The Commonwealth Fund has come out with data supporting what insurance producers have said all along: Many high-income Americans are living paycheck to paycheck and having trouble handling medical bills.

About 62 percent of U.S. adults with incomes over 400 percent of the federal poverty level (FPL) who participated in a survey organized by the think tank reported having serious problems with paying medical bills in the past two years.

Survey participants in the top income category were only somewhat more likely than participants in the bottom category — the category for participants with incomes under the 133 percent of the FPL — to report having problems with medical bills: 70 percent of the participants in the bottom category had medical bill problems.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.