Here's a very sobering and sad article.

As health care re-emerges as a potential leading issue heading into the upcoming 2020 presidential election, a new poll  shows that, for many Americans, it's also a financial issue.

According to a new national survey by Gallup and West Health, Americans borrowed $88 billion to pay for health care in the past 12 months.

Despite the passage of President Obama's signature piece of legislation, the Affordable Care Act, in 2010, in a number of cases, those polled say costs were so high that individuals chose to forgo medications or treatment.

Some 15 million Americans deferred purchasing prescription drugs due to the costs of the medications, and 65 million said they skipped treatment for a medical issue because of the cost.

The same concern reportedly emerged during times of crisis, with 41% of survey respondents saying that they decided not to receive care in an emergency department due to the costs in the past year.

Overall, 77% of the people who responded to the Gallup-West Health survey said they were either "extremely concerned" or "concerned" about the costs of health care in the U.S.

Based on their responses, those surveyed don't think that the situation is going to improve anytime soon. When asked if they think that health care costs will increase, decrease or stay about the same in the next two years, 76% of respondents said that they think costs will increase.

For those who choose to seek treatment, the vast majority think that they're overpaying, with 76% saying that they think Americans are paying too much for health care relative to the quality of the care.

That said, nearly half -- 48% -- of respondents think that the quality of care in the United States is either the "best in the world" or "among the best."