Health
American Voters Brace for Health Care Costs to Reshape Midterms

Clear Facts
- National health care spending hit $5.3 trillion in 2024, equating to over $15,000 per American citizen.
- Research indicates half of insurance enrollees see significant increases in premiums and deductibles this year.
- Medical debt burdens millions of Americans, with 3 million people owing more than $10,000 each.
Skyrocketing medical expenses are emerging as a decisive factor for voters heading into the November midterm elections. Analysts report that health care affordability has surpassed other basic necessities like housing and groceries as a top economic concern.
Heritage Foundation fellow Robert Moffit identifies a lack of competition among insurance companies and hospital corporations as a primary driver of high costs. He argues that without choice or competition, medical care is often delayed or rationed under global budget constraints.
“Where there is no competition, there is no choice. Where there is no choice or competition, there is no way to control cost, unless the option — like ‘single-payer’ — is to set a hard global budget and then deny, delay or ration medical care.”
American Commitment President Phil Kerpen suggests Republicans can win on this issue by challenging insurance monopolies and promoting price transparency. He notes that voters respond well to policies that bring real competition back to the healthcare marketplace.
“Their problem is they never talk about health care or really push these ideas except defensively when Democrats are pressing the issue, which is why Democrats usually have an advantage on the health care issue.”
The Trump administration has proposed plans to lower costs by eliminating improper subsidies and expanding access to lower-cost insurance options. Economists suggest these moves toward market-based solutions are necessary to reverse the trend of rising prices.
“The best way the president and CMS can improve health care affordability is by cracking down on improper subsidies, ending automatic enrollment, and changing rules to expand lower-cost plan options.”
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