Health Care Is Still Too Costly for Americans

The need for more reform is clear. The US spends about 17% of gross domestic product on health care, half as much again as comparable countries — yet on many metrics, including life expectancy, US outcomes are worse. The system’s enormous cost is partly hidden because most Americans are insured through their employers: The premiums suppress wages, so the true hit to families’ finances is disguised. Even covered employees can be on the hook for additional charges, enough in some cases to pay for a small car. Workers fear that losing their jobs will mean they lose their insurance too. More than half of the 20 million who’ve signed up for Obamacare in 2024 complain of high monthly costs and out-of-pocket spending. And despite the ACA, roughly 10% of Americans still have no coverage at all.