October Health – 2026 Report
Financial Wellness in United States 
The leading cause of financial wellness stress at a population level in the United States is insufficient income relative to living costs, including high housing costs, healthcare expenses, and debt burdens. This combination creates persistent financial strain across many households, driving widespread stress about meeting basic needs, saving for emergencies, and planning for the future.
- Financial Wellness Prevalence
- 24.95%
- Affected people
- 13,722,500
Impact on the people of United States
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Physical health: Chronic financial stress is linked to higher risk of cardiovascular issues (e.g., hypertension, heart disease), sleep disturbances, headaches, stomach problems, and weakened immune function.
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Mental health: Increases anxiety, depression, and burnout; can lead to rumination, irritability, and reduced coping capacity.
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Cognitive impact: Impaired concentration, decision fatigue, and poorer problem-solving, which can worsen financial strain in a cycle.
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Sleep: Poor sleep quality and insomnia are common, which further amplifies mood and health problems.
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Behavior and coping: May trigger unhealthy coping (excessive alcohol or substance use, overeating, social withdrawal) and unhealthy work-life boundaries.
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Relationships: Strain on partnerships and family dynamics; more conflict, reduced quality time, and increased caregiving stress.
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Productivity and work: Lower productivity, more absenteeism or presenteeism, and higher turnover risk.
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Long-term consequences: If unresolved, can contribute to chronic conditions (e.g., hypertension, metabolic syndrome) and persistent stress, affecting overall life satisfaction.
Practical steps at work (brief):
- Normalize financial wellness discussions and provide confidential access to financial counseling or resources.
- Offer employee assistance programs (EAPs) and financial wellbeing tools (budgeting, debt management).
- Create flexible benefits and access to paid leave for financial planning or caregiving needs.
When appropriate, October can support:
- Short, guided group sessions on financial stress management.
- Assessments to identify employees most affected and tailor interventions.
- Curated content on budgeting, debt reduction, and stress-reduction practices.
Impact on the United States Economy
- Economic impact: High financial wellness stress can reduce consumer confidence and spending, lowering GDP growth and increasing saving rates as precautionary behavior.
- Productivity and labor market: Stress lowers work performance, increases absenteeism and presenteeism, and can raise turnover, hiring costs, and healthcare expenditures.
- Investment and entrepreneurship: Uncertainty and financial strain dampen investment and risk-taking, slowing innovation and business formation.
- Public health costs: Elevated stress correlates with higher mental health treatment needs and comorbid health issues, raising costs for employers and public systems.
- Inequality amplification: Financial stress tends to hit lower-income groups harder, potentially widening income and wealth disparities and fueling social and economic fragility.
- Policy considerations: High financial stress can prompt countercyclical policy responses (monetary easing, targeted relief, worker support programs) to stabilize demand and labor markets.
If you’re looking for practical workplace applications or support options, I can suggest targeted interventions (e.g., financial wellness programs, employee assistance resources, and how to measure impact) and mention how October’s solutions (group sessions, assessments, content) could help.
What can government do to assist?
- Promote financial literacy: Offer employer-sponsored or public programs that teach budgeting, debt management, and retirement planning. Practical tools (spending trackers, goal-based planning) reduce uncertainty.
- Provide accessible financial resources: Create helplines, online portals, and statements that are clear and jargon-free. Include calculators for debt payoff, savings goals, and loan comparisons.
- Encourage employer financial wellness benefits: 401(k) or pension education, automatic enrollment with clear default choices, and matching programs. Offer access to financial planning sessions.
- Support workplace policies that reduce stress: Flexible work arrangements, predictable schedules, and paid time off to manage financial tasks or appointments.
- Normalize financial conversations: Reduce stigma by including financial wellness in general well-being programs, and train managers to recognize signs of financial stress without judgment.
- Implement public debt relief and stabilization measures: Transparent, fair debt restructuring options, caps on certain fees, interest-rate relief programs, and temporary protections during economic shocks.
- Stabilize essential costs: Subsidize or cap essential housing, healthcare, and child care costs to lessen monthly financial burdens.
- Protect vulnerable workers: Expand safety nets like unemployment benefits, disability coverage, and emergency funds to bridge gaps during income shocks.
- Encourage savings via incentives: Tax-advantaged accounts, employer-sponsored emergency funds, and incentives for regular saving contributions.
- Leverage digital mental health supports: Promote digital group sessions, self-guided content, and assessments (e.g., through October) to identify and address financial anxiety and its workplace impact. Include confidential access to financial counseling for employees.
What can businesses do to assist their employees?
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Offer financial wellness benefits: Provide access to financial coaching, debt management, and budgeting tools. Partner with providers that offer personalized plans and anonymous group sessions, such as October’s digital group sessions and assessments.
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Education and resources: Create short, actionable workshops on topics like budgeting, debt repayment strategies, emergency savings, and retirement planning. Provide simple online guides and calculators.
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Transparent communication: Share clear information about compensation, benefits, and retirement options. Offer Q&A sessions with HR or a financial advisor to reduce uncertainty.
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Flexible payroll options: Early access to earned wages, paycheck advances for emergencies, and automatic savings features integrated with payroll.
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Employee assistance and counseling: Normalize financial stress as a workplace health issue. Provide confidential coaching through EAPs and mental health support to reduce related anxiety.
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Financial counseling integration: Embed October’s group sessions and assessments into the benefits program to identify high-stress individuals and tailor interventions.
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Practical workspace practices: Encourage micro-breaks, set boundaries for after-hours financial concerns, and promote manager training on recognizing signs of financial stress.
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Financial stress screening: Periodic, voluntary surveys to gauge stress levels and tailor programs; ensure data privacy and non-punitive use.
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Crisis planning and buffers: Establish crisis funds, hardship policies, and clear steps for emergency support, so employees know where to turn.
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Measurement and feedback: Track utilization of financial wellness programs, stress indicators, and job performance metrics to refine offerings. Solicit employee feedback to keep programs relevant.