Americans’ trust in key professions is plummeting, according to a new Gallup poll released today, January 26, 2024. While nurses continue to be viewed as highly ethical and honest, overall confidence in institutions is eroding across the board.
Trust in Professions Tanks: Where Do We Stand?
A new Gallup poll reveals a notable decline in Americans’ perceptions of honesty and ethical standards across various professions.
- Nurses remain at the top of the list for honesty and ethics, but their ranking has fallen from previous highs.
- Military veterans have risen to the second spot, surpassing doctors and pharmacists.
- Members of Congress consistently rank lowest in public trust.
- Partisan divides significantly influence perceptions of ethics in professions like police officers and teachers.
for decades, nurses have consistently topped the Gallup pollS ranking of professions with high honesty and ethical standards. This year is no different, but the percentage of Americans rating nurses “high” or “very high” – 75% – represents a 14-percentage-point drop from 2020, the peak of the COVID-19 pandemic. The decline suggests a broader disillusionment, even with those traditionally held in high esteem.
What profession consistently earns the highest ethical ratings from Americans? Nurses have held the top spot for honesty and ethics in America since 1999, with the exception of 2001 when firefighters were recognized after the 9/11 attacks.
This year’s poll introduces a shift in the rankings. Military veterans have climbed to second place, followed by doctors in third and pharmacists in fourth. This marks a change from previous years where doctors consistently held the second-highest position.
At the bottom of the list, as in years past, are members of Congress, again receiving the lowest rating for honesty and ethics. Trailing closely behind are telemarketers, car salespeople, stockbrokers, advertising professionals, and business executives – all viewed with considerable skepticism.
Gallup has been conducting this “Honesty and Ethics in Professions” poll since 1976, adding nurses to the list in 1999. The recent declines in ratings for physicians and pharmacists – 20 and 18 points respectively since the pandemic peak – are especially noteworthy, bringing their ethical rankings below pre-pandemic levels.

Looking ahead, the healthcare landscape is likely to remain fragmented and costly. Those who can afford to invest in premium services – from GLP-1 medications to concierge primary care – will likely curate their own personalized health ecosystems. However, those without the resources to do so may find themselves navigating a patchwork system with limited access and increasing financial burdens.
