Common Causes

Medical debt in the United States can arise from various factors, and it's often a complex issue influenced by the structure of the healthcare system, individual circumstances, and broader economic trends

High Healthcare Costs

The overall cost of healthcare in the United States is often higher than in other developed countries. This includes the cost of medical procedures, prescription drugs, and hospital stays

Insufficient Coverage

Some individuals may have insurance coverage that doesn't adequately protect them from high medical expenses, either due to high deductibles or limited coverage for certain treatments

Prescription Drug Costs

The high cost of prescription medications can contribute significantly to medical expenses, especially for individuals with chronic conditions who require ongoing medication

Medical Emergencies

Unexpected medical emergencies or accidents can result in substantial medical bills that individuals may struggle to pay, even those with health insurance may encounter out-of-pocket costs

The Commonwealth Fund Health Care Affordability Survey

As the responses show, many Americans, regardless of where their insurance comes from, have inadequate coverage that’s led to delayed or forgone care, significant medical debt, and worsening health problems. While having health insurance is always better than not having it, the survey findings challenge the implicit assumption that health insurance in the United States buys affordable access to care. Difficulties affording care are experienced by people in employer, marketplace, and individual-market plans as well as people enrolled in Medicaid and Medicare.

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Survey Findings

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Survey Highlight

Large shares of insured working-age adults surveyed said it was very or somewhat difficult to afford their health care (%)
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employer coverage
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marketplace
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Medicaid
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Medicare

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