Medical Bill Problems or Medical Debt ACCESS: AFFORDABLE CARE Medical Bill Problems or Medical Debt Percent of adults (ages 19–64) with any medical bill problem or outstanding debt* National Average By Income and Insurance Status, 2007 * Problems paying or unable to pay medical bills, contacted by a collection agency for medical bills, had to change way of life to pay bills, or has medical debt being paid off over time. Data: 2005 and 2007 Commonwealth Fund Biennial Health Insurance Survey. Source: Commonwealth Fund National Scorecard on U.S. Health System Performance, 2008