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Staying in a Job for the Health Insurance? About 1 in 4 Americans Do, a Survey Says

The share has risen from 16% in 2021 as health costs and expiring Affordable Care Act subsidies keep workers tied to unwanted jobs.

  • On Tuesday, the West Health-Gallup Center reported that approximately 23 million U.S. workers—nearly 1 in 4—remain in unwanted jobs to keep their health insurance, a figure that has risen significantly from 16% in 2021.
  • Rising healthcare costs and medical debt drive the trend, with workers holding personal medical debt nearly twice as likely to stay in unwanted jobs; those with chronic conditions report even higher rates of job lock.
  • "Anybody having to stay in a job just to keep their health insurance, knowing that they want to leave, is crazy," said Ellyn Maese, a research director for the partnership. Tim Lash of the West Health Policy Center added that high costs force millions to sacrifice career opportunities.
  • Economists warn job lock hampers entrepreneurship and business formation. The problem intensified after Congress allowed enhanced ACA subsidies to expire in 2025, reducing financial assistance for middle-income workers seeking alternative coverage.
  • Michael Cannon, director of health policy studies at the Cato Institute, argues that employer-sponsored insurance "creates coverage gaps, reduces income mobility, and is crying out for reform." He advocates for market-based reforms letting consumers control their own health insurance dollars.
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24% of your employer's insured workers are still in a position that you no longer want just for medical coverage. What the West Health-Gallup study says and how it affects you.

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npr broke the news in Washington, United States on Wednesday, July 22, 2026.
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