Image by Julio César Velásquez Mejía from Pixabay

Majorities Say Health Costs Will Influence Their Vote and Voters Favor Democrats on the Issue, with Republicans Holding an Advantage on Addressing Fraud and Abuse

April 30, 2026 - Health care costs continue to top the public’s list of economic anxieties, even as fuel prices and economic uncertainty rose following the start of the Iran war, a new KFF Health Tracking poll finds. Nearly two-thirds (64%) of U.S. adults are worried about being able to afford health care costs, including three in ten who say they are “very worried.” The same share (64%) are worried about gasoline or other transportation costs, up from about half (52%) in January.

Underscoring these concerns, nearly half of insured adults (46%) say that lowering out-of-pocket costs is their most-wanted change to their health insurance. Additionally, majorities of voters say health care costs will have a “major impact” on their decision to vote (55%) and which party’s candidate they support (61%).

While the poll finds that voters trust Democrats more than Republicans to address both health care costs (37% vs. 26%) and prescription drug costs (33% vs. 26%), voters are more likely to trust Republicans on the issue of fraud and waste in government health care programs (34% vs. 26%)—an issue on which the Trump administration has been particularly engaged.

Source: KFF