For Immediate Release
March 12, 2026
ST. LOUIS, MISSOURI – Missourians overwhelmingly agree that living a healthy life requires more than access to medical care. According to a statewide survey, Speak Up MO, commissioned by Missouri Foundation for Health, residents view good jobs, quality schools and libraries, low levels of crime, and treating people with respect as essential for building healthy communities.
The poll surveyed more than 1,800 Missourians, and conducted focus groups with roughly 70 community members, gauging their views on a range of issues including physical and mental health, civic engagement, the economy, financial well-being, and belonging. The findings offer a look at Missourians’ priorities and concerns about what they need to thrive.
Key findings include:
● Cost of living and the cost of health care continue to be dominant concerns for Missourians.
● 97% of Missourians view high-quality jobs as the primary factor for a healthy community.
● Most Missourians report a feeling of belonging in their community, but some groups, notably Latinos and LGBTQ+ Missourians feel that way at much lower rates.
● More than half of Missourians experienced mental strain last year. Those reporting difficulty accessing mental health care increased from 39% in 2024 to 52% in 2025.
● Just 10% of residents feel they can meaningfully impact or influence community decisions; this cuts across party lines.
“These findings reaffirm what we hear every day. Missourians know what it takes to build thriving communities,” said Sheldon Weisgrau, Vice President of Health Policy and Advocacy, Missouri Foundation for Health. “They want meaningful jobs with fair pay and good benefits, strong community connections, and access to affordable care, among other things. When we align our policy priorities around what Missourians say they value, we move closer to a Missouri where everyone has what they need to live their healthiest lives.”
Belonging
The data also outlined areas for elected officials and community leaders to further explore. For instance, Latino and LGBTQ+ residents reported lower rates of belonging than other groups surveyed. A strong sense of belonging supports overall health by increasing the likelihood that an individual perceives themselves as having places where they can access support and successfully manage the stressors of everyday life.
Health Care
The report also highlighted growing concerns around health care accessibility and affordability. Most Missourians rely on coverage through an employer, Medicare, or a spouse’s plan. Additionally, many respondents reported having a lapse in health care coverage at some point in the year. This means many may have gone without care, racked up medical debt, or redirected household funds to cover medical expenses.
Mental Health Care
At least 52% of residents reported mental strain last year, and more than half had difficulty accessing mental health care. This challenge was especially pronounced among marginalized groups, with 68% of Latinos, 67% of LGBTQ individuals, and 59% of women reporting difficulty. Black Missourians also cited health care discrimination, particularly in mental health.
About the Poll
This study was conducted in collaboration with bipartisan polling partners, FM3 Research and New Bridge Strategy, utilizing a combination of surveys conducted among 1,833 adult Missourians. The data was collected in English and Spanish via phone, online surveys, and in-person focus groups. The margin of sampling error was +/- 2.3@ at the 95% confidence level.
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Missouri Foundation for Health is building a more equitable future through collaboration, convening, knowledge sharing, and strategic investment. Working in partnership with communities and nonprofits, MFH is transforming systems to promote fairness within all aspects of health and addressing the social and economic factors that shape health outcomes.

