What's Happening?
A recent study by the West Health-Gallup Center on Healthcare in America reveals that fewer than half of Americans can consistently afford healthcare, intensifying the strain on nonprofit healthcare organizations. The study, conducted between October
and December 2025, shows that only 49% of U.S. adults are classified as 'Cost Secure,' meaning they can afford quality care and necessary medications. This marks a decline from 56% in 2021. The study highlights significant disparities among racial groups, with only 38% of Black adults and 32% of Hispanic adults being Cost Secure, compared to 55% of White adults. The findings indicate a growing challenge for nonprofit healthcare providers as more Americans struggle to afford healthcare.
Why It's Important?
The decline in healthcare affordability has significant implications for U.S. society and the healthcare system. As more individuals fall into the 'Cost Insecure' and 'Cost Desperate' categories, nonprofit healthcare organizations face increased demand for services without a corresponding increase in resources. This situation could lead to longer wait times, reduced access to care, and increased financial strain on these organizations. The disparities in healthcare affordability among racial groups also highlight systemic issues that need to be addressed to ensure equitable access to healthcare. The expiration of enhanced ACA subsidies could further exacerbate these challenges, affecting millions of Americans.
What's Next?
Nonprofit healthcare organizations may need to seek additional funding sources or policy changes to address the growing demand for affordable healthcare. Policymakers might consider revisiting healthcare subsidies or implementing new measures to support vulnerable populations. The healthcare sector could also explore innovative solutions, such as telehealth services, to improve access and reduce costs. Stakeholders, including government agencies, healthcare providers, and community organizations, will need to collaborate to address these challenges and ensure that all Americans have access to affordable healthcare.











