Fact Check: One in four Americans can't afford prescribed medications.

Fact Check: One in four Americans can't afford prescribed medications.

Published June 23, 2025
VERDICT
False

# Fact Check: "One in four Americans can't afford prescribed medications." ## What We Know The claim that "one in four Americans can't afford prescri...

Fact Check: "One in four Americans can't afford prescribed medications."

What We Know

The claim that "one in four Americans can't afford prescribed medications" is a simplification of more nuanced data regarding medication affordability. According to a recent report from the National Center for Health Statistics (NCHS), in 2021, 8.2% of adults aged 18–64 who took prescription medication reported not taking it as prescribed due to cost. This percentage was significantly higher among certain demographics, such as uninsured adults (22.9%) and those with disabilities (20.0%) (source-1).

Moreover, a poll conducted by the Kaiser Family Foundation (KFF) indicated that nearly 1 in 4 Americans taking prescription drugs reported difficulties affording their medications, but this does not equate to an inability to afford them entirely (source-6). The distinction is crucial; many may find medications difficult to afford but still manage to obtain them through various means, such as cutting pills or opting for over-the-counter alternatives.

Analysis

The claim appears to conflate different aspects of medication affordability. While it is true that many Americans face challenges in affording medications, the specific statistic of "one in four" is misleading without context. The KFF poll indicates that a significant portion of those taking prescription drugs struggle with costs, but this does not mean they cannot afford them at all (source-6).

The NCHS data provides a clearer picture: only a small fraction (8.2%) of adults aged 18–64 reported not taking their medications as prescribed due to cost, which is far from the one in four figure suggested by the claim (source-1). Additionally, the KFF poll results show that while many report difficulties, it does not specify that they are unable to afford medications entirely, which is a critical distinction (source-6).

Furthermore, the reliability of the sources used to support the claim varies. The NCHS is a reputable government agency that provides statistical data based on rigorous methodologies, while the KFF poll, while credible, reflects subjective experiences that may not capture the full scope of the issue (source-1, source-6). Other sources, such as those from RazorMetrics and Gallup, also report on affordability but focus on different aspects of healthcare access, which may lead to varying interpretations of the data (source-4, source-5).

Conclusion

Verdict: False. The claim that "one in four Americans can't afford prescribed medications" is misleading. While a significant number of Americans report difficulties affording medications, the actual percentage of those who do not take prescribed medications due to cost is much lower (8.2%). The statistic conflates different experiences related to medication affordability and does not accurately represent the overall situation.

Sources

  1. Products - Data Briefs - Number 470 - June 2023 - Centers for Disease Control and Prevention
  2. NCHS Data Brief, Number 470, June 2023
  3. Tariffs and U.S. Drug Prices | Johns Hopkins
  4. More Americans Can't Afford Medical Care, Poll Finds
  5. Nearly Half of Americans Say They've Been Prescribed a Drug They Can't Afford
  6. Poll: Nearly 1 in 4 Americans Taking Prescription Drugs Say It’s Difficult to Afford Medicines
  7. 关于一个 - 「ONE · 一个」
  8. New Study - More Americans Struggling to Afford Healthcare

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The Danger Loop in Marriage Autistic partner goes non-verbal — brain says “nope.” Non-autistic partner reads it as avoidance — brain says “attack.” Pressure increases — “Just say something.” Shutdown deepens — and now you’ve both lost. Do that a few hundred times and you’ll start conflating a physiological response into a moral failing. That’s the real marriage-killer. The Protocol: Three Phases, Zero Guesswork This is where we get practical. You can’t “love away” a temporary shutdown, but you can stop it from turning into World War III. Before: Build the Net Name the state. Agree on a phrase or signal ( I call this a couple code)—such as “words offline,” “shutdown,” a hand over the heart. The point is to make the invisible visible. The Shutdown Card. A literal card that says: I can’t speak right now. Please lower lights, reduce sound, give me X minutes. I promise I will circle back. The Pause Rule. Require a minimum of 20 minutes before resuming any tough talk. Autistic partner may need 90+. Agree ahead of time. Downgrade Kit. the usual gear; earplugs, soft light, weighted blanket, fidget, a quiet room. You know, human decency in object form. Reduce Daily Load. Avoid heavy talks right after work or big social events. Chronic overload makes a nervous shutdown more probable. During: Do Less, Better Autistic Partner: Give the signal. Exit stimulation. Switch channels if possible (text, notes app, yes/no cards). Send a short pre-written message: “Safe, can’t talk, back at 8:15.” Non-Autistic Partner: Acknowledge once—“Got it, I’m with you.” Hold the pause boundary. Lower stimuli. Go regulate your own nervous system—walk, journal, pet the dog. Don’t rehearse comebacks. Both: Avoid sarcasm, interrogation, ultimatums. Nothing lengthens a shutdown like moral outrage. After: Close the Loop Check in: “Are you ready to talk, or should we start in text?” Debrief: Identify triggers and what helped. Solve the actual problem. 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