Consumers are feeling the financial pain of rising prices and stubborn inflation, and their physical health may suffer as a result.

The latest Nationwide Retirement Institute Health Care Cost in Retirement survey found that more than half of respondents lack confidence in their ability to pay for health care costs as they age, and a similar number also worry about their ability to pay for caregiving for their partner or spouse. Among the other findings:

• Nearly 20% of adults have postponed health care actions such as a medical procedure, physical exam or renewing prescriptions in the past 12 months to save money.
• To find additional savings, 10% of Americans are considering downgrading their health insurance plan because of high inflation.
• Three-fifths of adults are placing a bet on their health by saying they chose or would choose a health insurance policy with a lower premium but higher deductible plan. which typically has a lower monthly payment.
• Although Americans are trading more comprehensive health coverage for lower monthly premiums, many do not have the means to cover an emergency health care expense. The survey found more than half of Americans could not pay off an unexpected $5,000 health care out-of-pocket expense.

On top of the current concerns, many respondents believe medical advancements made possible by artificial intelligence could extend their lives, which would require more years of health care expenses.