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June 15, 2026
90% of Americans Want Prevention-Focused Care. Only 22% Trust Their Doctor to Deliver It.
June 15, 2026
Longevity Centers of AmericaResearch
National Healthcare Confidence Survey · 2026
Working-age Americans feel less heard, and less confident, than people over 60
A national survey of 1,750 U.S. adults finds the deepest frustration with the healthcare system sits in midlife, not old age, even as nine in ten Americans say they want care focused on prevention.
11%
have a great deal of confidence in the U.S. healthcare system
38%
of adults 30–44 felt a doctor dismissed a concern, vs. 17% of those over 60
68pt
gap between wanting prevention and believing their doctor delivers it
48%
could not afford a serious medical event without major hardship
90%
are interested in prevention and early testing
Finding 01 · The generational inversion
Frustration with the system peaks in midlife, not in old age
Adults aged 30 to 44 were more than twice as likely as those over 60 to say a doctor had dismissed a health concern in the past two years (38% vs. 17%), and twice as likely to report low or no confidence in the system overall (39% vs. 19%).
The pattern runs counter to a common assumption that older adults, who use the system most, are its most frustrated users. Across every measure of friction, sentiment was hardest among working-age adults and eased with age.
Frustration with healthcare, by age group
Share of U.S. adults in each age band, weighted.
Felt dismissed by a doctor (past 2 years)
Low or no confidence in the system
Low or no confidence in the system
18–29
30–44
45–60
Over 60
Source: Longevity Centers of America, National Healthcare Confidence Survey, 2026. n = 1,750 U.S. adults, weighted.
Finding 02 · The expectation gap
Americans want root-cause care. Most don’t believe they’re getting it.
Ninety percent of respondents said they are interested in healthcare focused on prevention and early testing. Only 22% said they are very confident their own doctor looks for the underlying cause of a health issue.
Six in ten (60%) said they want a combination of conventional medicine and lifestyle, nutrition, and preventive approaches, while just 16% said they trust the conventional system alone to most improve their long-term health. Openness was broad: 83% said they are open to integrative care.
What people want vs. what they believe they receive
Share of U.S. adults, weighted.
A 68-point gap between demand and perceived delivery.
Source: Longevity Centers of America, National Healthcare Confidence Survey, 2026. n = 1,750 U.S. adults, weighted.
Finding 03 · The affordability divide
Cost still shapes who gets care, and the burden is uneven
Nearly half of Americans (48%) said they are not confident they could afford a serious, unexpected medical event without major financial hardship, and 40% delayed or skipped care because of cost in the past year.
That burden falls unevenly. Households earning under $50,000 were twice as likely as those earning more than $150,000 to say they could not absorb a major medical event.
“Could not afford a serious medical event without major hardship”
By annual household income. Share of U.S. adults, weighted.
Source: Longevity Centers of America, National Healthcare Confidence Survey, 2026. n = 1,750 U.S. adults, weighted.
In brief
Three patterns that recur across the data
68 pts
separate the 90% who want prevention and early testing from the 22% very confident their doctor pursues the underlying cause.
20%
of Americans both felt dismissed by a doctor and paid out of pocket for care in the past year.
27%
have low confidence in the system and do not trust it most for their long-term health.
Full results
National toplines
| Measure | Weighted |
|---|---|
| Have a great deal of confidence in the U.S. healthcare system | 11% |
| Have low or no confidence in the system | 29% |
| Say their confidence is lower than five years ago | 36% |
| Could not afford a serious medical event without major hardship | 48% |
| Delayed or skipped care because of cost (past year) | 40% |
| Felt a doctor dismissed a concern (past 2 years) | 31% |
| Trust the conventional system most for long-term health | 16% |
| Want a combination of conventional and lifestyle/preventive care | 60% |
| Would take their long-term health into their own hands | 18% |
| Interested in prevention and early testing | 90% |
| Open to integrative care | 83% |
| Likely to pay out of pocket for preventive/integrative care (next 12 mo) | 43% |
| Very confident their doctor looks for the underlying cause | 22% |
Methodology
How the survey was conducted
The Longevity Centers of America National Healthcare Confidence Survey polled 1,750 U.S. adults via Pollfish, with fieldwork completed June 7, 2026. Results are weighted to reflect national demographics. The margin of error is approximately ±2.7 percentage points at the 95% confidence level (calculated on a design-adjusted effective sample of 1,351). Subgroup differences reported here were tested for statistical significance and corrected for multiple comparisons; no subgroup is reported below a 100-respondent base. Figures may not sum to 100% due to rounding.
Cite this study
Longevity Centers of America, National Healthcare Confidence Survey, June 2026.
Journalists and researchers are welcome to reference these findings with attribution to Longevity Centers of America. Charts on this page may be reproduced with a visible link back to this page. For the full dataset or media inquiries, contact cristina@thelcoa.com
Kyle Hulbert is the co-founder and operator at The Longevity Centers of America, which he built alongside Dr. Kosubevsky with the mission to drastically improve the lives of millions of people. Drawing on his own transformation as a patient, he designed the practice around accessibility, affordability, and focus on data-driven regenerative care for individuals who have been underserved by conventional medicine. His background bridges academic rigor and practical application. Hulbert holds bachelor's and master's degrees in business administration, is a doctoral trained researcher, and has carried credentials as a Certified Wellness Coach, Certified Nutrition Coach, and Certified Personal Trainer, all through the National Academy of Sports Medicine, as well as an Integrative Nutrition Coach certification from the Institute for Integrative Nutrition and a Dietary Supplement Specialist designation through the Designs for Health, a trusted leader in science-backed wellness solutions. Hulbert also co-hosts a weekly podcast, "Longevity Unlocked," with Dr. Kosubevsky, translating emerging research on detoxification, hormonal health, and regenerative therapies into real-world discussion to better educate individuals about their health.
About Kyle Hulbert
