About 1 in 8 had to resort to borrowing to afford care in the previous year, according to a West Health-Gallup survey released Tuesday. Also, 65 million adults say they had a health issue but didn’t seek treatment due to cost. Nearly a quarter had to cut back on spending to pay for health care or medicine.

“Not only do you have a real significant number that are deferring care, forgoing care altogether, you also have a big chunk that are getting the care but having to borrow to get it,” said Dan Witters, Gallup senior researcher. “There are few Americans out there who are safe from the American health care cost crisis.”…

The situation has left people feeling very insecure. About 45% of Americans said they are concerned that a major health event will leave them bankrupt, including 1 in 3 families earning at least $180,000, according to the survey.