40% of Americans Doubt Medicare and Social Security Will Last 10 Years

A study from the West Health-Gallup Center on Healthcare in America reveals that about 40% of U.S. adults, approximately 110 million people, doubt Medicare and Social Security will be available in the next decade. This survey, the largest national and state-representative public opinion polling on these programs outside of federal studies, included nearly 20,000 adults nationwide. Doubt is highest among those under 50, with half or more believing these programs may not be around in 10 years. Concern about program sustainability is notably pronounced among populations dependent on Medicaid and those without health insurance. Political affiliation influences perceptions: Republicans are generally more confident about the future existence of Medicare and Social Security compared to Democrats and independents, especially within older age groups. About 60% of U.S. adults express increased concern in 2025 regarding potential changes to Medicare and Social Security benefits compared to the previous year, predating announcements of a 2.8% Social Security cost-of-living adjustment and a 10% rise in Medicare Part B premiums and deductibles. Individuals with chronic health conditions, anxiety, depression, or compromised immune systems report heightened concern about benefits changes. Democrats and independents show greater concern increases than Republicans. The vast majority of current recipients consider Medicare and Social Security crucial for healthcare affordability, with the importance rated even higher among lower-income households and those reporting poor or fair health. These data highlight potential disproportionate impacts of any reduction or reform on vulnerable groups already facing financial and health challenges. Both Medicare and Social Security, longstanding federal programs vital to U.S. health and financial stability, face projected insolvency within the next decade. Public skepticism aligns with these financial forecasts, underscoring the challenges ahead for program sustainability and healthcare affordability. The survey’s comprehensive state-level data are accessible through the West Health-Gallup Center on Healthcare’s digital hub, providing critical insights for industry stakeholders on healthcare cost, quality, and access across the U.S. This research informs policymakers and insurance professionals about the prevailing public concerns and demographics most affected by potential shifts in Medicare and Social Security benefits, emphasizing the need for strategic planning in healthcare and insurance sectors.