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Americans are most likely to prefer keeping the Affordable Care Act in place but making significant changes to it (44%) rather than keeping it as is (23%) or repealing and replacing it (30%).

Gallup will release the findings of its annual Health and Healthcare survey in the coming weeks.

A majority of U.S. adults continue to think the federal government should ensure universal healthcare coverage, while they also prefer that the U.S. healthcare system be based on private insurance rather than government-run.

Less than half of Americans give the quality of healthcare in the U.S. high marks, a first in Gallup's two-decade trend.

In recent years, an increasing proportion of Americans have seen their health coverage paid for by Medicare or Medicaid, while fewer Americans have private insurance.

In spite of monumental changes to the U.S. healthcare system over the past decade, about the same percentage of Americans think it is deeply flawed now as did 10 years ago.

The majority of Americans believe the federal government should ensure that all Americans have health coverage, but less than half favor a government-run system.

A majority of Americans approve of the Affordable Care Act for the first time since it was enacted in 2010. Still, 40% want significant changes.

Asked separately about three possible courses for the future of the Affordable Care Act, more Americans favor replacing it with federally funded health insurance for all Americans than favor either keeping it in place or repealing it.

Americans' views of the Affordable Care Act remain stable, with a slight majority, 53%, disapproving. More than four in 10 Americans want the law kept with major changes, while 37% want the law repealed and replaced.