America's big consumer medical debt problem
Add Axios as your preferred source to
see more of our stories on Google.

The number of Americans who have health insurance has never been higher — but more than 40% surveyed this year said they struggled to pay medical bills or were paying off medical debt, according to a biennial report from The Commonwealth Fund.
Why it matters: It's the latest evidence that insurance coverage alone can't insulate people against soaring medical costs, leaving some facing long-term financial consequences.
By the numbers: In the survey, based on responses from more than 6,000 people between March and July 2022, nearly half (49%) of the respondents said they would be unable to pay an unexpected $1,000 medical bill within 30 days.
- About 2 in 5 who said they had problems paying down medical debt reported problems like lowered credit ratings, credit card debt or depleted savings.
- Nearly 1 in 10 had taken a mortgage against their home or obtained a loan to pay back their medical debt.
The big picture: As we've previously reported, Americans owe debt collectors more medical debt than any other kind.
The bottom line: Without policy changes, the problem stands to worsen as inflation drives up costs, including premiums and deductibles, said Sara Collins, lead author of the study.
- In addition, the looming expiration of the COVID public health emergency could trigger states to redetermine Medicaid enrollees' eligibility and cause nearly 16 million people to lose coverage.
