Americans are finding it increasingly difficult to pay for health care. According to the West Health-Gallup 2021 Healthcare in America Report, the percentage of Americans who report not having access to affordable health care increased from 18% in February 2021 to 30% in October 2021, based on a survey sample of 6,600 adults. The percentage of people who reported forgoing health care because of cost tripled from 10% to 30% from March to October. This surge was not confined to lower-income households; among those earning more than $120,000 a year, the percentage of people who said they were forgoing care jumped from 3% to 20%. The authors cite increased use of health care services and greater out-of-pocket expenses due to decreasing government assistance for COVID-19-related care as major contributing factors.