Trump Economy 2026: Americans’ Views Remain Negative on Health Care, Food Costs

One year after Donald Trump’s return to the White House, economic anxiety grips American households as persistent inflation, healthcare costs, and grocery bills dominate kitchen-table conversations—despite administration claims of progress.

Introduction: The Paradox of Perception and Policy

Twelve months into his second term, President Donald Trump confronts a stubborn political reality: Americans remain deeply pessimistic about the economy, even as some traditional indicators show resilience. According to Pew Research Center‘s comprehensive February 2026 survey, 72% of Americans rate current economic conditions as fair or poor—a striking repudiation of the administration’s economic messaging. More troubling for the White House, 52% of respondents say Trump’s policies have actually made economic conditions worse, not better.

This disconnect between presidential rhetoric and public sentiment reveals something fundamental about the American economy in 2026: headline statistics no longer capture the lived experience of working families. While stock markets have shown periods of strength and unemployment remains relatively low, the relentless pressure of everyday costs—healthcare premiums, grocery bills, energy expenses—has created what economists call a “vibecession,” where negative perceptions persist regardless of macroeconomic data.

The numbers tell a compelling story. Seventy-one percent of Americans express serious concern about healthcare costs, while 66% worry intensely about food and consumer goods prices, according to Pew’s findings. These aren’t abstract anxieties; they reflect real household budget pressures that have reshaped American economic behavior and political calculations heading into the 2026 midterm elections.

Persistent Economic Pessimism: The Data Behind the Discontent

The breadth of negative economic sentiment extends across multiple polling organizations, creating a consistent portrait of American dissatisfaction. Gallup‘s latest tracking shows Trump’s economic approval hovering between 36-40%, with a particularly damaging net disapproval rating of -23 specifically on inflation management. The Quinnipiac University Poll reports similar findings, with just 37% approving of the president’s economic handling.

Perhaps most revealing is consumer sentiment data from the University of Michigan, which registered 57.3 in February 2026—near historic lows that typically accompany recessions. This metric, closely watched by economists and policymakers, measures how confident Americans feel about their financial future and willingness to make major purchases. The current reading suggests profound uncertainty about economic prospects.

A CBS News survey underscores this pessimism: only 22% of Americans expect a booming economy in the near term. This contrasts sharply with the optimism that characterized Trump’s first term in early 2017, when consumer confidence surged following his election. The reversal suggests that Americans have adjusted their expectations downward, potentially reflecting accumulated frustration from years of inflation that began during the pandemic and has proven more persistent than experts predicted.

According to The Economist‘s approval tracker, Trump’s net rating stands at -15, a significant deficit that reflects broader dissatisfaction with his economic stewardship. Meanwhile, The Wall Street Journal reported that 57% of Americans view the economy as weak—a damning assessment that undermines the administration’s claims of economic revival.

Rising Costs of Essentials: Where Americans Feel the Squeeze

Healthcare: The Unrelenting Burden

Healthcare costs remain the paramount concern for American families, with 71% expressing serious worry according to Pew Research. This anxiety is well-founded. Insurance premiums have continued their multi-decade climb, with family coverage now averaging over $25,000 annually for employer-sponsored plans—of which workers typically shoulder $7,000-$8,000 in premiums alone, before deductibles and out-of-pocket expenses.

The Trump administration’s approach to healthcare policy—including continued efforts to reshape the Affordable Care Act and proposals to restructure Medicaid—has created additional uncertainty. Prescription drug costs, despite some legislative efforts to cap insulin prices and allow Medicare negotiation, remain substantially higher than in comparable developed nations. For millions of Americans, medical debt continues to be a leading cause of personal bankruptcy, a uniquely American phenomenon among wealthy nations.

Brookings Institution researchers note that healthcare cost anxiety transcends partisan lines, affecting Republicans, Democrats, and independents nearly equally. This universal concern makes it a potent political issue, yet one that has proven notoriously difficult to address through policy reforms that satisfy diverse stakeholders.

Food and Consumer Goods: Grocery Bills as Economic Barometers

Sixty-six percent of Americans express serious concern about food and consumer goods prices—an anxiety rooted in daily experience at checkout counters nationwide. While headline inflation has moderated from 2022-2023 peaks, food prices remain significantly elevated compared to pre-pandemic levels. Common staples like eggs, bread, dairy products, and meat have seen cumulative price increases of 25-35% since 2020, according to Bureau of Labor Statistics data.

This “grocery inflation” has proven particularly stubborn and politically salient. Unlike gasoline prices, which fluctuate visibly and can decline dramatically, food prices rarely decrease in absolute terms; they simply rise more slowly during periods of moderating inflation. This creates a persistent affordability challenge for families, especially those in lower and middle income brackets who spend proportionally more of their budgets on food.

The Washington Post analysis reveals that Americans’ inflation expectations remain elevated, suggesting they anticipate continued price pressures. This psychology can become self-fulfilling, as businesses maintain pricing power when consumers expect increases, and workers demand higher wages to compensate for anticipated cost-of-living jumps.

Consumer goods beyond food—electronics, clothing, household items, vehicles—have experienced variable price trajectories. Supply chain normalization has eased some pressures, yet tariff policies implemented during Trump’s second term have introduced new costs on imported goods, particularly from China and other Asian manufacturing centers. These tariffs, designed to protect American industries and generate revenue, function as consumption taxes that ultimately fall on American households.

Policy Impacts and Public Sentiment: Assigning Responsibility

The most politically damaging finding for the Trump administration may be the attribution of blame. Pew Research found that 52% of Americans believe Trump’s policies have worsened economic conditions—a direct repudiation of the president’s economic agenda. This represents a significant shift from his first term, when economic performance generally received more favorable reviews, at least until the pandemic disrupted commerce in 2020.

What explains this negative assessment? Several policy domains appear to be driving discontent:

Tariff and Trade Policy: Trump’s renewed embrace of tariffs, implemented more aggressively in his second term than his first, has generated both retaliation from trading partners and measurable price increases for consumers. Economic modeling suggests these tariffs have added hundreds of dollars annually to typical household costs.

Tax and Fiscal Policy: While corporate tax rates remain at levels established during Trump’s first term, proposed changes to individual taxation and entitlement programs have generated anxiety, particularly among seniors and near-retirees concerned about Social Security and Medicare sustainability.

Regulatory Approach: Deregulation in financial services, environmental protection, and consumer safeguards has created concerns about corporate accountability and long-term economic stability, even as business groups applaud reduced compliance burdens.

Federal Reserve Relations: Trump’s public criticism of Federal Reserve policies and interest rate decisions—a continuation of behavior from his first term—has raised questions about central bank independence and the credibility of inflation-fighting efforts.

Forbes analysis suggests that the administration’s messaging challenges stem partly from a mismatch between traditional Republican economic priorities (tax cuts, deregulation, reduced government spending) and the immediate concerns of working-class voters who prioritize cost-of-living relief and job security over abstract growth metrics.

Comparative Context: Historical and International Perspectives

To understand the significance of current economic sentiment, historical comparison proves instructive. Consumer confidence at 57.3 ranks among the lowest readings outside official recession periods. During the Great Recession (2008-2009), sentiment plummeted to the 50s and even lower, reflecting genuine economic catastrophe with massive job losses and collapsing home values. The current reading suggests Americans feel comparable anxiety despite relatively stable employment conditions—a testament to inflation’s psychological impact.

Internationally, American economic pessimism stands out. Financial Times reporting indicates that consumer confidence in European Union countries, while below pre-pandemic levels, generally exceeds American sentiment. This suggests that inflation’s political fallout has been particularly severe in the United States, possibly because Americans experienced sharper pandemic-era price spikes and have fewer social safety nets to cushion cost-of-living pressures.

The political consequences of economic sentiment are historically clear: incumbent parties suffer in midterm elections when economic perceptions are negative. The 2026 midterms loom as a potential referendum on Trump’s economic stewardship, with control of Congress hanging in the balance. Democrats have made cost-of-living concerns central to their messaging, while Republicans have attempted to shift focus to immigration, crime, and cultural issues—a tacit acknowledgment of difficult economic terrain.

Demographic Divides: Who Feels the Pain Most Acutely?

Economic anxiety is not evenly distributed across American society. Pew and other surveys reveal important demographic patterns:

Income Stratification: Lower and middle-income households express substantially greater concern about costs than affluent Americans. For families earning under $50,000 annually, healthcare and food costs can consume 40-50% of post-tax income, leaving minimal cushion for emergencies or savings. Upper-income households, while not immune to price increases, face less severe trade-offs.

Age Differences: Younger Americans (18-35) show particular anxiety about housing costs and student debt in addition to healthcare and food concerns. Older Americans (65+) focus intensely on healthcare, prescription drugs, and Social Security sustainability. Middle-aged Americans (35-65) often face compound pressures: supporting children, caring for aging parents, and saving inadequately for their own retirement.

Geographic Variation: Urban and suburban residents face different cost structures than rural Americans. Housing costs dominate urban budgets, while transportation and energy expenses weigh more heavily in rural areas. Regional variation in healthcare access and costs also shapes economic experience significantly.

Partisan Perspectives: Predictably, Democrats express more negative views of economic conditions under Trump than Republicans, but the Pew data shows that even among Republicans, enthusiasm is muted. Only about half of Republican identifiers rate current economic conditions as good or excellent—suggesting that partisan loyalty only partially insulates the president from economic dissatisfaction.

Looking Forward: Economic Prospects and Political Implications

As Trump’s second term reaches its midpoint, several factors will shape economic trajectories and public perceptions:

Inflation Path: The Federal Reserve’s success in sustainably returning inflation to its 2% target without triggering recession remains uncertain. Current projections suggest continued gradual moderation, but geopolitical risks—including energy market volatility and supply chain disruptions—could reignite price pressures.

Labor Market Evolution: Employment strength has provided a floor beneath consumer confidence. Should unemployment begin rising significantly, already-negative sentiment could deteriorate sharply. Conversely, sustained job growth with accelerating wage increases could eventually improve household finances and perceptions.

Policy Adjustments: Whether the Trump administration recalibrates its approach based on negative polling remains to be seen. Politically, the pressure to demonstrate tangible cost-of-living relief will intensify as midterm elections approach. However, presidents have limited short-term tools to reduce prices without triggering other economic disruptions.

Structural Challenges: Beyond immediate policy debates, American economic anxiety reflects deeper structural issues: healthcare system inefficiencies that produce world-leading costs with mediocre outcomes; housing undersupply that has made homeownership increasingly unattainable; educational credentialing that requires debt-financed investment; and wage stagnation relative to productivity growth over decades. No administration can solve these challenges quickly, yet voters understandably demand relief.

The New York Times‘ economic analysis suggests that absent significant policy shifts or unexpected favorable developments, negative economic sentiment is likely to persist through 2026. This creates a challenging political environment for Republicans defending congressional majorities and looking ahead to 2028 presidential positioning.

Conclusion: The Politics of Economic Perception in an Age of Anxiety

One year into Donald Trump’s second term, the verdict from American families is clear: economic conditions remain unsatisfactory, costs continue squeezing household budgets, and presidential policies have not delivered the relief voters anticipated. With 72% rating the economy as fair or poor, 71% worried about healthcare costs, and 66% concerned about food and consumer goods prices, the political foundations of Trump’s economic agenda appear shaky.

This disconnect between administration claims and public experience raises fundamental questions about economic policymaking in contemporary America. Traditional metrics—GDP growth, unemployment rates, stock market performance—no longer reliably predict political success when Americans feel financially insecure in their daily lives. The “vibecession” of 2026 demonstrates that perception is political reality, and that lived experience at grocery stores, pharmacies, and doctor’s offices outweighs abstract economic indicators.

For policymakers across the political spectrum, the message is unmistakable: Americans demand tangible relief from cost-of-living pressures, not statistical reassurances. Whether that relief comes through wage growth, price moderation, enhanced social programs, or some combination remains a central question for American political economy.

As midterm campaigns intensify and voters prepare to render their judgment on Trump’s economic stewardship, one certainty emerges: economic anxiety will drive political outcomes, potentially reshaping congressional power and setting the stage for the 2028 presidential race. The party that convincingly addresses Americans’ cost-of-living concerns may gain decisive political advantage in an era defined by economic uncertainty.

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What are your biggest economic concerns right now? Share your perspective on healthcare costs, grocery bills, or financial anxieties in the comments below, and join the conversation about America’s economic future.