根据KFF周二发布的民意调查，在中期选举中，选民最关心的经济问题中，医疗成本与油价并列。
Healthcare costs are tied with gas prices as voters’ top economic concern in the midterm election, according to a KFF poll released Tuesday.
KFF是一个非党派的健康政策研究组织。该机构表示，十分之六的选民表示他们对支付医疗费用“非常”或“有些”担忧，这一担忧程度超过了食品、水电和住房问题。
Six in ten voters said they were “very” or “somewhat” worried about affording healthcare, outranking concerns over food, utilities and housing, said KFF, a nonpartisan health policy research group.
KFF的高级调查分析师兼此次民调作者之一香农·舒马彻表示：“距离选举日仅剩约一个月时间，我们最新的民调发现，医疗成本正严重困扰着选民，并凸显出本次选举的核心议题就是负担能力。”
“With about a month to go before Election Day, our latest poll finds that healthcare costs are weighing heavily on voters’ minds and is driving home that this recent election is all about affordability,” said Shannon Schumacher, a senior survey analyst at KFF and one of the poll’s authors.
各党派选民普遍认为，美国医疗体系需要进行彻底改革。近一半的受访选民表示，政治候选人讨论医疗成本“极其重要”，而大多数人则表示希望听到候选人降低医疗费用的具体计划。
Voters across the aisle overwhelmingly said an overhaul of the US healthcare system is needed. Nearly half of the voters surveyed said it was “extremely important” that political candidates talk about healthcare costs, and most said they want to hear plans on how they will lower prices.
舒马彻指出，从历史上看，共和党在经济相关问题上的民调支持率通常高于民主党。但KFF的调查结果发现，包括独立选民在内的选民目前对民主党在医疗和生活动成本问题上的信任度更高。在受访选民中，42%的人表示信任民主党能更好地处理医疗成本问题，而选择共和党的比例为22%。此次民调于9月中旬对1328名美国成年人进行了抽样调查。
Republicans have historically polled better than Democrats on issues around the economy, per Schumacher. But KFF’s results found that voters, including independents, currently trust Democrats more on healthcare and living costs. Of the voters surveyed, 42% said they trusted Democrats to do a better job of handling healthcare costs, while 22% chose Republicans. The poll sampled 1,328 US adults in mid-September.
三分之二的受访者支持国家医疗计划，即“全民医保”（Medicare-for-All），这是自2016年KFF开始就这一主题进行民调以来的最高支持率。不过，各党派之间的观点仍存在明显分歧：84%的民主党人和72%的独立选民支持该计划，而66%的共和党人则反对。
Two-thirds of respondents supported a national health plan, or “Medicare-for-All”, the highest percentage since KFF began polling on the topic in 2016. Opinions continue to be split along party lines, with 84% of Democrats and 72% of independents in favor and 66% of Republicans opposed.
近期的政策变化加剧了人们对医疗问题的担忧。由于国会拒绝延长增强型补贴，今年《平价医疗法案》（Affordable Care Act）市场计划的参保人数减少了约400万人。目前拥有ACA计划的美国人支付的保费比2025年高出20%，而预计明年保费还将两位数增长。
Recent changes have fueled anxiety around healthcare. Affordable Care Act marketplace enrollment dropped by about four million people this year after Congress declined to extend enhanced subsidies. Americans with ACA plans are paying 20% more than 2025, and premiums are expected to jump double-digits next year.
在佛罗里达州，医疗保健成本已成为一项重要的竞选议题，因为该州的《平价医疗法案》（ACA）参保人数降幅位居全国首位。去年通过的《一项伟大而美丽的法案》（One Big Beautiful Bill Act）也被预测到，到2034年至少将有1000万人失去医保，这主要归因于医疗补助计划（Medicaid）的调整。
In Florida, healthcare costs have become a major campaign issue as the state experienced the largest ACA enrollment drop-off in the country. The One Big Beautiful Bill Act, passed last year, is also projected to leave at least 10 million people uninsured by 2034, primarily due to changes to Medicaid.
不断上涨的成本不仅体现在政府计划中。根据彼得森-凯非（Peterson-KFF）医疗系统追踪机构的数据，为小企业提供保险的保险公司已提议在2027年将保费提高14%。
The rising costs extend past government plans. Insurers for small businesses have proposed premium hikes of 14% for 2027, according to the Peterson-KFF health system tracker.