The inflation-adjusted total may have fallen more than 35% between 2015 and 2025.

New West Health–Gallup data show fewer than half of Americans can consistently afford care and prescriptions, with widening disparities across income, age, and racial groups.

"By taking a realistic look at your health status and health care expenses as part of your overall retirement plan and budgeting accordingly, you position yourself to enjoy a less stressful, financially healthier retirement," the report said.

WTW is seeing at least temporary signs of employer GLP-1 coverage stability at a time when other benefits firms are reporting signs that the cost of covering the drugs for treatment of obesity may be unsustainable.