2026年6月18日 / 美国东部时间下午1:52 / 哥伦比亚广播公司（CBS）新闻
据盖洛普最新民调显示，去年不足半数美国人能够承担医疗费用并获得优质医疗服务，这凸显出即便在许多高收入家庭中，财务压力也在日益加剧。
“医疗保障无忧”的美国人占比——即能够负担优质医疗服务、支付就医和处方药费用的人群——去年降至49%，较2022年峰值的61%有所下滑，为盖洛普自2021年开始追踪该指标以来的最低水平。
医疗可负担性下降的同时，美国人对自身支付医疗费用能力的担忧也在加剧。盖洛普民调中，51%的受访者表示担心明年无法支付医疗服务费用，42%的人则担忧负担不起处方药费用。
医疗负担难题遍及各收入阶层。盖洛普发现，在年收入12万至17.9999万美元的家庭中，约三分之一的人表示要么缺乏优质医保覆盖，要么在处方药等医疗费用上捉襟见肘；在年收入至少18万美元的家庭中，这一比例为五分之一。
医疗可负担性问题也横跨各代际群体。盖洛普数据显示，2023年至2025年间，除50至65岁年龄段外，所有年龄组中能负担医疗费用的人群占比均出现下滑。18至29岁的成年人受影响最严重，仅有约三分之一的人被认为医疗保障无忧。
该研究的数据或仅反映了美国人当前面临的部分压力，因为这项调查是在2026年初《平价医疗法案》（ACA）税收补贴到期、保费飙升——导致部分美国人放弃医保——之前开展的。
今年1月的数据显示，ACA医保参保人数较2025年减少了逾100万。非营利健康政策新闻与研究机构KFF估计，今年将有近500万人不再参保ACA医保计划。
今年1月，特朗普政府宣布了“伟大医疗计划”，白宫称该计划将降低健康保险保费，并直接向美国人拨款以支付医疗费用。一个月后，该政府推出了TrumpRx网站，美国人可在此以折扣价购买药品。
盖洛普的调查结果基于2025年10月至12月期间对5660名美国成年人开展的网络和邮件调查。
编辑：艾米·皮奇（Aimee Picchi）
Less than half of Americans can afford quality healthcare, Gallup finds
June 18, 2026 / 1:52 PM EDT / CBS News
Less than half of Americans could afford medical expenses and access to quality care last year, according to a new Gallup poll, highlighting mounting financial strain even among many higher-income households.
The share of “cost secure” Americans — those who could afford access to quality care and pay for doctors’ visits and prescriptions — fell to 49% last year, down from a peak of 61% in 2022 and marking the lowest level since Gallup began tracking the metric in 2021.
The decline in affordability is coupled with rising concerns among Americans about their ability to cover healthcare costs. Fifty-one percent of those polled by Gallup said they are concerned about paying for medical services in the next year, while 42% worry about affording prescription drugs.
The difficulty spans income levels. About one-third of households earning between $120,000 and $179,999 a year and one-fifth of those making at least $180,000 said they either lacked quality coverage or struggled to afford expenses such as prescription drugs, Gallup found.
Affordability is also a challenge across generations. Every age group in Gallup’s data, aside from those aged 50 to 65, shows a decline in the share of people who can afford healthcare from 2023 to 2025. Adults aged 18 to 29 are the most vulnerable, with only about a third considered cost-secure.
The data may only capture some of the strain Americans are currently feeling, as the study was conducted before the expiration of Affordable Care Act (ACA) tax subsidies in early 2026 caused premiums to spike — prompting some Americans to forgo insurance.
Data from January shows ACA enrollment dipped by more than 1 million from 2025. KFF,a nonprofit provider of health policy news and research, estimates that nearly 5 million fewer people will enroll in ACA plans this year.
In January, the Trump administration announced”The Great Healthcare Plan,” which the White House said would lower health insurance premiums and deliver money directly to Americans to cover healthcare costs. A month later, the administration launched TrumpRx, a site where Americans can get drugs at discounted prices.
Gallup based the findings on web and mail surveys of 5,660 U.S. adults conducted between October and December.
Edited by Aimee Picchi
发表回复