Currently, the U.S. health care system has high rates of health spending and poor health outcomes, relative to other countries.

Key regional observations for 2025 reveal that the east region consistently shows the highest medical trends across all plan types, with Med/Rx combined at 10.04%.

Some of the major industries which saw happiness levels on the rise included construction, finance, education, technology and health care.

Twenty-two percent of employees said they know little about their available mental health benefits and 1 in 10 finds them too complex.

Only 25% of workers say they feel very or extremely excited about their work.

“Our industry lacks accountability when it comes to performance,” says Zach Allen, CFA, Chief Investment Officer at PCI and President of RetireAdvisers.

68% of employees have held back their opinions due to concerns about how their political affiliation might be received.

When it comes to routine specialist care, such as a dermatologist or eye doctor, nearly a quarter (24%) of respondents said they delayed visits.