A new Gallup poll shows healthcare has returned as the leading domestic concern among Americans, with 61% reporting they worry “a great deal” about access and affordability. The finding places healthcare ahead of 15 other policy areas and marks a shift from recent years when economic issues dominated.
Following healthcare, four economic concerns rank closely together, each cited by about half of U.S. adults. These include the economy, inflation, federal spending, the budget deficit, and income and wealth distribution. Meanwhile, Americans express comparatively lower concern about race relations, illegal immigration, unemployment, and energy affordability, with roughly one-third saying they worry a great deal about each.
Other issues, including hunger and homelessness, environmental quality, and the size and power of the federal government, fall in the middle of the rankings. Social Security aligns with the national average level of concern at 43%. Terrorism, crime and violence, and drug use rank among the least-cited concerns.
Although levels of concern vary by issue, a majority of Americans report at least some level of worry across all 16 areas measured.
Overall Concern Declines Year Over Year
Gallup reports a broader easing in national concern compared to 2025. The average percentage of Americans who say they worry a great deal across all issues dropped to 43%, down from 46% last year. This marks the lowest level recorded since 2020, when concern reached 38% at the onset of the COVID-19 pandemic.
Several issues saw notable year-over-year declines. Concern about Social Security and the economy each fell by nine percentage points, returning to levels seen in 2024 after rising at the start of President Donald Trump’s second term. Similarly, concern about crime decreased by 8 points and about immigration by 7 points, driven largely by reduced worry among Republicans.
Inflation concerns also declined by six points to 50%, the lowest level since Gallup began tracking the issue in 2022. No issue experienced a significant increase in concern over the past year, including healthcare, which maintained steady levels while moving to the top position.
Healthcare’s current ranking reflects a return to patterns seen in prior decades. It held the top spot from 2015 to 2020 and frequently alternated with the economy as the leading concern from 2002 to 2014. In 2025, healthcare was roughly tied with the economy, but it now leads by 10 percentage points.
Partisan Differences Shape Concern Levels
The survey highlights sharp differences in priorities across political affiliations. Among Republicans, illegal immigration ranks as the top concern at 55%, followed by federal spending, drug use, and crime. In contrast, Democrats identify healthcare as their primary concern, with 80% expressing high worry, followed by income and wealth distribution and the economy.
Independents report concerns that overlap with both groups, with healthcare, inflation, federal spending, and the economy ranking highest.
Significant gaps appear between parties on several issues. For example, Democrats’ concern about income and wealth distribution exceeds Republicans' by 58 points. Environmental concerns show a 52-point gap, while immigration is the only issue where Republican concern exceeds Democrats' by a wide margin.
Shifts in Political Sentiment
Gallup data also show a shift in overall concern levels aligned with political control. Republicans’ average concern across all issues has declined to 30%, down from 53% during the final year of President Joe Biden’s administration. Democrats’ average concern remains elevated at 51%, consistent with last year’s level and higher than during Biden’s final year.
Independents report an average concern level of 46%, consistent with recent years.
These patterns align with historical trends, showing that supporters of the out-of-power party tend to report higher levels of concern, while supporters of the sitting president report lower levels.
The poll was conducted as geopolitical tensions, including the escalation of the Iran war, were developing. Gallup notes that subsequent events may influence public sentiment beyond the timeframe captured in the survey.