If you have a family of four, the increasing costs of healthcare could make your yearly premiums as expensive as replacing your car.
“The average health insurance premium for a family of four is now $28,000, which is just a ton of money,” said KFF associate director Matthew Rae to NPR. “It’s basically the cost of a new car every year just to keep a family of four insured.”
In 2026, premiums rose by 5% — not an insignificant amount for people already struggling. What’s more, employers are increasingly passing premium costs onto employees, resulting in the premium costs for employees rising by 9%.
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“If this is the beginning of a shift of costs on to workers, that would be a big deal in terms of affordability,” said Rae to NPR.
Here’s what’s going on with healthcare costs.
Almost half of insured people are still avoiding getting medical help because of costs
According to KFF, 2026 annual insurance premiums cost almost $10,000 for single coverage, while family coverage cost over $28,000 — both up 5% from last year, outpacing both inflation and workers’ wages.
If you have an employer-sponsored plan, you likely didn’t pay that much. The average employee paid around $1,700 for single coverage and around $7,500 for family coverage — still a significant sum. This represents a 16% and 9% increase in worker-paid costs respectively, according to the Wall Street Journal.
At the same time, health insurance coverage is getting worse. You’ll likely have to deal with high deductibles even if you work for a company that fully or mostly covers rising premium costs.
“Back in the 90’s, our deductibles were $250 or $500 — now they’re $5,000,” said Joseph Babbit, a senior financial controller, to NPR. He works for a company that covers most premiums for employees. “We are the only country on our planet that forces people into bankruptcy because they get sick.”
Almost half of working-age adults in 2026 had inadequate insurance coverage, whether that’s because they’re uninsured, had a coverage gap, or were underinsured. People counted as underinsured if their out of pocket costs sans premiums were 10% or more of household income, or if their deductible was 5% or more of household income.
It’s perhaps unsurprising, then, that 50% of working adults in America avoided accessing needed healthcare because of concerns about cost. Among insured Americans, that number only dropped to 43%.
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The government’s recent moves to limit healthcare access is out of step with Americans’ beliefs
The rate of people without any health insurance went up in 2026, while the rates of people on marketplace insurance or Medicaid went down. This is likely due to the Trump administration making significant cuts to both Medicaid and the ACA marketplace, leaving millions of people without healthcare coverage.
This will likely get worse in 2027, as Medicaid will adopt work requirements and both Medicaid and the ACA marketplace will put limitations on what assistance legal immigrants to the U.S. can access.
Americans are largely against this shift. Almost three-quarters of U.S. adults believe that the federal government has a responsibility to make sure all Americans have health coverage, according to research by the Commonwealth Fund.
That includes almost half of Republicans and nearly all of the Democrats that responded to the survey.
“There is a, I think, a strong feeling across the country that something probably does need to be done to the situation that people are facing in their health and health insurance — both on the cost side and then also on these coverage losses,” said Sara Collins, lead author on the Commonwealth Fund report, to NPR.
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Kit Pulliam is a DC-based financial journalist with over five years of experience writing, editing and fact-checking financial content.
