{"id":702294,"date":"2026-01-29T05:00:00","date_gmt":"2026-01-29T10:00:00","guid":{"rendered":""},"modified":"2026-01-29T12:41:10","modified_gmt":"2026-01-29T17:41:10","slug":"health-care-costs-tops-the-publics-economic-worries-as-the-runup-to-the-midterms-begins-independent-voters-are-more-likely-to-trust-democrats-than-republicans-on-the-issue","status":"publish","type":"post","link":"https:\/\/www.kff.org\/public-opinion\/health-care-costs-tops-the-publics-economic-worries-as-the-runup-to-the-midterms-begins-independent-voters-are-more-likely-to-trust-democrats-than-republicans-on-the-issue\/","title":{"rendered":"Health Care Costs Tops the Public\u2019s Economic Worries as the Runup to the Midterms Begins; Independent Voters Are More Likely to Trust Democrats than Republicans on the Issue"},"content":{"rendered":"<div\n\tclass=\"wp-block-kff-shared-content--news-release wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t<div class=\"post-header__tag\">News Release<\/div>\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">Health Care Costs Tops the Public\u2019s Economic Worries as the Runup to the Midterms Begins; Independent Voters Are More Likely to Trust Democrats than Republicans on the Issue<\/h1>\n\n\t\t\t<h2 class=\"post-header__subheading\">Two Thirds of Public Say Congress &quot;Did the Wrong Thing&quot; by Not Extending ACA Enhanced Tax Credits, But Republicans Largely Say Congress \u201cDid the Right Thing\u201d <\/h2>\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Jan 29, 2026<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=Health%20Care%20Costs%20Tops%20the%20Public%E2%80%99s%20Economic%20Worries%20as%20the%20Runup%20to%20the%20Midterms%20Begins%3B%20Independent%20Voters%20Are%20More%20Likely%20to%20Trust%20Democrats%20than%20Republicans%20on%20the%20Issue&#038;body=https%3A%2F%2Fwww.kff.org%2Fpublic-opinion%2Fhealth-care-costs-tops-the-publics-economic-worries-as-the-runup-to-the-midterms-begins-independent-voters-are-more-likely-to-trust-democrats-than-republicans-on-the-issue%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\n\n<p class=\"wp-block-paragraph\">Heading into this midterm election year, the cost of health care tops the public\u2019s economic anxieties and more than 4 in 10 voters say the issue will have a major impact on their vote, a <a href=\"https:\/\/www.kff.org\/public-opinion\/kff-health-tracking-poll-health-care-costs-expiring-aca-tax-credits-and-the-2026-midterms\/\">new KFF Health Tracking poll<\/a> finds. Voters, including independents, currently trust Democrats more than Republicans to address the cost of health care and most other health care issues, though neither party has an advantage on addressing the overall cost of living, the poll finds.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The poll provides an early look at how the public and voters view health care issues, including costs, following a year of substantial debate and changes. Congress last year enacted major Medicaid changes expected to cut federal spending and increase the number of uninsured and allowed the Affordable Care Act\u2019s enhanced tax credits to expire, sharply increasing the premium payments for most ACA Marketplace enrollees.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Across a range of measures, the poll finds significant concerns about health care costs:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"wp-block-list-item\">The public was given a list of household expenses families worry about. A third (32%) say that they are \u201cvery worried\u201d about their ability to afford health care for them and their families \u2013 more than say the same about affording food and groceries (24%), rent or mortgage (23%), monthly utility bills (22%), or gasoline and other transportation costs (17%).<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Health care costs are the top economic worry for Democrats, independents, Republicans, and supporters of President Trump\u2019s \u201cMake America Great Again\u201d movement.<\/li>\n\n\n\n<li class=\"wp-block-list-item\">A majority (56%) of the public expect health care costs for their family to become less affordable in the coming year. About 1 in 5 say that their health care costs have increased more quickly than other necessities such as monthly utilities (23%) and food and groceries (21%).<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Among independent voters, more trust the Democratic Party (35%) than the Republican Party (15%) to address health care costs. Independent voters also give Democrats an advantage over Republicans on Medicaid, the ACA, Medicare, and the cost of prescription drugs, though sizeable shares say they trust neither party. Among all voters, trust in Republicans (30%) is within 5 percentage points of Democrats (35%) on drug prices, an issue President Trump has championed.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png\"><img loading=\"lazy\" decoding=\"async\" height=\"498\" width=\"1024\" src=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png?w=1024\" alt=\"\" class=\"wp-image-702340\" srcset=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png 1640w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png?resize=300,146 300w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png?resize=768,374 768w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png?resize=1024,498 1024w, https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2026\/01\/d93zP-health-care-costs-are-the-top-household-expense-the-public-worries-about-_53eb1e.png?resize=1536,747 1536w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">More than 4 in 10 voters say that health care costs will have a \u201cmajor impact\u201d both on their decision to vote in the midterm elections (44%) and on which party\u2019s candidates they will support (43%). This includes two thirds of Democrats, more than 4 in 10 independents, and about a fifth of Republicans.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Health Care Costs Tops the Public\u2019s Economic Worries as the Runup to the Midterms Begins; Independent Voters Are More Likely to Trust Democrats than Republicans on the Issue<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Most Continue to View ACA Favorably, But Support Falls Among Republicans After Debate<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The poll also gauges the public\u2019s views on the ACA after Congress allowed the law\u2019s enhanced tax credits to expire after extensive debate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two thirds (67%) of the public say that Congress did \u201cthe wrong thing\u201d by allowing the tax credits to expire, twice the share (33%) that says Congress did \u201cthe right thing.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Large majorities of Democrats (89%) and independents (72%) say that Congress did the wrong thing. While most Republicans (63%) and MAGA supporters (64%) say Congress did the right thing, about a third of each group says that Congress did the wrong thing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most (58%) of the public continues to hold favorable views of the ACA, though support this month is down 6 percentage points since September (64%).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The shift reflects a drop in favorability among Republicans (22% now vs. 36% in September) and among MAGA supporters (16% now vs. 31% in September).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Designed and analyzed by public opinion researchers at KFF, this survey was conducted January 13-20, 2026, online and by telephone among a nationally representative sample of 1,426 U.S. adults in English and in Spanish. The margin of sampling error is plus or minus 3 percentage points for the full sample. For results based on other subgroups, the margin of sampling error may be higher.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Finding on other topics including prior authorization will be reported separately.\u00a0<\/p>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/public-opinion\/\">\n\t\t\t\tPublic Opinion\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/aca-marketplaces\/\">\n\t\t\t\tACA Marketplaces\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/affordability\/\">\n\t\t\t\tAffordability\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/voting\/\">\n\t\t\t\tVoting\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t<\/section>\n\n\n<section class=\"wp-block-kff-shared-content-sidebar\">\n\t\t\t\n\t\t\n<div class=\"wp-block-kff-shared-contact-info\">\n\n\t<div class=\"wp-block-kff-shared-section-heading wp-block-kff-shared-section-heading--green is-spacing-narrow wp-block-kff-shared-section-heading--stacked\">\n\t\t<h2 class=\"wp-block-kff-shared-section-heading__title\">\n\t\t\tContact\t\t<\/h2>\n\t<\/div>\n\n\t\n\t<div class=\"wp-block-kff-shared-contact-info__details\">\n\t\t\t\t<div class=\"wp-block-kff-shared-contact-info__name-wrapper\">\n\t\t\t<span class=\"wp-block-kff-shared-contact-info__name\">\n\t\t\t\tCraig Palosky\t\t\t<\/span>\n\t\t<\/div>\n\t\t\n\t\t\n\t\t\t\t<div class=\"wp-block-kff-shared-contact-info__email-wrapper\">\n\t\t\t<a href=\"mailto:CraigP@kff.org\"\n\t\t\t\tclass=\"wp-block-kff-shared-contact-info__email\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\" fill=\"currentColor\" viewBox=\"0 0 16 17\"><path fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\" d=\"M2.334 4.583h-.25v9.14h12.5v-9.14zm1.083 1.693-.354-.2v-.513h10.54v.513l-.353.2-4.917 2.787zm-.353 6.467V7.217l.106.06 5.04 2.857.123.07.124-.07 5.04-2.857.106-.06v5.526z\" \/><\/svg>\t\t\t\tCraigP@kff.org\t\t\t<\/a>\n\t\t<\/div>\n\t\t\n\t\t\t<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\t\t\t<\/section>\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Heading into this midterm election year, the cost of health care tops the public\u2019s economic anxieties and more than 4 in 10 voters say the issue will have a major impact on their vote, this KFF Health Tracking poll finds.<\/p>\n","protected":false},"author":155412894,"featured_media":702369,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"authors":[],"exhibits":[],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"Two Thirds of Public Say Congress \"Did the Wrong Thing\" by Not Extending ACA Enhanced Tax Credits, But Republicans Largely Say Congress \u201cDid the Right Thing\u201d ","tag":"","search_keywords":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[63719],"tags":[954238,34948,579145449],"content-types":[579145487],"program":[155109732],"series":[9252293],"partner":[],"class_list":["post-702294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-public-opinion","tag-aca-marketplaces","tag-affordability","tag-voting","content-types-news-release","program-public-opinion-and-survey-research","series-health-tracking-poll"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Health Care Costs Tops the Public\u2019s Economic Worries as the Runup to the Midterms Begins; 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ACA Ranks Lower Among Health Issues Voters Want Discussed","author":"kffkathryns","date":"Sep 1, 2016","format":false,"excerpt":"Electronic Medical Records: Eight in 10 Americans Say It Is Important for Providers to Computerize Records, But Half Worry About Unauthorized Access to Online Information With the 2016 elections just 10 weeks away, voters give Democratic presidential nominee Hillary Clinton a substantial advantage over Republican nominee Donald Trump on a\u2026","rel":"","context":"In &quot;Affordable Care Act&quot;","block_context":{"text":"Affordable Care Act","link":"https:\/\/www.kff.org\/topic\/affordable-care-act\/"},"img":{"alt_text":"Chart_1_-_Poll_Alert.png","src":"https:\/\/i0.wp.com\/cdn2.hubspot.net\/hub\/292449\/hubfs\/Chart_1_-_Poll_Alert.png?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/cdn2.hubspot.net\/hub\/292449\/hubfs\/Chart_1_-_Poll_Alert.png?resize=350%2C200 1x, https:\/\/i0.wp.com\/cdn2.hubspot.net\/hub\/292449\/hubfs\/Chart_1_-_Poll_Alert.png?resize=525%2C300 1.5x"},"classes":[]},{"id":125037,"url":"https:\/\/www.kff.org\/affordable-care-act\/republicans-have-an-edge-in-voter-enthusiasm-heading-into-fall-but-few-cite-aca-as-motivating-factor\/","url_meta":{"origin":702294,"position":3},"title":"Republicans Have an Edge in Voter Enthusiasm Heading Into Fall, But Few Cite ACA as Motivating Factor","author":"kffkathryns","date":"Sep 9, 2014","format":false,"excerpt":"Anti-Obamacare Ads Reaching Most Voters in Competitive Senate Races Health Care Ranks Among Several Second-Tier Issues for Voters in Midterm Elections Behind the Economy The latest Kaiser Family Foundation Health Tracking Poll finds Republicans with a modest edge in terms of voter enthusiasm, but the Affordable Care Act, also called\u2026","rel":"","context":"In &quot;Affordable Care Act&quot;","block_context":{"text":"Affordable Care Act","link":"https:\/\/www.kff.org\/topic\/affordable-care-act\/"},"img":{"alt_text":"Whats_Driving_More_Enthusiastic_Voters","src":"https:\/\/i0.wp.com\/cdn2.hubspot.net\/hub\/292449\/file-1582432388-png\/Whats_Driving_More_Enthusiastic_Voters.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/cdn2.hubspot.net\/hub\/292449\/file-1582432388-png\/Whats_Driving_More_Enthusiastic_Voters.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/cdn2.hubspot.net\/hub\/292449\/file-1582432388-png\/Whats_Driving_More_Enthusiastic_Voters.png?resize=525%2C300&ssl=1 1.5x"},"classes":[]},{"id":375355,"url":"https:\/\/www.kff.org\/affordable-care-act\/poll-midterms-health-care-voters-top-issue-but-president-trump-and-other-factors-also-loom-large\/","url_meta":{"origin":702294,"position":4},"title":"Poll: As Midterms Approach, Health Care Remains Voters\u2019 Top Issue, But President Trump and Other Factors Also Loom Large","author":"kfftiffanyf","date":"Oct 18, 2018","format":false,"excerpt":"Most Florida Voters Favor Expanding Medicaid in their State, As Do Voters across All Non-Expansion States In an expansive look at the role issues and politics may play in the 2018 midterm elections, the latest KFF Health Tracking Poll continues to find health care as the top issue for voters,\u2026","rel":"","context":"In &quot;Affordable Care Act&quot;","block_context":{"text":"Affordable Care Act","link":"https:\/\/www.kff.org\/topic\/affordable-care-act\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2018\/10\/october-2018-tracker-poll-important-issues-to-voters-twitter.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2018\/10\/october-2018-tracker-poll-important-issues-to-voters-twitter.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2018\/10\/october-2018-tracker-poll-important-issues-to-voters-twitter.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.kff.org\/wp-content\/uploads\/sites\/7\/2018\/10\/october-2018-tracker-poll-important-issues-to-voters-twitter.png?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":124880,"url":"https:\/\/www.kff.org\/affordable-care-act\/kaiser-health-tracking-poll-august-september-2014\/","url_meta":{"origin":702294,"position":5},"title":"Kaiser Health Tracking Poll: August-September 2014","author":"mirarkff","date":"Sep 9, 2014","format":false,"excerpt":"The latest Kaiser Health Tracking Poll includes a special look at registered voters\u2019 views and what role, if any, the the Affordable Care Act might be playing in the upcoming midterm election. 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