About 4 in 10 U.S. adults named health care or health issues in an open-ended question that asked respondents to share up to five issues they want the government to work on in the coming year. That’s up from about one-third last year.

The high cost of health care came as a shock to Republican Joshua Campbell when he and his wife recently sought a medical plan for their young daughter. The 38-year-old small business owner from Hot Springs Village, Arkansas, voted for Trump last year, and he mostly approves of the way Trump is handling his job, particularly on immigration. But health care expenses have become a major priority for him going into 2026.

“Health care costs are pretty crazy,” he said. “I just thought, ‘Man, there’s got to be something better than what we have.’”

Health care is a particularly high concern for adults between the ages of 45 and 59 — people who may have higher health care costs than younger adults but aren’t yet eligible for Medicare.

The poll shows a similar landscape to the one Trump faced at the end of his first year in office during his first term, when health care reform was at the top of many Americans’ minds. But Trump has an added complication now. At the end of 2017, very few mentioned cost of living concerns — now, about one-third do.

Campbell described his politics as conservative, and while he recalled viewing the Affordable Care Act somewhat negatively when it first passed, he said he now views it as a step toward helping improve health care.

“I do think they were at least trying, and at least trying to do something,” he said. “And I don’t really see that — it’s one of the things from the Republican Party as well that I don’t necessarily agree with. Or I think that they should be doing better at.” Cost and inflation concerns remain pressing

Inflation and the high cost of living have been a top priority for many Americans since the end of 2021. Tommy Carosone is reminded every time his wife returns from the grocery store, especially with their two kids, both teenagers, still at home.

“My wife is spending so much more money on groceries than just a few years ago. Every time she comes home from the grocery store, I hear about it,” said Carosone, from St. Peter’s, Missouri. “She tells me it’s stupid expensive, especially meat. Ground beef, bacon, anything from the deli. It’s outrageous.”

The 44-year-old jet aircraft mechanic, the sole wage earner for his family of four, doesn’t see the cost of living coming down any time soon. He voted for Trump and generally agrees with his tariff agenda as a way to make the U.S. more competitive, and he figures prices will stay higher until the trade war ends.

“In the meantime, what are you going to do, not eat?” he said.

Carosone said he is glad he voted for Trump and had been concerned before Trump took office again about illegal immigration. But it doesn’t register even as a top priority for him now, in light of action the administration is taking.

“It’s a lot better,” he said. “It’s not really one of the main concerns I have now. I mean, don’t stop. That’s for sure. But I don’t think it’s something that’s a top concern.”

About 2 in 10 U.S. adults want the federal government to focus on housing costs next year. That issue has been rising in recent years, with young adults being especially likely to mention it. About one-quarter of adults under age 30 want the government to focus on housing expenses, compared with about 1 in 10 of those 60 or older.