Apex Capital Partners survey shows 61% of wealthy Americans may leave US

A proprietary survey by Apex Capital Partners indicates that 61% of high-earning Americans would consider leaving the United States within the next five years. The survey, conducted in May 2026, polled 1,733 Americans with a household income exceeding $200,000. The findings highlight growing political and economic unease among affluent citizens, with respondents citing cost of living, taxes, and the political climate as primary drivers for potential relocation.

The survey was equally weighted across party lines and gender. Key reasons for considering a move abroad included cost of living and taxes (68%), political climate (54%), healthcare (39%), public safety (29%), and education (21%). Additionally, 63% of respondents are considering asset diversification outside domestic US markets. The survey also revealed significant concern regarding the future of the United States in relation to the Iran War, with 75% of respondents expressing concern.

Economic and Political Sentiment

When asked to categorize the current economy, 42% of those surveyed described it as either weak or very weak, while 31% viewed it as strong or very strong. The remaining 27% were neutral. Nuri Katz, founder of Apex Capital Partners, noted that affluent Americans are increasingly treating immigration as a strategic financial move to safeguard assets and families against instability and rising expenses. He emphasized that this unease transcends party lines.

Preferred Destinations

Respondents prioritized specific regions for potential relocation. Europe was the top choice at 42%, followed by Canada at 18% and the Caribbean at 16%. Apex Capital Partners assists high-net-worth clients with wealth management and Citizenship by Investment (CIP) programs in these regions.

Metric	Figure
Survey respondents	1,733
Household income threshold	Over $200,000
Considering leaving US (5 years)	61%
Concerned about Iran War	75%

The prevalence of Peripheral Artery Disease (PAD) in the U.S. has more than doubled since 1995, exceeding 22 million in 2025, according to research by THE SAGE GROUP. The condition imposes a significant economic burden, estimated between $352 billion and $694 billion, which accounts for 7% to 13% of National Health Expenditures. This increase is driven by an aging population and a rise in diabetes, two major risk factors for the disease.

Mary L. Yost, President of THE SAGE GROUP, stated that PAD remains underappreciated despite exceeding the prevalence of heart disease and stroke. She noted that existing estimates are outdated and significantly higher than the commonly quoted range of 8 to 12 million, which was based on the U.S. population circa 1995. Yost emphasized that PAD is a major source of morbidity, mortality, and physical disability, yet it is often underestimated, underdiagnosed, and undertreated.

Methodology and Data

THE SAGE GROUP employed the Diabetes Method to calculate PAD prevalence. This approach calculates PAD by age and glucose status for individuals ages 45-64 and those 65 and older. The percentages of the population with diabetes and PAD are derived from data in peer-reviewed literature.

Metric	Estimate
2025 U.S. PAD Prevalence	> 22 million
1995 U.S. PAD Prevalence	~ 11 million
Current Economic Burden	$352 billion - $694 billion
Share of National Health Expenditures	7% - 13%

Implications of Underestimation

Yost declared that accurately estimating disease prevalence is a critical first step in creating solutions for earlier diagnosis and treatment. Understating prevalence minimizes the problem, reducing incentives for healthcare administrators and legislators to take corrective action. She added that PAD lacks public awareness, leading to delayed diagnoses and treatment at more severe stages, which increases costs and worsens patient outcomes.