With household finances under pressure, some American families are finding medical expenses one bill too much, or even foregoing medical care altogether.
A poll of 1,000 U.S. adults reveals that two-thirds (67%) said that inflation is making it harder to pay medical bills in 2023, up 10 percentage points from last year, while more than a third said they are “avoiding medical care” because of debt, up from 28% in 2022.
The research from Debt.com also found that 32% said that their medical debts were in collections this year, up from 28% last year.
"Inflation may be subsiding, but the damage it wrought will stay with us for a long time," says Debt.com founder and chairperson Howard Dvorkin. "Medical debt was a growing problem before inflation, even before the pandemic. Now it's becoming a crisis."
While a major illness can be very costly, routine appointments with doctors (21%) are a larger cause of medical debt than a visit to the emergency room or other hospital procedure (17%). In 2020, these were reversed with hospitalization causing 25% of medical debt while doctor’s visit was cited by 15%.
Other medical costs adding to debt burdens include diagnostic tests, dental care, outpatient services, prescription drugs, and nursing home/long-term care.
On the plus side, the level of medical debt is lower in 2023 than it was three years ago.
The survey reveals that 56% of medical debt this year is less than $500 while 15% is in the $1000-5,000 range, compared to 20% and 34% respectively in 2020.
But this is reflective of people avoiding incurring debt through more expensive medical care.
"Medical debt doesn't exist in a vacuum. It's quite likely that doctor's visits have become harder to pay because Americans have many other debts they're juggling,” Dvorkin added. “Credit card balances are approaching levels not seen in decades, and student loans aren't getting any smaller. Add in regular checkups, and it's a cumulative and pervasive problem."
However, Debt.com says that many people may be unaware of payment plans and other options for paying their medical bills.

Also, Orion has added BlackRock, Fidelity, and Vanguard to its custom portfolios suite, and RedBlack has set up a new headquarters after crossing a trillion-dollar milestone.
Also, New York-based Legacy Edge Advisors names its first-ever CEO, while Novare Capital Management hires a Vanguard veteran with a multigenerational planning focus.
Asset managers are racing to bring private market products to retirement plans, but cost and liquidity concerns linger.
Treasury's latest tax-exemption crackdown on private schools lands in the wake of a separate push to restrict refundable credits for some immigrant filers.
Workforce trust measures predicted which companies came out ahead during COVID-19. The same dynamic may now be playing out across the AI transition — and the data suggests the spread could be just as wide.
Northern Trust’s Ken Lassner shows advisors how to convert volatility into after-tax portfolio gains
Dan Biagini of American Equity says the steady decline of pensions, longer lifespans and a reset in interest rates are rewriting how advisors build retirement income