A Commonwealth Fund survey found 37% of U.S. adults did not see a physician when sick, did not get recommended care or were not able to fill prescriptions due to cost, compared with only 4% to 6% of adults in the U.K and Sweden. Researchers also found 23% of Americans had difficulty or were not able to pay their medical bills and 41% spent $1,000 or more on out-of-pocket costs, while far fewer adults in other affluent countries encountered similar issues. The study, based on a survey of data from 11 high-income countries, was published in Health Affairs.

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