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New poll: healthcare and housing costs now top voter concerns ahead of midterms| Survey of 12,000 likely voters reveals shifting political landscape|
Voters outside a polling location

Polling locations are expected to see elevated turnout as midterm elections draw nearer. | TWT / Staff

Politics

Midterm poll shows dramatic shift in voter priorities around healthcare and housing costs

A new survey of 12,000 likely voters reveals the economy and cost of living have surpassed national security as the dominant concerns heading into November, with housing affordability emerging as the fastest-rising issue among voters under 45.

The survey, conducted over three weeks by a nonpartisan polling organization and released Thursday, found that 61% of likely voters now rank healthcare costs as their top concern, up 14 percentage points from a comparable survey conducted 18 months ago. Housing affordability ranked second at 54%, a dramatic rise from just 29% two years prior, suggesting that the ongoing strain of high mortgage rates and limited housing inventory has reached a level of political salience that strategists on both sides of the aisle are taking seriously.

National security and foreign policy, which dominated previous cycles, now rank fourth overall, cited as a top concern by 38% of respondents — still significant, but no longer the overriding frame that shaped campaign messaging in recent years. Immigration remains a top-five issue at 44%, with notable variation across geographic regions and voter age groups.

"What we're seeing is an electorate that is exhausted by the abstract and focused on the material," said the director of the polling organization that conducted the survey. "People are asking: can I afford my medication? Can I afford to buy a house? Can my kids afford to move out? These are not ideological questions — they're practical ones, and they're reshaping what voters are demanding from their representatives."

"People are asking: can I afford my medication? Can I afford to buy a house? These are not ideological questions — they're practical ones, and they're reshaping what voters demand."

— Polling organization director
Pollster reviewing survey data on a laptop at a desk
The survey is among the largest of likely voters conducted ahead of the midterm cycle. | TWT / Staff

The generational breakdown of the data is particularly striking. Among voters under 35, housing affordability is now the single most-cited concern, ranking above healthcare, climate, and employment. This cohort, which includes millions of would-be first-time homebuyers priced out of the market by high interest rates and limited inventory, has historically shown lower midterm turnout — a factor that both parties are now working aggressively to address through targeted outreach and policy positioning.

Campaign strategists from both parties acknowledged the poll's findings reflect a real shift that will shape advertising strategy and candidate positioning through the summer. Several incumbents who had planned to lean heavily on national security themes in their campaign messaging are now reassessing, according to sources familiar with their internal planning. The period from now through the summer primaries will likely determine how firmly the economic frame takes hold as the dominant electoral narrative heading into November.

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