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Americans are more likely to say the 2010 healthcare law now upheld by the Supreme Court will hurt the national economy than help it, 46% to 37%.

Thirty-five percent of Americans have a great deal or quite a lot of confidence in the U.S. medical system, down from 41% last year. Republicans' confidence fell by eight points this year; Democrats' fell by two.

Two-thirds of Americans are satisfied with the way the healthcare system in the U.S. is working for them, little changed since mid-March. Those without health insurance and Republicans have the lowest satisfaction levels.

Forty-eight percent of U.S. small-business owners say the Affordable Care Act is going to be bad for their business, 9% say it will be good, and 39% expect no impact. Forty-one percent are postponing hiring as a result of the law.

The uninsured rate among U.S. adults held steady at 12.2% in the fourth quarter of 2017, but is up 1.3 points since the end of 2016.

In the U.S., 65% are satisfied with the way the healthcare system works for them, down slightly from 67% in 2014. Those with government health plans are most satisfied, and Democrats are more satisfied than Republicans.

Four percent of Americans are newly insured this year. About half of this group obtained their new health insurance through a health exchange, and half got it using some other mechanism.

The U.S. uninsured rate in the third quarter rose to 12.3%, up 1.4 points since the end of 2016 and the highest since the last quarter of 2014.

Americans tend to say the 2010 U.S. healthcare law will make things better for those who do not have health insurance and for those who get sick, but that the law will make things worse for taxpayers, businesses, and doctors.

The reaction to the Supreme Court Affordable Care Act decision last Thursday is divided, as we would predict.