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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."
"It will be a no thanks from here," said the Greenlandic prime minister. "We have a public health service where treatment is free for citizens... It is not like that in the USA, where it costs money to go to the doctor."
Shortly after the Danish military evacuated a crew member of a US submarine off the Greenlandic coast for urgent medical care on Saturday, President Donald Trump pledged to send a "hospital boat" to the self-governing Danish territory—but officials from Greenland and Denmark declared it unnecessary, given the island's publicly funded universal healthcare system.
"Working with the fantastic Governor of Louisiana, Jeff Landry, we are going to send a great hospital boat to Greenland to take care of the many people who are sick, and not being taken care of there. It's on the way!!!" said Trump, who in December named the Republican governor as his envoy to Greenland while threatening to take over the island.
Trump has called the fossil fuel-driven climate emergency a "con," but global warming is opening up potential shipping routes and access to natural resources in and around Greenland. He has claimed that if he doesn't seize the island, China or Russia will do so—though last month he announced a "framework of a future deal" for security, temporarily easing fears of a US invasion.
In his Truth Social post late Saturday, Trump shared an illustration of a Navy hospital ship, the USNS Mercy.
"As of late January, the 1,000-bed hospital ship was firmly in drydock at Alabama Shipyard in Mobile, where it has been undergoing scheduled maintenance since July 2025," according to the maritime industry news website gCaptain. "The USNS Mercy, commissioned in 1986, departed San Diego last July for a one-year scheduled maintenance period at Alabama Shipyard under an $18.7 million firm-fixed-price contract for a 153-calendar day mid-term availability, including drydocking."
Responding to the US leader on social media Sunday, Greenlandic Prime Minister Jens-Frederik Nielsen said: "It will be a no thanks from here. President Trump's idea of sending an American hospital ship here to Greenland has been noted. But we have a public health service where treatment is free for citizens. It is a conscious choice. And a fundamental part of our society."
"It is not like that in the USA, where it costs money to go to the doctor," he added. "We are always open to dialogue and cooperation. Also with the USA. But now talk to us instead of just making more or less random outbursts on social media. Dialogue and cooperation require respect for decisions about our country being made here at home."
Danish Prime Minister Mette Frederiksen somewhat indirectly pushed back against Trump with a social media post, saying that she is "happy to live in a country where there is free and equal access to health for all. Where it's not insurances and wealth that determine whether you get proper treatment. You have the same approach in Greenland. Happy Sunday to you all."
Denmark's defense minister, Troels Lund Poulsen, similarly told Danish broadcaster DR: "The Greenlandic population receives the healthcare it needs. They receive it either in Greenland, or, if they require specialized treatment, they receive it in Denmark."
"It's not as if there's a need for a special healthcare initiative in Greenland," he added.
The Nordic Council and the Nordic Council of Ministers website states that in "a number of services are provided, which are free at point of use to everyone with permanent residence in Greenland. If a doctor has prescribed treatment, and the service is not available nearby, you have the right to have the transport covered to the nearest hospital."
The site also notes that island's health service is "challenged by a shortage of staff, particularly in the most sparsely populated areas."
Aaja Chemnitz, one of the two Greenlandic politicians in the Danish Parliament, said on social media: "Another day. Another crazy news story. Donald Trump wants to send a poorly maintained hospital ship to Greenland. It seems rather desperate and does not contribute to the permanent and sustainable strengthening of the healthcare system that we need."
"Since the last election, where I campaigned for closer healthcare cooperation... we have succeeded in allocating DKK 35 million annually, and this year an additional DKK 185 million, for treatment of Greenlanders in Denmark," she continued. Those figures in US dollars are roughly $5.5 million and $29 million, respectively.
Chemnitz added:
I believe there is one thing we are missing in our understanding of health and welfare in Greenland. We should have equal access to doctors, cancer treatment pathways, and healthcare assistance like those available in Denmark. Our healthcare system is deeply challenged—more so than what is seen in Denmark.
And this is best solved together with Denmark, as one of the richest and most highly educated countries, for example in the healthcare sector. Not the United States, which has its own problems with healthcare.
This requires closer and more committed efforts from Denmark in the field of healthcare in Greenland.
More doctors from the Danish regions taking a turn in Greenland. Faster access to treatment in Denmark. And a crystal-clear prioritization of children and young people, cancer and heart diseases, and a significant improvement in psychiatry.
Is Denmark ready for that?
The United States has often ranked dead last among peer nations on metrics such as access to care and health outcomes, fueling Americans' demands for a transition from the current for-profit healthcare system to one that is publicly funded and universal.
Massive cuts to the social safety net in the so-called One Big Beautiful Bill Act signed by Trump last July and federal Republicans' failure to extend Affordable Care Act subsidies that helped tens of millions of people afford health insurance premiums—before they expired at the end of December—have further fueled calls for Medicare for All.
With few exceptions, the Democratic Party apparatus is coasting, playing “it safe,” and expecting that the Trumpsters will deliver the Congress to it in November.
“How’s the Democratic Party’s ground game in Pennsylvania?” I asked a friend several weeks before the 2024 presidential election. He replied optimistically that there were far more door knockers this year than in 2022.
It turned out these door knockers were just urging a vote for the Democrats without putting forth a compelling agenda attached to candidate commitments on issues that mean something to people where they live, work, and raise their families. There was no Democratic Party “Compact for the American People.” Then-President Joe Biden visited Pennsylvania, which went Republican, many times, with his most memorable message being that he grew up in Scranton.
Once again, the vacuous, feeble Democratic Party is relying on the Republicans and the cruel, lawless dictator Donald Trump to beat themselves to gain control of the Senate and the House.
Legendary reporter Seymour Hersh on Thursday made the case for the Republicans taking themselves down, to wit: “I have been told by an insider that the internal polling numbers are not good …” and that “anxiety in the White House that both the House and the Senate might fall to the Democrats is acute. Trump’s poll numbers are sliding… The public lying of cabinet members in defense of ICE has not helped the president or the party. Trump hasn’t delivered on the economy, except for the very rich, and he hasn’t made good on early promises to resolve the disastrous war between Russia and Ukraine.”
Their aversion to building their own momentum to answer the basic questions “Whose side are you on?” and “What does the Democratic Party stand for?” remains as pathetic as it was in 2022 and 2024.
GOP operatives are assuming the Democrats will take back the House by a comfortable number and now think the Senate, where the GOP holds a three-seat majority. There are six seats in play. The GOP’s biggest fear is that their negatives continue to increase, propelled by a pile of unpopular Trumpian actions, ugly behavior, and corruption. The combination of all these things could create a critical mass and produce a landslide comparable to the Reagan-led victory in 1980. In this election, the Republicans defeated seemingly unbeatable Senate veterans like Sen. Warren Magnuson (D-Wash.), Sen. Gayord Nelson (D-Wis.), and Sen. Frank Church (D-Idaho), and gave the GOP control of the Senate.
So, what is the Democratic Party doing during this GOP slump? It is Déjà vu all over again. The Dems are furiously raising money from commercial special interests and relying on vacuous television and social media ads. They are not engaging people with enough personal events, and they are not returning calls or reaching out to their historical base—progressive labor and citizen leaders. Most importantly, they are not presenting voters with a COMPACT FOR AMERICAN WORKERS. Such a compact would spark voter excitement and attract significant media coverage.
Their aversion to building their own momentum to answer the basic questions “Whose side are you on?” and “What does the Democratic Party stand for?” remains as pathetic as it was in 2022 and 2024. Ken Martin, head of the Democratic National Committee (DNC), recently quashed a detailed report he commissioned about why the Democrats lost in 2024. He has refused to meet with leaders of progressive citizen organizations. We visited the DNC headquarters and could not even get anyone to take our materials on winning issues and tactics. We offered the compiled presentations of two dozen progressive civic leaders on how to landslide the GOP in 2022. This material is still relevant and offers a letter-perfect blueprint for how Democrats could win in 2026. (See winningamerica.net). (The DNC offices are like a mausoleum, except for visits by members of Congress entering to dial for dollars.)
Imagine a mere switch of 240,000 votes in three states (Pennsylvania, Michigan, and Wisconsin) would have defeated Trump in 2024. That margin would have been easily accomplished had the Democratic Party supported the efforts of AFL-CIO and progressive union leaders who wanted the Dems to champion a “Compact for Workers” on Labor Day, with events throughout the country. (See letter sent to Liz Shuler, President of AFL-CIO, on August 27, 2024).
The compact would have emphasized: raising the federal minimum wage from $7.25 to $15 per hour, benefiting 25 million workers, and increasing Social Security benefits frozen for over 45 years, which could have benefited over 60 million elderly, paid for by higher Social Security taxes on the wealthy classes. The compact would also include: a genuine child tax credit that would help over 60 million children, cutting child poverty in half; repeal of Trump’s massive tax cuts for the super rich and giant corporations (which would pay for thousands of public works groups in communities around the nation); and Full Medicare for All (which is far more efficient and lifesaving than the corporate-controlled nightmare of gouges, inscrutable billing fraud, and arbitrary denial of benefits).
Droves of conservative and liberal voters would attend events showcasing winning politics, authentically presented, as envisioned for the grassroots Labor Day gatherings, suicidally blocked by the smug, siloed leaders of the Democratic Party in 2022 and 2024.
Clearly, this is a party that thinks it can win on the agenda of Wall Street and the military-industrial complexes. (See Norman Solomon’s book The Blue Road to Trump Hell: How Corporate Democrats Paved the Way for Autocracy. It can be downloaded for free at BlueRoad.info.) The Democratic Party scapegoats the tiny Green Party for its losses again and again at the federal and state levels to the worst Republican Party in history—BY FAR.
It is fair to say that, with few exceptions, the Democratic Party apparatus is coasting, playing “it safe,” and expecting that the Trumpsters will deliver the Congress to it in November.
The exceptions are warning about this hazardous complacency, such as adopting James Carville’s ridiculous advice just to let the GOP self-destruct (though recently he also has urged a progressive economic agenda). There are progressive young Democrats challenging incumbent corporate Democrats in the House. They are not waiting for a turnover in the party’s aging leadership. They believe the country can’t wait for such a transformation. Our Republic has been invaded by the Trumpsters, who are taking down its institutional pillars, its safety nets, and its rule of law. Our democracy is crumbling by the day.
As for the nonvoters, disgusted with politics, just go vote for a raise, vote for health insurance, vote for a crackdown on corporate crooks seizing your consumer dollars and savings, and vote for taxing the rich. That’s what your vote should demand, and these are the issues that should be conveyed to the candidates campaigning in your communities.
Tell the candidates you want a shakeup, not a handshake. (See, the primer for victory, “Let’s Start the Revolution: Tools for Displacing the Corporate State and Building a Country that Works for the People” 2024).