Nearly 20% of Americans, or more than 46 million adults, say they did not seek treatment for a health problem in the last year due to cost, and an equal number say that if they needed some form of healthcare today they would not be able to afford it, according to a new West Health-Gallup survey. The findings come as Americans struggle through a year-plus long pandemic that has claimed over 550,000 lives and put millions of people out of work.