More than one in three adult Americans (37 percent) surveyed by the Commonwealth Fund in 2013 report skipping care because of the cost. And, more than four in ten Americans (41 percent)—a greater percentage than in any of the other ten countries surveyed–reported spending at least $1,000 out-of-pocket for their care. Almost one in four of them (23 percent) could not afford to pay their medical bills or struggled to pay for care.
Time will tell to what extent these percentages drop as a result of the Affordable Care Act. For sure, health care remains prohibitively expensive in the U.S. even for those with insurance.