midterms. Debates over Medicaid work requirements, prescription drug costs, and insurance coverage gaps are central to the conversation, especially as Alabama has not expanded Medicaid under the ACA.

What should Alabama do to address rising healthcare costs for its residents?

How OpenCampaign quiz-takers stand on this issue

31% call it a high-priority issue (rating it 7+ out of 10).

  1. Liberal28%
  2. Lean liberal13%
  3. Moderate23%
  4. Lean conservative8%
  5. Conservative27%

High-priority share over time

44%201634%201734%201928%202032%202127%202227%202322%202434%202537%2026

The high-priority share has ranged 22–44% since 2016. Election-year cohorts skew casual and under-rate every issue, so the dips around 2020 and 2024 partly reflect who took the quiz, not a shift in opinion. Updated 21 Sep 2026.

Where do you stand?

What should Alabama do to address rising healthcare costs for its residents?

How important is this to you?

Sources

Stanford Institute for Economic Policy Research β€” https://siepr.stanford.edu/publications/policy-brief/us-economy-2026-what-watch
many observers argued that they benefited politically by elevating health care costs, a top issue on which voters trust Democrats more than Republicans.
Quorum policy analysis β€” https://www.quorum.us/blog/2026-policy-trends
Healthcare costs, tariff-driven price increases, housing shortages, and energy prices all feed into the same voter anxiety. Every policy debate β€” from Medicaid work requirements to clean energy credits β€” is being filtered through the affordability lens heading into November.
Positions on this issue  Β·  liberal → conservative
  1. Expand Medicaid fully and create a public option to ensure universal coverage for all Alabamians.
  2. Expand Medicaid eligibility and cap prescription drug prices through state regulation.
  3. Pursue targeted subsidies for low-income residents while encouraging market-based competition.
  4. Oppose Medicaid expansion; focus on deregulation to lower costs through competition.
  5. Block any new government healthcare spending; privatize and deregulate entirely.