The U.S. spends more on health care per capita than other high-income nations, with many Americans facing rising insurance premiums after the expiration of Affordable Care Act subsidies. A survey shows 66% worry about affording health care, more than other expenses. Over half report increased health care costs, and 56% expect further increases. Employer plans may cost less than marketplace options, where premiums have risen 21%. Health care costs influence voter decisions.