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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.

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.

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.

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.

Americans are no more familiar with the healthcare law now than they were last August, when Gallup began asking Americans about it. Republicans are more likely than other adults to say they are very or somewhat familiar with the law.

Although support for a government-run healthcare system has edged up in the past five years, the majority of Americans continue to prefer a system based on private health insurance.

Americans are more likely now than in early 2014 to say the Affordable Care Act has helped them (16% say this, up from 10%) or has hurt them (27%, up from 19%). A majority still say the law has had no effect.

The percentage of uninsured adults in the U.S. rose to 11.7% in the second quarter of 2017, from 10.9% in each of the last two quarters of 2016.