WASHINGTON — Twannetta Weaver felt like she made the responsible choice when she enrolled in a high-deductible health insurance plan through her employer, an option that avoided high premiums and allowed her to save for retirement.
Then, in 2025, she slipped a disk in her back, requiring medication and physical therapy. Suddenly, the medical bills were so overwhelming that Weaver, an adult learner working toward a leadership degree on the side, had to delay graduation by a year.
“I had to start calculating, am I going to be able to afford to pay my tuition, as well as my books, as well as my living expenses, and continue to care for my family?” the 43-year-old in Sanford, Florida, said in an interview. “It makes you feel powerless as a consumer.”
Weaver’s experience is familiar to a growing number of Americans, according to new data from the West Health-Gallup Affordability Index, which shows only about half of U.S. adults could afford their health care and had access to quality care last year. Concerns about affording health care in the year ahead were at a record high since tracking began in 2021, signaling that many were feeling anxious about rising health care costs as 2025 ended.







