U.S. Voters Remain Focused on the Economy, Healthcare and Immigration Amid Global Upheaval

As Donald Trump’s second presidency rapidly reshapes the U.S. role in the world, from collapsing decades-old diplomatic commitments to launching trade wars with allies, American voters are looking inward. New polling data confirms that the domestic landscape continues to dominate political sentiment, with the economy, healthcare and immigration standing out as the three most important issues for the electorate.

Despite sweeping reforms to foreign policy and the structure of government, voters remain far more concerned with what’s happening at home. The data underscores a familiar message: while Trump’s foreign agenda may be revolutionary, it’s his management of the domestic economy and key public services that will determine his political fate.

The Economy Remains Voters’ Top Concern

The economy continues to be the number one issue on voters’ minds, with 63% of Americans citing it as one of their top three priorities. Though this is a slight dip from 65% in the last poll, the figure remains a clear sign that economic anxiety dominates the national conversation.

Concerns span across all age groups and political affiliations. Among Trump voters, 68% list the economy as a top issue, compared to 60% of Harris supporters. Voters aged 55–64 are particularly focused on economic matters (69%), followed closely by those over 65 (66%). While younger voters (18–24) are slightly less focused on the issue at 50%, the economy still tops their list.

This continued economic concern comes against the backdrop of Trump’s bold domestic agenda, including sweeping tariff hikes on foreign goods, plans to slash domestic taxes and a broad crackdown on undocumented labour. Although the administration claims these policies will bring jobs home and cut deficits, voters remain wary of rising prices, stagnant wages and growing inequality.

Healthcare Holds Second Place

Healthcare remains the second-most important issue nationally, selected by 39% of voters which is the same figure as in the last poll. This consistency shows how firmly embedded healthcare remains in the minds of Americans, despite the absence of major national health emergencies.

Voters across party lines continue to prioritise access, affordability and quality of care. Nearly half (46%) of Harris supporters rank healthcare as a top issue, compared to 32% of Trump supporters. Concern is also particularly high among women (42%) and surprisingly younger voters aged 18–24 (46%) are more concerned with healthcare than voters over 65 (36%).

Although Trump has hinted at plans to roll back aspects of the Affordable Care Act, his administration’s healthcare priorities remain unclear. With staffing shakeups across federal agencies, voters may be nervous about the impact of ongoing reforms on their ability to access treatment. The data reflects a public that continues to see healthcare as a deeply personal and political issue, one that remains central to election decisions.

Immigration Still Ranks Third But Support Is Slipping

Immigration continues to rank as the third-most important issue to voters but its overall support has declined slightly from 32% in the last poll to 30% now. This drop suggests that while immigration remains a core concern, particularly among Republican and older voters, it may be starting to lose urgency for others.

Among Trump voters, immigration remains a dominant theme, with 45% identifying it as one of their top issues. In contrast, just 17% of Harris voters place immigration among their top three concerns, reflecting the ideological divide over border security, asylum policy and broader national identity debates.

Age differences are also significant. While 39% of voters aged 65 and older prioritise immigration, only 24% of voters aged 18–24 say the same. This generational split mirrors broader divisions over the direction of U.S. immigration policy and enforcement.

The Trump administration’s intensification of border enforcement, visa restrictions and crackdown on undocumented workers is likely reinforcing immigration’s salience among his base but the slight national decline in prioritisation suggests that other issues may be rising in importance for a broader swathe of voters.

Domestic Priorities Rule the Political Landscape

As Trump’s administration sets out to redraw the international order and gut federal bureaucracies, American voters are focused on issues far closer to home. The economy, healthcare and immigration remain the key concerns driving political sentiment and there’s little indication this will change anytime soon.

This mismatch between Washington’s foreign ambition and the public’s domestic focus is politically potent. The Trump administration’s success may depend less on his international triumphs or controversies and more on whether voters feel economically secure, can access affordable healthcare and trust that the nation’s borders are under control.

Download the data tables for this poll.