Americans say the federal government holds the most sway over urban health equity

Nov 14–20, 2025 · n = 1,000 · MoE ±3.2%Source report ↗

Core finding

No single actor dominates Americans' view of who shapes health equity for urban residents: the federal government ranks first at 25%, just ahead of state (21%) and city government (17%), according to a November 2025 Verasight survey.

Another 16% aren't sure, and smaller shares point to health care institutions (10%), city residents (6%), or non-profit, advocacy and grassroots organizations (5%).

Topline distribution

Americans say the federal government holds the most sway over urban health equity.

In your opinion, who has the most power in shaping health equity for urban residents?

Federal government
24.8%
State government
21.2%
City government
17.2%
I don't know
15.8%
Health care institutions
9.7%
City residents
6.4%
Non-profit, advocacy and grassroots organizations
4.9%

n = 1,000 · Nov 14–20, 2025 · MoE ±3.2%

ModeVerasight panel recruited via random address-based sampling, random person-to-person text messaging, and dynamic online targeting
PopulationUS adults age 18+
Field datesNov 14–20, 2025
Base (unweighted)1,000
Margin of error±3.2%
ModuleModule 2
SponsorVerasight
Weight variableweight
Weighting targetsage, race/ethnicity, sex, income, education, region, metropolitan status

Sources

  1. 01

    In your opinion, who has the most power in shaping health equity for urban residents?

    reports.verasight.io/r/verasight-apha-2025

Cite this question

Verasight APHA Omnibus Survey #2025-148, fielded November 14-20, 2025, N=1,000 US adults age 18+, +/- 3.2%.