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Half of Americans approve and 48% disapprove of the Affordable Care Act, similar to the even split in November.

Half of Americans approve of the ACA, down slightly from April but well above one year ago. Democrats strongly back the law. Independents tilt toward approval.

Americans are not opposed to reforming the tax system but don't want tax cuts for the wealthy or corporations. They also support changing the ACA but not necessarily repealing it.

Gallup findings over the past decade reveal that the years from 2010 to 2019 encompassed some revolutionary changes in public opinion.

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%).

Republicans' satisfaction with U.S. healthcare costs jumped to 43%, from 26% in 2018. Democrats' satisfaction fell to 9%, from 13% last year.

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.