West Health
Since 2018, West Health and Gallup have partnered to track perceptions of aging and the U.S. healthcare system in relation to quality, affordability, equity and access, with the aim of giving voice to the American experience. The goal is to identify strengths, weaknesses, issues and trends that can better inform public policy and healthcare practice and delivery.
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West Health-Gallup Indices: Tracking Healthcare Affordability and Value
The latest West Health-Gallup Healthcare Affordability and Value Indices reveal a deepening crisis in Americans’ ability to afford and find value in the healthcare system. Vulnerable populations such as those in lower-income households, younger Americans, and Black and Hispanic adults continue to face the steepest challenges in accessing affordable care.
At the same time, perceptions of the value of this care remain low among most Americans. These findings underscore the urgent need to address cost burdens and restore confidence in the value of the U.S. healthcare system.
Download the full report to explore the data and how perceptions have changed over the past four years.
West Health-Gallup Indices: Tracking Healthcare Affordability and Value
The latest West Health-Gallup Healthcare Affordability and Value Indices reveal a deepening crisis in Americans’ ability to afford and find value in the healthcare system. Vulnerable populations such as those in lower-income households, younger Americans, and Black and Hispanic adults continue to face the steepest challenges in accessing affordable care.
At the same time, perceptions of the value of this care remain low among most Americans. These findings underscore the urgent need to address cost burdens and restore confidence in the value of the U.S. healthcare system.
Download the full report to explore the data and how perceptions have changed over the past four years.
Two Healthcare Indices — Affordability and Value
The West Health-Gallup Healthcare Affordability Index gauges how Americans perceive and cope with the cost of care, including prescription drugs, and the West Health-Gallup Healthcare Value Index tracks whether Americans believe the care they do receive is worth the cost.
Affordability Index

Cost secure - 51%. Cost insecure - 38%. Cost desperate - 11%.
The Healthcare Affordability Index evaluates three key factors that represent the consequences of Americans’ inability to afford healthcare. To learn more, view the data visualization.
Value Index

Poor perceived value - 38%. Inconsistent perceived value - 56%. High perceived value - 6%.
The Healthcare Value Index is composed of three key perceptions that determine the system’s value. To learn more, view the data visualization.
More West Health-Gallup Insights
In U.S., Inability to Pay for Care, Medicine Hits New High
Americans Borrow Estimated $74 Billion for Medical Bills in 2024
Nearly Half of U.S. Says Healthcare Headed in Wrong Direction
Explore Past West Health-Gallup Reports
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