skip to main content
Americans Cite Gov't, Economy, Healthcare as Top Problems

Americans Cite Gov't, Economy, Healthcare as Top Problems

PRINCETON, NJ -- Three issues -- dissatisfaction with government, the economy, and healthcare -- are the clear leaders when Americans name the most important problem facing the country. Beyond those, unemployment, the federal budget deficit, moral and ethical decline, and poverty are mentioned by at least 5% of Americans.

What do you think is the most important problem facing this country today? [OPEN-ENDED] December 2013 results

The top five issues in the Dec. 5-8 poll have typically ranked among the top five all year. The economy in general was the top issue for most of the year until it was displaced by government dissatisfaction in October, during the partial federal government shutdown. Mentions of government dissatisfaction peaked at 33% that month, but have fallen in each of the last two months. Mentions of the economy are also down from earlier this year.

Trend in Most Important Problems, 2013

Meanwhile, mentions of healthcare have been higher in the last two months, as problems with the rollout of major provisions of the Affordable Care Act, or "Obamacare," have dominated the news.

Over the course of the year, fewer Americans have named unemployment as the most important problem. The 12% who currently name that issue is the lowest in almost five years, since January 2009.

Americans' perceptions of the federal budget deficit as a top problem have waxed and waned this year. In January, just after the government reached agreement to avoid the "fiscal cliff" income tax increases for most Americans, a 2013 high of 20% named the budget the top issue. Mentions of the budget stayed above 10% through April, as the government was unable to reach agreement to avoid the March 1 budget sequester. After fading in the summer months, the budget again became a prominent issue in the fall, when federal lawmakers' failure to reach a budget agreement led to the government shutdown.

Republicans, Democrats Equally Likely to See Healthcare as Top Problem

Democrats and Republicans are about equally likely to name healthcare as the most important problem facing the country, as they have been in recent months.

The two parties' supporters diverge at least somewhat on the other issues, with Republicans more likely to see the government and the deficit as problems, and Democrats more likely to believe the economy and unemployment are the top issues needing attention. Independents' concerns about government, the economy, and unemployment are above average, while their concerns about healthcare and the deficit are below average.

Views of Most Important Problem, by Party


While fewer Americans express dissatisfaction with government today than in the prior two months, it still ranks as one of the most important problems in the country, essentially tied now with the economy and healthcare at the top of the list. Healthcare has risen in prominence as the 2010 healthcare law is being more fully implemented.

Meanwhile, concern about unemployment has declined this year, to its lowest point in nearly five years. It may continue to recede as a top issue if the Bureau of Labor Statistics continues to report lower unemployment estimates.

Also, this week Democratic and Republican congressional budget leaders reached a bipartisan agreement on a budget deal that would fund the government through 2015. If it passes, the seemingly constant wrangling over budgets may go away and make that issue of less concern to Americans. That bipartisan agreement may also help reduce Americans' level of dissatisfaction with the government.

Survey Methods

Results for this Gallup poll are based on telephone interviews conducted Dec. 5-8, 2013, with a random sample of 1,031 adults, aged 18 and older, living in all 50 U.S. states and the District of Columbia.

For results based on the total sample of national adults, the margin of sampling error is ±4 percentage points at the 95% confidence level.

Interviews are conducted with respondents on landline telephones and cellular phones, with interviews conducted in Spanish for respondents who are primarily Spanish-speaking. Each sample of national adults includes a minimum quota of 50% cellphone respondents and 50% landline respondents, with additional minimum quotas by region. Landline and cell telephone numbers are selected using random-digit-dial methods. Landline respondents are chosen at random within each household on the basis of which member had the most recent birthday.

Samples are weighted to correct for unequal selection probability, nonresponse, and double coverage of landline and cell users in the two sampling frames. They are also weighted to match the national demographics of gender, age, race, Hispanic ethnicity, education, region, population density, and phone status (cellphone only/landline only/both, and cellphone mostly). Demographic weighting targets are based on the March 2012 Current Population Survey figures for the aged 18 and older U.S. population. Phone status targets are based on the July-December 2011 National Health Interview Survey. Population density targets are based on the 2010 census. All reported margins of sampling error include the computed design effects for weighting.

In addition to sampling error, question wording and practical difficulties in conducting surveys can introduce error or bias into the findings of public opinion polls.

View methodology, full question results, and trend data.

For more details on Gallup's polling methodology, visit

Gallup World Headquarters, 901 F Street, Washington, D.C., 20001, U.S.A
+1 202.715.3030