A survey conducted by the West Health-Gallup Center on Healthcare in America revealed that about one in three U.S. adults have reduced everyday spending to pay for health care, with over 80 million Americans making at least one trade-off in their lives over the past year. The most common sacrifices included rationing prescriptions or not following prescribed medical guidance, and borrowing money. The survey was conducted between June 9 and August 25, 2025 and included 19,535 adults aged 18 and older across all 50 states and the District of Columbia. Financial strain was most common among households earning less than $24,000 annually and among people without health insurance. The financial strain is also causing many Americans to delay major life decisions.