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Healthcare affordability, declining trust, and the realities of reform | Natalie Davis (United States of Care)

May 7, 2026
Natalie Davis, CEO of United States of Care, leads policy and state-level work on healthcare affordability. She discusses polling of 30,000 Americans showing affordability as the top concern. Short takes cover supported policies like drug pricing and price transparency. Conversation highlights declining trust in institutions, bipartisan momentum in conservative states, and mixed public views on AI in healthcare.
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INSIGHT

Affordability Is The Overriding Voter Concern

  • Affordability is the dominant, persistent voter concern driving both behavior and emotion around healthcare.
  • United States of Care surveyed >30,000 people and found 71% say healthcare costs are unaffordable, with stories of delayed care and medical debt.
INSIGHT

Voters Expect Candidates To Tackle Costs

  • Voters want concrete policy actions and will weigh candidates on them this midterm.
  • Poll shows 69% want Congress to ensure affordable care and 76% say candidates' positions on costs influence their vote.
ADVICE

Prioritize Targeted Reforms Voters Actually Support

  • Focus on targeted, popular reforms rather than sweeping bills to win public support.
  • Poll respondents back limiting drug costs (64%), hospital price posting (63%), site-neutral fees (62%), debt collection bans and merger scrutiny (~53%).
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