Urban Institute Update
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Nearly half of working-age adults had difficulties affording health care in 2025



Using data from Urban’s December 2025 Well-Being and Basic Needs Survey, new analysis highlights a series of health care affordability challenges that families—both insured and uninsured—are facing, finding that burdens fell unevenly across people and places.


In 2025, nearly half (46 percent) of working-age adults struggled to afford health care for their families. This included 17 percent reporting problems paying medical bills, 35 percent reporting someone in the family experienced unmet health care needs because of costs, and 29 percent reporting the family had medical debt at the time of the survey.




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Explore key findings


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