Overview
- The West Health–Gallup survey of 1,321 adults conducted Nov. 3–25 finds 23% say the system is in a state of crisis and 47% see major problems.
- Cost ranks as the most urgent health issue at 29%, with satisfaction in the overall cost of U.S. care at a record-low 16% and 57% satisfied with their personal costs.
- Sixty-four percent say the government has a responsibility to ensure coverage, the highest share since 2006.
- A Senate vote to extend enhanced Affordable Care Act premium tax credits failed last week, with four Republicans joining Democrats but not enough to overcome the filibuster.
- House leaders have not committed to a vote as a discharge effort by Rep. Brian Fitzpatrick seeks action before year-end, with expiration expected to raise premiums and shape 2026 political messaging.