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“No one is safe from making these trade-offs,” said a researcher at Gallup, which found even insured Americans in higher income brackets have avoided daily expenses to pay medical bills.
As the Trump administration spends an estimated $1 billion per day in taxpayer money bombing targets across Iran that have reportedly included an elementary school and healthcare facilities, Gallup released a survey Thursday that found one-third of Americans reported making financial trade-offs in order to pay for medical expenses last year.
The West Health-Gallup Center on Healthcare in America polled nearly 20,000 US adults between June and August 2025 and found that roughly one-third of them—equivalent to about 82 million people in the richest country in the world—were forced cut back on at least one expense in order to afford healthcare.
Eleven percent of respondents—equivalent to 28 million Americans—skipped a meal or intentionally drove less in order to pay a medical bill. Fifteen percent, the equivalent of nearly 40 million people, said they prolonged a current prescription or borrowed money, and 9% cut back on utilities.
Those numbers were strikingly similar among people who have health insurance, with 14% of insured people prolonging prescriptions to avoid paying for a new one and 9% skipping meals. Among insured Americans, 29% made at least one trade-off to afford healthcare.
The crisis is also not exclusively affecting low-income people. A quarter of people in households earning $90,000 to $120,000 per year skipped meals or other expenses to pay medical bills, and 11% of people in households earning $240,000 or more did the same.
“No one is safe from making these trade-offs,” Ellyn Maese, a senior researcher at Gallup and research director for the West Health-Gallup Center, told The New York Times.
Sixty-two percent of people without healthcare coverage were forced to make trade-offs, and 55% of people with household incomes lower than $24,000 per year as well as 47% of people earning $24,000 to $48,000 avoided expenses.
Gallup also released the results of a separate poll taken between October and December 2025, which showed how Americans are delaying major life decisions as well as altering their daily lives to afford healthcare under the for-profit insurance system.
As the Trump administration's policies slashed healthcare for 15 million Americans and raised healthcare premiums for tens of millions of people—and as the White House demanded that families have more children—6% of respondents said they had postponed having or adopting a child due to healthcare costs, equivalent to about 16 million Americans.
Nearly 30% said healthcare costs led them to avoid taking a vacation, 18% said they delayed finding a different job, 15% said they postponed pursuing education or job training, and 14% said they postponed buying a home.
The polls are “telling a consistent story here,” Maese said.
The survey results were released weeks after the Trump administration proposed new regulations for healthcare plans purchased through the Affordable Care Act marketplace that would charge deductibles as high as $15,000 for individuals and $31,000 for families to offset lower monthly premiums—underscoring how the healthcare law passed 16 years ago has left American households vulnerable to rising costs under the for-profit health insurance system.
A survey taken last November by Data for Progress found that 65% of voters support expanding the Medicare system to everyone in the US, a proposal that would save an estimated $650 billion annually.
But as Rep. Pramila Jayapal (D-Wash.)—who has sponsored Medicare for All legislation in the House—noted on Wednesday, Republicans and establishment Democrats continue to claim the proposal is unaffordable.
"When we ask for Medicare for All it’s 'too expensive,' and we 'don’t have the money,'" said Jayapal. "When the president drags us into his own personal war, no expense is spared. Our priorities are backwards."
"This new law is part of a relentless campaign by anti-abortion extremists who continue to push restrictions regardless of settled law, patient safety, or basic compassion," said one critic.
A reproductive rights group coalition that recently got two anti-abortion laws overturned in Wyoming's Supreme Court filed a legal challenge on Tuesday against the insidiously named "fetal heartbeat" legislation signed earlier this week by the state's Republican governor.
The advocacy groups Chelsea's Fund and Just the Pill; Wellspring Health Access, Wyoming's only abortion clinic; and three physicians filed a motion seeking to block HB 0126, the so-called Human Heartbeat Act, which was signed Monday by Gov. Mark Gordon.
The law bans abortion when there is a "detectable fetal heartbeat." Critics note that the term "fetal heartbeat" is medically inaccurate and misleading, as what can be detected with a transvaginal ultrasound at around six weeks of gestation is not an actual heartbeat, but rather electrical activity in fetal tissue that later develops into a heart.
The legislation contains an exception to “preserve the woman from an imminent peril that substantially endangers her life or health, according to appropriate medical judgment," but forces victims of rape and incest to carry their abusers' fetus to term.
The “uNfOrTuNaTe fLaW” he's referring to is that the state's abortion ban has no rape or incest exception. 🤬But this is no accident; these policies are DESIGNED to violate our basic human rights. For the extremists who champion these violent laws, this is a feature, not a bug.
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— Center for Reproductive Rights (@reprorights.org) March 11, 2026 at 7:51 AM
Gordon called the glaring lack of exceptions for rape or incest "an unfortunate flaw."
Wyoming's Republican-dominated Legislature passed the law after the state Supreme Court struck down two other pieces of forced-birth legislation in January.
One of the overturned laws outlawed abortion in nearly all cases, except when the pregnant patient’s life is in danger or for victims of rape or incest. The other banned abortion pills. Both laws were passed after the US Supreme Court overturned Roe v. Wade, reversing half a century of federal abortion rights.
In striking down the laws, the state's high court ruled that they violated residents' ability to make their own healthcare decisions—a right enshrined in the Wyoming Constitution.
The groups challenging the new law echoed the ruling in their motion, arguing the legislation "transgresses the constitutional guarantee of plaintiffs’ and individuals’ to make healthcare decisions without interference from the government."
Chelsea's Fund executive director Janean Forsyth expressed dismay over state lawmakers' relentless attacks on healthcare.
“I'm thinking about everyone from the 15-year-old that we supported, whose grandmother actually reached out, a victim of sexual assault,” Forsyth told Wyoming Public Radio on Wednesday. “I'm thinking about a family with a very wanted pregnancy that we supported in eventually seeking an abortion for a severe fetal anomaly.”
"It's not only affecting access to abortion care, it's affecting reproductive healthcare access generally for parents and children, which is really unfortunate,” she added, referring to medical professionals who are leaving the state for fear of prosecution.
On Wednesday, Brittany Fonteno, president and CEO of the National Abortion Federation (NAF), said in a statement:
A mere two months after two abortion bans were struck down by the state’s Supreme Court, Wyoming’s anti-abortion leaders have enacted yet another ban despite clear judicial rulings and public support for the constitutional right to make personal healthcare decisions. This new law is part of a relentless campaign by anti-abortion extremists who continue to push restrictions regardless of settled law, patient safety, or basic compassion.
“But as they have before, providers are standing firm and fighting back," Fonteno added. "NAF is proud to support Wellspring Health Access and the advocates challenging this ban, and we remain committed to ensuring abortion care is not only legal, but accessible and protected for every person, in every state.”
Abortion access has been tenuous in Wyoming in recent years, with bans and a 2022 arson attack on the Wellspring Health Access clinic in Casper—the state's only full-service abortion facility—causing uncertainty and delays.
Lawmakers in Wyoming considered putting the issue before voters in a referendum but decided against doing so, as such ballot measures have repeatedly resulted in the protection of abortion rights—even in deep "red" and conservative-leaning states including Arizona, Kansas, Michigan, Missouri, Montana, and Ohio.
Wyoming is the fifth state to ban abortion at around six weeks, joining Florida, Georgia, Iowa, and South Carolina.
According to the Guttmacher Institute, 13 states currently have near-total abortion bans, while 28 other states restrict the procedure. Numerous forced-birth bills are pending across the nation, and—while unlikely to pass—the most severe proposals including punishing the medical procedure with lengthy imprisonment and even the death penalty for healthcare providers and patients.
Wyoming’s governor signed into law a so-called “fetal heartbeat” ban. Abortion is now banned in the state when “cardiac activity” is detected, around 6 wks of pregnancy. WY now shifts from “Restrictive” to “Very Restrictive” on our interactive map. Learn more: https://gu.tt/4985P4S#AbortionAccess
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— Guttmacher (@guttmacher.org) March 11, 2026 at 6:00 AM
On Monday, the Center for Reproductive Rights published a report examining the human and economic toll of abortion bans, which a separate study last year by the Population Reference Bureau has linked to 478 excess infant deaths and 59 excess deaths of pregnant people since Roe was struck down nearly four years ago.
It's not only state-level bans that harm patients. Republicans' so-called One Big Beautiful Bill Act, signed into law by President Donald Trump last year, contains the biggest cuts to Medicaid in the program's 60-year history. Dramatically decreased Medicaid funding has resulted in the closure of at least 50 Planned Parenthood clinics nationwide, and the reduction of services at many others.
On this National Abortion Provider Appreciation Day, during Women’s History Month, we reflect on what it truly means to lead change by honoring providers who stand courageous in clinics across the country.
Each March, as the world turns its gaze toward Women’s History Month, we are reminded of the countless women whose courage, intellect, resilience, and leadership have reshaped our world. For 2026, the national theme—“Leading the Change: Women Shaping a Sustainable Future”—honors the women who are reimagining and rebuilding systems to ensure long-term sustainability: environmental, economic, educational, and societal. It recognizes women’s leadership in creating a future rooted in equity, justice, and opportunity for all.
Within that narrative sits a group of women and gender-expansive people whose work rarely appears in history books but whose impact resonates through lives across the nation: abortion providers.
On March 10, National Abortion Provider Appreciation Day, we are called to honor these fearless caregivers who sit at the frontlines of reproductive healthcare. They embody the very essence of this year’s Women’s History Month theme of leading change and shaping a future where bodily autonomy, dignity, and compassionate care are not just ideals but realities.
Abortion providers deliver essential medical care in the face of extraordinary adversity. They confront threats, protests, harassment, legal warfare, and violence—all aimed at trying to silence them, intimidate them, or push them out of the work they know is crucial. They endure anti-clinic demonstrations, surveillance by extremists, and political rhetoric designed to vilify not just a medical procedure but the fundamental humanity of the people they serve. Despite this, they show up day after day with resolve and open hearts.
Just as the suffragists, civil rights leaders, and healthcare pioneers of earlier eras were architects of change, today’s abortion providers are reshaping what justice looks like in the 21st century.
Their courage is deeply personal. It is the exam room conversation where a provider listens without judgment. It is the moment they guide a patient through a complex decision with clarity and care. It is the steady hand on a shoulder trembling with fear and hope. This is leadership: not in some distant boardroom, but in shared humanity. This is sustainability: building systems of care that endure in the face of relentless attack.
At the Women’s Reproductive Rights Assistance Project (WRRAP), we fund patients and eliminate financial barriers. But it is abortion providers who make care happen. They are the ones with the medical training, the compassion, the resilience, and sometimes the very bodies standing between patients and an unsafe, uncertain future.
Our work at WRRAP could not exist without these providers at the forefront. They are our partners in every sense bridging policy and possibility, funding and freedom, fear and resilience. We provide financial support so a patient doesn’t have to choose between rent and care, but it is the provider who opens their door, who holds space for people, who offers healing and hope in a world that so often refuses it.
To the providers who dedicate their lives to this work: We see you, we thank you, and we honor you. You are shaping a sustainable future, one where people have autonomy over their bodies and futures; one where care is delivered with compassion, dignity, and respect; one where equity is more than a slogan but a lived practice.
The work of abortion providers is history making. Just as the suffragists, civil rights leaders, and healthcare pioneers of earlier eras were architects of change, today’s abortion providers are reshaping what justice looks like in the 21st century. They are environmental stewards of well-being, economic innovators in equitable care delivery, educators in dignity and consent, and societal leaders in advancing reproductive freedom for all.
Being a provider today means doing the work under threats that others can scarcely imagine. It means navigating legal labyrinths designed to block care, enduring hostile legislative sessions, and facing protests that seek to make the act of healing itself controversial. And yet, providers persist, not because it is easy, but because it is necessary.
On this National Abortion Provider Appreciation Day, during Women’s History Month, we reflect on what it truly means to lead change by honoring providers who stand courageous in clinics across the country, whose safety has been threatened because they chose care over fear, whose compassion has saved futures with every patient they serve.
To every abortion provider today: Thank you for leading. Thank you for caring. Thank you for building a future rooted in justice, compassion, and dignity.
We are grateful beyond words, and we stand with you. This is our collective power.