The cost of healthcare often leads people to not seek diagnosis or treatment, which results in the economically disadvantaged typically having the worst health outcomes. A 2021 survey from the Commonwealth Fund revealed that 1/3 of insured adults and ½ of uninsured adults said they had a medical bill problem or were paying off medical debt.

National health expenditures grew 9.7% to $4.1 trillion in 2020, or $12,530 per person, and accounted for 19.7% of Gross Domestic Product. Despite massive legislation, disruption from the private sector and attempts at reform from consumer groups and nonprofits, affordability remains elusive prey in the tangled jungle of healthcare.

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