Americans’ confidence in their ability to afford the health care they need continues to decline, according to findings from the Commonwealth Fund Affordable Care Act Tracking Survey. In a new To the Point post, the Commonwealth Fund’s Sara Collins, Munira Gunja, Michelle Doty, and Herman Bhupal report that people with low incomes are the least confident, with only 51 percent feeling they could afford needed care, compared with 73 percent of higher-income people.