Tom Zawierucha, 58, a constructing companies employee in New Jersey, needs candidates would discuss extra about defending older Individuals from huge medical payments.
Teresa Morton, 43, a freight dispatcher in Memphis, Tennessee, with two youngsters, desires to listen to extra about how elected officers would assist working Individuals saddled with unaffordable deductibles.
Yessica Grey, 28, a buyer help consultant in Wisconsin, craves reduction from excessive drug costs and medical payments which have pushed her and her husband deep into debt. “How a lot are we going to pay?” she mentioned. “It’s simply one thing that’s at all times on my thoughts.”
Well being care hasn’t figured prominently on this more and more acrimonious presidential marketing campaign. And the financial system has typically topped the record of voters’ considerations.
However Individuals stay intensely apprehensive about paying for medical care, nationwide surveys present.
Two in 3 U.S. adults in a latest nationwide ballot by West Well being and Gallup mentioned they’re involved a serious well being occasion would land them in debt. An identical share mentioned well being care isn’t getting sufficient consideration within the marketing campaign.
To raised perceive voters’ well being care considerations because the 2024 marketing campaign nears an finish, KFF Well being Information labored with analysis agency PerryUndem, which convened a pair of focus teams final week with 16 individuals from throughout the nation. PerryUndem, which paid to prepare the main target teams, is a nonpartisan agency based mostly in Washington, D.C., that research public views on well being care and different points.
The main target group members represented a broad swath of the citizens, with some favoring Republican candidates, and others Democrats. However practically all shared a typical criticism: Neither presidential candidate has talked sufficient about how they’d assist individuals struggling to pay for medical care.
“You don’t actually hear something a lot about well being care prices,” mentioned Bob Groegler, 46, who works in residential financing in japanese Pennsylvania. Groegler mentioned he’s apprehensive he could by no means be capable to retire as a result of he gained’t come up with the money for to pay his medical payments.
Former President Donald Trump, the Republican nominee, hasn’t supplied an in depth well being care agenda, although he criticizes present legal guidelines and mentioned he has “ideas of a plan” to enhance the 2010 Reasonably priced Care Act, usually known as Obamacare.
Vice President Kamala Harris, a Democrat, has laid out extra detailed well being care proposals, together with constructing on laws signed by President Joe Biden to decrease sufferers’ payments.
In 2022, Biden signed the Inflation Discount Act, which limits how a lot Medicare enrollees should pay out-of-pocket for pharmaceuticals, together with a $35 month-to-month cap on insulin. The laws additionally gives extra federal assist to assist Individuals purchase medical insurance by means of the Reasonably priced Care Act, although this assist will expire until Congress and the president renew it subsequent 12 months.
Harris has mentioned she is going to broaden the help and push for new help to Medicare enrollees who want residence care. She additionally has pledged to proceed federal efforts to relieve medical debt, a nationwide downside that burdens about 100 million individuals.
However many of the focus group members mentioned they knew little about these proposals, complaining that hot-button points like abortion have dominated the marketing campaign.
Many additionally expressed deep skepticism that both Harris or Trump would do a lot to lighten the burden of medical payments.
“I imagine they’re out of contact with our actuality,” mentioned Renata Bobakova, 46, a instructor and mom outdoors Cleveland. “We by no means know after we’ll get sick. We by no means know after we’ll fall down or sprain an ankle. And costs actually might be astronomical. … I’m continually apprehensive about that.”
Bobakova, who’s from Slovakia, mentioned she went again to Europe to offer start to her daughter 10 years in the past to keep away from crippling medical debt she knew she’d incur on this nation. Mother and father with non-public well being protection face on common greater than $3,000 in medical payments associated to a being pregnant and childbirth that aren’t coated by insurance coverage.
Different focus group members mentioned they or individuals they knew had left the nation to get cheaper pharmaceuticals. The U.S. has the very best medical costs on the earth, analysis exhibits.
A number of focus group members, corresponding to Kevin Gaudette, 64, a retired semiconductor engineer in North Carolina, blamed giant hospitals, drug corporations, and insurers for blocking efforts to decrease sufferers’ prices to guard their earnings. “I feel everyone has their finger within the pie,” Gaudette mentioned.
Martha Chapman, 64, who can be retired and lives in Philadelphia, pointed to what she known as “company greed.” “I simply don’t assume it’s going to vary,” she mentioned.
Within the closing days of the marketing campaign, that cynicism represents a selected downside for Harris, mentioned PerryUndem co-founder Michael Perry, who led the 2 focus teams.
Harris has tried to differentiate herself because the candidate who’s extra critical about coverage and extra sympathetic to voters’ financial struggles, Perry mentioned. And in latest weeks, she’s begun airing new adverts highlighting well being care points.
However even focus group members who mentioned they lean Democratic appeared accountable each candidates for not addressing Individuals’ well being care considerations. “They’re not feeling listened to,” Perry mentioned.
Lots of the members however continued to precise hope that a problem as vital as well being care would sometime get the eye of elected officers, no matter political celebration.
“We’re all human beings right here. We’re all individuals simply attempting to make it,” mentioned Zawierucha, the constructing companies employee in New Jersey. “If we get sick or must go in and get one thing finished, we should always have that peace of thoughts that we will go in there and never have to fret about paying it off for the subsequent 20 years.”
“Simply give us some peace of thoughts,” he mentioned.
[Clarification: This article was revised at 11:35 a.m. ET on Oct. 24, 2024, to more clearly describe how the focus groups were organized.]
KFF Well being Information is a nationwide newsroom that produces in-depth journalism about well being points and is without doubt one of the core working packages at KFF—an impartial supply of well being coverage analysis, polling, and journalism. Be taught extra about KFF.
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