A new poll reveals that economic issues, immigration, and health care are the primary concerns for Asian American, Native Hawaiian, and Pacific Islander (AAPI) adults as they look toward 2026.
Asian American, Native Hawaiian, and Pacific Islander (AAPI) adults share many of the same concerns as the broader American population, with economic issues, immigration, and health care emerging as top policy priorities for the upcoming year. A recent poll conducted by AAPI Data and the AP-NORC Center for Public Affairs Research highlights these pressing issues.
The poll indicates a significant lack of confidence in the federal government’s ability to address these concerns. Only 10% of respondents expressed optimism that the government would make meaningful progress on important issues in 2026. This marks a decline in confidence from a previous poll conducted in December 2024, where 60% of AAPI adults reported feeling either not at all or only slightly confident. As President Donald Trump begins his second year back in office, the sentiment appears to have worsened, with 70% of respondents now expressing skepticism.
Economic issues are particularly salient, with 72% of AAPI adults identifying at least one economic concern that they believe the government should prioritize in 2026. Personal finance issues were also highlighted, with 42% of respondents mentioning them as significant. Inflation and the rising cost of living are at the forefront of these concerns, with 49% of AAPI adults citing them as key priorities—an increase from 37% the previous year and notably higher than the general public’s concern at 33%.
Looking ahead, 58% of AAPI adults believe the national economy will deteriorate, while approximately a quarter anticipate it will remain unchanged. Only 17% are hopeful for improvement. In contrast, AAPI adults are slightly more optimistic about their personal finances, with 45% expecting their situation to remain stable, compared to 35% who predict a decline. Nineteen percent foresee an improvement in their personal financial circumstances.
Health care also ranks high on the list of concerns for AAPI communities. Forty-four percent of respondents mentioned health care issues, a notable rise from 32% last year. Additionally, 60% of AAPI adults expressed significant concern about rising health care costs, while nearly 40% worry about access to health care, affordability, and the potential loss of health insurance.
These health care concerns resonate with the general population, reflecting a broader anxiety about the state of health services in the United States. While only 6% of AAPI adults identified democracy as a primary issue, there is a palpable concern regarding its functionality. Over half of the respondents (57%) view the U.S. as a poorly functioning democracy, with only 21% believing it operates effectively. Another 21% do not consider it a democracy at all.
Concerns about civil liberties are also prevalent, with 58% of AAPI adults perceiving significant threats to freedom of speech and 57% to freedom of the press. Nearly half (48%) believe their personal rights and freedoms will decline over the next year, while 42% expect them to remain the same.
Despite these challenges, AAPI adults demonstrate a commitment to community support and charitable giving. The survey reveals that a majority of AAPI adults have contributed to those in need over the past year, with about half donating between $1 and $500. While the amounts donated are comparable to those of the general population, AAPI adults are more likely to support crowdfunding campaigns, disaster relief organizations, and educational institutions.
Similar to the general population, confidence in a charity’s impact (69%) and belief in its mission (69%) are the primary motivators for AAPI adults when making donations. Additionally, about three-quarters of respondents consider it very or extremely important to provide assistance to friends and family, while half feel the same about supporting neighbors and community members. However, fewer respondents express the same level of concern for individuals living elsewhere in the U.S. (31%) or outside the country (26%).
Overall, the findings underscore the shared priorities of AAPI adults and the general population, particularly regarding economic stability and personal finances. The poll, conducted from December 2 to December 8, 2025, surveyed 1,029 AAPI adults aged 18 and older living in the United States, with a margin of sampling error of +/- 4.7 percentage points, according to AAPI Data.

“We received 238 Stem Donors who registrations at our Stem Donor Registry during the Global Healthcare Summit held in Bhubaneshwar, Orissa from Jan 9-11, 2026,” said Dr. Sashi Kuppala, Chair of the Stem Cell Drive. “ To put it in context, we would have had to do 20 drives to get those many registrations in the United States. Thanks to Dr. Amit Chakrabarthy, we successfully launched the project in India.”
During the inaugural ceremony of GHS, Prof. R C Das, Dean and Principal of KIMS stressed the importance and urged the medical students at KIM to come forward and register for Stem Donorship. The students were then led to pledge and commit to encourage Stem Donorship among the patient population they are committed to serve.
Stem cells are one of the treatment options for certain types of cancers. HLA typing, based on which stem cell donors and patients are matched is ethnicity specific. Indian patients have higher chances of matching with Indian donors. Unfortunately, Indian donor pool is very limited, making it difficult for patients to find a proper match. Moreover, until now, patients and their families are doing these drives on their own to find the match in addition to dealing with the diagnosis. There has been no unified push to increase the Indian donor pool.
Dr. Hetal Gor, Chair of AAPI BOT, emphasized the need for commitment. She said, “You could be someone’s only match—their only hope. Registering is a serious promise, but the donation process is safe and complication-free.”
Dr. Krishan Kumar, Vice President-Elect, while highlighting the disparity, said, “70% of patients lack a family match. For Indians, the odds are even lower due to the limited donor pool.”
Dr. Sashi Kuppala, while explaining the science, said, Matching donors is based on HLA typing, which is inherited and ethnicity-specific. Thousands of patients rely on transplants to survive.” Dr. Kuppala pointed to the “tremendous response to this initiative from the AAPI members and the wider Indian community.”