Commonwealth Fund: 1 in 3 Insured Americans Carry Medical Debt
A new survey reveals that 30% of privately insured adults have unpaid medical bills, often from routine care and high deductibles.
What to know
- Nearly one-third of privately insured Americans ages 19-64 carry unpaid medical debt, with almost half owing $2,000 or more.
- Medical debt stems primarily from high deductibles and routine care costs—not just catastrophic illness—forcing 30% of those affected to cut essentials like food and heat.
- The problem is projected to worsen as health insurance costs rise 8.2% in 2027 and employers shift more burden to employees; a federal rule protecting credit scores from medical debt was vacated in July 2025.
- Those with medical debt often delay future care to avoid additional bills, creating a cycle that increases long-term health costs for individuals and the system.
“Especially among people who are low-income, they are on pretty regimented household budgets, and medical bills can really tip that budget over into the realm of not being able to pay for certain things and having to cut back.”
Sara Collins, Commonwealth Fund · CBS News ↗
Sara R. Collins Senior scholar, Commonwealth Fund; lead author of surveyCommonwealth Fund Nonpartisan health policy research organization
How it unfolded 3 developments, newest first · click a bar or a number to jump articlesvideos
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Federal medical debt credit rule vacated; 15 states enacted protections
While 15 states have passed laws limiting the use of medical debt in lending decisions and on credit reports, a federal rule designed by the Consumer Financial Protection Bureau to keep medical debt off credit reports was vacated by a federal court in July 2025 after the Trump Administration took office.
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Survey Finds 1 In 3 Americans With Health Insurance Have Medical Debt A new survey found that one third of Americans who have health coverage still have medical debt that they are paying off over time. What do you think? The post Survey Finds 1 In 3 Americans With Health Insurance Have Medical Debt appeared first on The Onion. # theonion https://…
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Survey finds medical debt creates barriers to future care
Once people experience medical debt, they often hesitate to seek out more medical care, which can lead to higher overall expenses as they end up needing emergency services instead of preventative care. Focus group participants also expressed significant fear about credit score damage from medical debt.
“There is a huge fear among people in our focus groups of having their credit scores ruined by medical debt.”
— Sara R. Collins, Commonwealth Fund -
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Analysis: Medical debt projected to worsen as insurance costs rise — Experts note the problem will likely grow as health insurance becomes less affordable. The cost of health benefits per employee is projected to rise 8.2% in 2027—the highest increase since 2003—and employers may downgrade plans and shift more costs to employees. Additionally, the end of ACA subsidies has pushed consumers toward lower-quality plans with higher out-of-pocket costs for chronic or catastrophic illness.
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Survey details how insured Americans cope with medical debt — The study found that 30% of respondents cut back on basic necessities like food, heat, or rent to afford health care; 37% used part or all of their savings to pay bills; and 30% delayed or forgoing medical care. Hospital visits are the primary source, with nearly two-thirds of adults carrying debt related to such care.
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Commonwealth Fund releases survey finding 30% of insured adults carry medical debt
The Commonwealth Fund released its survey showing that nearly one-third of adults ages 19-64 with private insurance have unpaid medical bills or medical debt. Nearly half of those with medical debt owed $2,000 or more.
“Medical-debt issues often stem from routine care, including doctor's office visits and treatment for chronic conditions. People are just dealing with routine care and bills that build up over time.”
— Sara R. Collins, Commonwealth Fund -
first by Healthcare Dive, 5d ago
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first by Time, 7d ago
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Commonwealth Fund surveys 6,300+ adults on medical debt — The Commonwealth Fund conducted interviews and focus groups with a nationally representative sample of more than 6,300 adults in 2025 to assess medical debt among insured Americans.
