Healthcare Costs & Trust: 2026 Financial Stress Survey

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Healthcare Costs and Eroding Trust: New Data Reveals American Anxiety

A new report from Jarrard, Inc. paints a stark picture of the financial anxieties weighing on American consumers regarding healthcare. The January 2026 survey, Navigating the Riptide: Public views on healthcare, health policy, and healthcare organizations, reveals widespread concern over affordability and a deepening distrust in the healthcare system’s priorities. The findings underscore a growing crisis of confidence as patients increasingly question whether hospitals prioritize profits over patient well-being.

The Rising Tide of Healthcare Costs

The Jarrard study, conducted among 1,049 U.S. adults, highlights nine key areas of financial strain for American healthcare consumers. Nearly six in ten (59%) report difficulty paying medical bills, while 55% are delaying necessary medical care due to cost. A similar percentage (55%) are unable to afford health insurance altogether, and an equal proportion are actively avoiding care to minimize expenses. Insurance-related delays and denials further exacerbate the problem, impacting 54% of respondents in each category.

Beyond direct costs, many Americans are making significant sacrifices to maintain healthcare coverage. Over half (54%) are cutting back on other household expenses to afford insurance, and nearly 40% fear losing their coverage entirely. Difficulty affording prescription medications is also a major concern for 51% of those surveyed.

Jarrard State of Play

Profit vs. Patient Care: A Growing Divide

The financial pressures are fueling a growing perception that hospitals are prioritizing profits over patient care. Four in ten Americans believe hospitals place money “far above” patients, with another 30% sharing a similar sentiment. A mere 3% believe hospitals prioritize patient care above all else, and only 9% feel the balance slightly favors patient well-being.

This lack of confidence translates into diminished expectations for the future. Less than half (43%) of U.S. patients express confidence that hospitals will deliver quality care in the years ahead. This erosion of trust has significant implications for the healthcare industry and the overall health of the population.

Jarrard State of Play Consumer Confidence

ACA and Medicaid Changes Fuel Uncertainty

Adding to the anxiety, over half of U.S. consumers anticipate negative consequences from changes to ACA subsidies and Medicaid. Only one in four believe these funding adjustments will have a positive impact, suggesting widespread concern about access to affordable healthcare.

Jarrard Trust in Health Policy

The Enduring Trust in Clinicians

Amidst this widespread concern, one bright spot emerges: the enduring trust in doctors and nurses. Americans consistently rank clinicians as the most trusted sources of healthcare information, far exceeding their trust in health agencies, insurance companies, media outlets, pharmaceutical companies, and politicians. This trust is a critical asset for healthcare organizations.

Jarrard Trust in Provider Communications

Pro Tip: Healthcare organizations should actively engage doctors and nurses in communicating policy changes and addressing patient concerns. Leveraging the trust patients place in clinicians can significantly improve transparency and build stronger relationships.

Nine in ten U.S. consumers expect to hear about policy changes from provider organizations, reinforcing the importance of clinicians as key communicators. Supporting and empowering these trusted professionals to partner with patients is crucial for navigating the evolving healthcare landscape.

What steps can healthcare providers take to rebuild trust with patients facing rising costs? And how can policymakers address the growing anxieties surrounding healthcare affordability and access?

Frequently Asked Questions About Healthcare Costs

What are the biggest concerns Americans have about healthcare costs?

The Jarrard survey reveals widespread concern over difficulty paying medical bills, delaying care due to cost, and the inability to afford health insurance. These are the most pressing financial anxieties for U.S. healthcare consumers.

How do patients view hospitals’ priorities regarding profit and patient care?

A significant majority of patients believe hospitals prioritize profits over patient care. Four in ten feel hospitals place money “far above” patients, indicating a deep-seated distrust.

What impact are changes to the ACA and Medicaid expected to have?

Over half of U.S. consumers anticipate negative effects from changes to ACA subsidies and Medicaid, suggesting widespread concern about access to affordable healthcare.

Who do Americans trust most for healthcare information?

Doctors and nurses are consistently ranked as the most trusted sources of healthcare information, significantly exceeding trust in other stakeholders like insurance companies or politicians.

How can healthcare organizations leverage clinician trust?

Healthcare organizations should actively engage doctors and nurses in communicating policy changes and addressing patient concerns, capitalizing on the strong trust patients place in these professionals.

Disclaimer: This article provides general information and should not be considered medical or financial advice. Consult with a qualified healthcare professional or financial advisor for personalized guidance.

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