Skip to content Skip to footer

46 Million in US Say They Would Not Be Able to Afford Needed Health Care

18 percent of U.S. adults report that someone in their household skipped needed care over the past year due to cost.

A patient is brought into a Brooklyn hospital on January 27, 2021, in New York City.

A new study released Wednesday morning shows that nearly 50 million Americans would be unable to afford quality healthcare should the need for treatment suddenly arise, a finding seen as further evidence of the immorality of a for-profit insurance system that grants or denies coverage based on a person’s ability to pay.

“People can’t afford their goddamn healthcare,” Tim Faust, a proponent of single-payer healthcare, tweeted in response to the new report. “Families spend less on food so they can make insurance payments. This problem is felt by all, but concentrated among poor people and black people. The American model of health reform — throwing money at private insurers — can not solve it.”

“The rot is pervasive and it runs deep,” Faust added. “People who can’t afford healthcare just don’t get healthcare. Wealthy men get to live fifteen years longer than poor men. We have condemned poor children to die from things which do not kill rich children. In America, sickness makes you poor; poorness makes you sick; then you die.”

According to the report by Gallup and West Health, 18% of U.S. adults — around 46 million people — say that if they needed access to quality healthcare today, they would not be able to cover the costs. The same percentage of adults report that, amid a deadly pandemic, someone in their household has opted to skip needed care over the past year due to inability to pay.

“The chances of any given household suffering from this form of healthcare insecurity are inversely related to annual household income, with 35% of respondents from low-income households — those earning under $24,000 per year — reporting forgoing care in the prior 12 months,” Gallup’s Dan Witters notes in a summary of the study’s findings. “That is five times the rate reported by those from high-income households (7%), defined as earning at least $180,000.”

Dr. Vikas Saini, president of the Lown Institute think tank, told The Guardian on Wednesday that “unfortunately, it’s not surprising that millions of Americans can’t afford healthcare.”

“It is, however, shocking and kind of outrageous,” Saini added. “Our system has been structured for many years on the basis of private health plans and very deep dysfunction politically and within the medical industry. Americans have been facing this mammoth problem. It was there during, and looks like it’s going to be after, the pandemic… Americans want, and need I’d say, a radically better healthcare system.”

The study comes two weeks after a group of House Democrats led by Reps. Pramila Jayapal (D-Wash.) and Debbie Dingell (D-Mich.) unveiled the Medicare for All Act of 2021, sweeping legislation that would transition the U.S. to a single-payer healthcare system over a two-year period. The new system would guarantee comprehensive medical care to every person in the U.S. for free at the point of service, eliminating premiums, co-pays, and deductibles.

According to an analysis released by consumer advocacy group Public Citizen earlier this month, a Medicare for All system likely would have prevented hundreds of thousands of coronavirus deaths in the United States, which has the highest Covid-19 death toll in the world.

“There is a solution to this health crisis — a popular one that guarantees healthcare to every person as a human right and finally puts people over profits and care over corporations,” said Jayapal, chair of the Congressional Progressive Caucus. “That solution is Medicare for All — everyone in, nobody out.”

In their new study, Gallup and West Health show that over 80% of Americans support “setting caps on out-of-pocket costs for both prescription drugs and general healthcare services for those who are insured by Medicare.” Sixty percent of Americans support “making Medicare available to everyone,” according to the report.

The study also finds that 65% of U.S. adults support lowering the Medicare eligibility age from 65 to 60, a proposal that congressional Democrats are reportedly planning to include in a forthcoming legislative package.

Truthout Is Preparing to Meet Trump’s Agenda With Resistance at Every Turn

Dear Truthout Community,

If you feel rage, despondency, confusion and deep fear today, you are not alone. We’re feeling it too. We are heartsick. Facing down Trump’s fascist agenda, we are desperately worried about the most vulnerable people among us, including our loved ones and everyone in the Truthout community, and our minds are racing a million miles a minute to try to map out all that needs to be done.

We must give ourselves space to grieve and feel our fear, feel our rage, and keep in the forefront of our mind the stark truth that millions of real human lives are on the line. And simultaneously, we’ve got to get to work, take stock of our resources, and prepare to throw ourselves full force into the movement.

Journalism is a linchpin of that movement. Even as we are reeling, we’re summoning up all the energy we can to face down what’s coming, because we know that one of the sharpest weapons against fascism is publishing the truth.

There are many terrifying planks to the Trump agenda, and we plan to devote ourselves to reporting thoroughly on each one and, crucially, covering the movements resisting them. We also recognize that Trump is a dire threat to journalism itself, and that we must take this seriously from the outset.

After the election, the four of us sat down to have some hard but necessary conversations about Truthout under a Trump presidency. How would we defend our publication from an avalanche of far right lawsuits that seek to bankrupt us? How would we keep our reporters safe if they need to cover outbreaks of political violence, or if they are targeted by authorities? How will we urgently produce the practical analysis, tools and movement coverage that you need right now — breaking through our normal routines to meet a terrifying moment in ways that best serve you?

It will be a tough, scary four years to produce social justice-driven journalism. We need to deliver news, strategy, liberatory ideas, tools and movement-sparking solutions with a force that we never have had to before. And at the same time, we desperately need to protect our ability to do so.

We know this is such a painful moment and donations may understandably be the last thing on your mind. But we must ask for your support, which is needed in a new and urgent way.

We promise we will kick into an even higher gear to give you truthful news that cuts against the disinformation and vitriol and hate and violence. We promise to publish analyses that will serve the needs of the movements we all rely on to survive the next four years, and even build for the future. We promise to be responsive, to recognize you as members of our community with a vital stake and voice in this work.

Please dig deep if you can, but a donation of any amount will be a truly meaningful and tangible action in this cataclysmic historical moment.

We’re with you. Let’s do all we can to move forward together.

With love, rage, and solidarity,

Maya, Negin, Saima, and Ziggy