Commonwealth Fund November 16, 2023
Munira Z. Gunja, Evan D. Gumas, Reginald D. Williams II, Michelle M. Doty, Arnav Shah, Katharine Fields

TOPLINES

  • U.S. adults are more likely to struggle with health care costs and forgo medical care than their counterparts in other high-income countries

  • Americans with high income sometimes have a harder time affording health care than people with low incomes in other countries

Introduction

Over the past four decades, government and individual health spending as a share of the overall economy has been steadily rising around the world, partly because of advances in medical technologies and greater demand for health services.1 In the United States, where administrative costs and health care prices are higher than in other high-income countries, this increased spending has meant higher insurance premiums and deductibles.2 Nearly a...

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