Healthcare System

Line graph. Americans' views on whether the federal government should be responsible for ensuring all Americans have health insurance coverage.

Line graph: Americans' views of the healthcare industry, trend. 2019: 38% very/somewhat positive, 48% very/somewhat negative.

Do you generally approve or disapprove of the 2010 Affordable Care Act, signed into law by President Obama that restructured the U.S. healthcare system?

	Approve	Disapprove	No opinion
	%	%	%
2020 Feb 17-28	52	47	1
2019 Nov 1-14	50	48	2
2019 Apr 1-9	50	48	2
2018 Nov 1-11	48	47	5
2017 Nov 2-8	50	44	6
2017 Jul 5-9	53	44	3
2017 Apr 1-2 ^	55	41	4
2016 Nov 9-13	42	53	5
2016 Aug 30-31 ^	44	51	5
2016 May 6-8 ^	47	49	4
2015 Nov 4-8	44	52	4
2015 Jul 1-5 ^	47	48	5
2015 Apr 1-4 ^	44	50	7
2014 Nov 6-9	37	56	6
2014 Oct 1-2 ^	41	53	6
2014 May 21-25 ^	43	51	5
2014 Apr 7-8 ^	43	54	3
2014 Feb 28-Mar 2 ^	40	55	5
2014 Jan 31-Feb 1 ^	41	51	9
2014 Jan 3-4 ^	38	54	8
2013 Dec 11-12 ^	41	51	8
2013 Nov 23-24 ^	40	54	6
2013 Nov 7-10	40	55	4
2013 Oct 26-28 ^	44	47	9
2013 Oct 18-20 ^	45	50	6
2013 Aug 17-18 ^	41	49	11
2013 Jun 20-24	44	52	4
2012 Nov 15-18	48	45	7
^ Asked on Gallup Daily tracking survey
Gallup

Since the Affordable Care Act went into effect about 10 years ago, which, if any, of the following has happened to you or your household as a direct result of that law?

	Yes	No	No opinion
	%	%	%
Your health insurance premiums went up	53	44	3
You had more medical services covered in your plan than in the past	36	61	2
You obtained health insurance coverage when you didn't have it before	28	70	1
You kept or added an adult child up to age 26 on your health plan	22	78	*
You had to change to a different primary doctor	21	78	1
You had to give up a medical plan you liked because it didn't comply with the law's requirements	21	78	1
You obtained coverage for a pre-existing medical condition when you didn't have it before	20	79	1
Your health insurance premiums went down	17	80	3
*Less than 0.5%.
Gallup, Feb. 17-28, 2020

Next, we'd like to know how you feel about the state of the nation in each of the following areas. For each one, please say whether you are -- very satisfied, somewhat satisfied, somewhat dissatisfied or very dissatisfied. If you don't have enough information about a particular subject to rate it, just say so. How about the availability of affordable healthcare?

	Very satisfied	Somewhat satisfied	Somewhat dissatisfied	Very dissatisfied	No opinion
	%	%	%	%	%
2020	11	26	22	38	3
2019	9	22	28	39	2
2018	9	22	22	44	3
2017	11	28	21	36	4
2016	11	26	24	34	4
2015	12	31	20	33	5
2014	9	29	21	36	5
2013	10	30	25	33	3
2012	7	24	26	39	4
2008	7	18	25	47	1
2007	8	17	27	46	2
2006	6	20	25	47	2
2005	7	18	27	46	2
2004	6	21	26	45	2
2003	6	19	28	44	3
2002	8	23	27	39	3
2001	6	23	31	37	3
Gallup

Next, we'd like to know how you feel about the state of the nation in each of the following areas. For each one, please say whether you are -- very satisfied, somewhat satisfied, somewhat dissatisfied or very dissatisfied. If you don't have enough information about a particular subject to rate it, just say so. How about the quality of medical care in the nation?

	Very satisfied	Somewhat satisfied	Somewhat dissatisfied	Very dissatisfied	No opinion
	%	%	%	%	%
2020	19	33	22	24	2
2019	17	31	26	23	2
2018	18	32	23	26	2
2017	17	35	23	23	2
2016	19	34	21	24	2
2015	20	36	23	20	2
2014	19	37	21	22	2
2008	16	29	25	28	2
2007	17	30	26	25	2
2006	18	29	24	27	2
2005	15	30	25	29	1
2004	16	32	26	25	1
2003	17	31	24	26	2
2002	16	35	26	21	2
2001	15	33	27	22	3
Gallup

Do you think it is the responsibility of the federal government to make sure all Americans have healthcare coverage, or is that not the responsibility of the federal government?

	Yes, is	No, is not	No opinion
	%	%	%
2019 Nov 1-14	54	45	1
2018 Nov 1-11	57	42	1
2017 Nov 2-8	56	42	2
2016 Nov 9-13	52	45	3
2015 Nov 4-8	51	47	2
2014 Nov 6-9	45	52	3
2013 Nov 7-10	42	56	2
2012 Nov 15-18	44	54	2
2011 Nov 3-6	50	46	4
2010 Nov 4-7	47	50	3
2009 Nov 5-8	47	50	3
2008 Nov 13-16 ^	54	41	5
2007 Nov 11-14 ^	64	33	3
2006 Nov 9-12 ^	69	28	3
2005 Nov 7-10 ^	58	38	4
2004 Nov 7-10 ^	64	34	2
2003 Nov 3-5 ^	59	39	2
2002 Nov 11-14	62	35	3
2001 Nov 8-11 ^	62	34	4
2000 Sep 11-13	64	31	5
2000 Jan 13-16	59	38	3
^ Asked of a half sample
Gallup

On another subject, for each of the following business sectors in the United States, please say whether your overall view of it is very positive, somewhat positive, neutral, somewhat negative or very negative. How about the healthcare industry?

	Very positive	Somewhat positive	Neutral	Somewhat negative	Very negative	No opinion
	%	%	%	%	%	%
2019 Aug 1-14	14	24	14	26	22	*
2018 Aug 1-12	10	24	18	27	21	*
2017 Aug 2-6	9	29	18	26	19	*
2016 Aug 3-7	11	23	12	30	24	*
2015 Aug 5-9	11	28	17	24	21	*
2014 Aug 7-10	8	28	19	26	19	*
2013 Aug 7-11	10	26	14	27	22	1
2012 Aug 9-12	9	33	15	23	19	1
2011 Aug 11-14	8	19	18	32	23	*
2010 Aug 5-8	8	21	17	31	23	*
2009 Aug 6-9	8	28	15	26	22	1
2008 Aug 7-10	7	20	14	29	28	2
2007 Aug 13-16	6	22	16	34	22	*
2006 Aug 7-10	11	24	17	29	17	2
2005 Aug 8-11	12	20	16	32	18	2
2004 Aug 9-11	10	23	16	33	17	1
2003 Aug 4-6	11	31	12	28	17	1
2002 Aug 5-8	10	20	19	32	17	2
2001 Aug 16-19	11	26	19	29	15	*
*Less than 0.5%
Gallup

Now thinking about healthcare in the country as a whole, overall, how would you rate -- [ROTATED: the quality of healthcare in this country/healthcare coverage in this country] -- as excellent, good, only fair or poor?

	Excellent	Good	Only fair	Poor	No opinion
	%	%	%	%	%
Quality
2019 Nov 1-14	14	38	30	18	*
2018 Nov 1-11	17	38	31	14	1
2017 Nov 2-8	16	38	31	14	*
2016 Nov 9-13	16	39	31	13	2
2015 Nov 4-8	15	38	33	13	1
2014 Nov 6-9	18	36	31	14	1
2013 Nov 7-10	18	36	30	15	1
2012 Nov 15-18	21	41	27	11	*
2011 Nov 3-6	20	39	29	11	1
2010 Nov 4-7	21	41	26	11	1
2009 Nov 5-8	21	37	26	14	1
2008 Nov 13-16	17	40	30	12	2
2007 Nov 11-14	17	37	29	16	*
2006 Nov 9-12	16	37	32	14	1
2005 Nov 7-10	16	37	33	14	*
2004 Nov 7-10	20	39	28	12	1
2003 Nov 3-5	18	42	28	12	*
2002 Nov 11-14	14	41	32	12	1
2001 Nov 8-11	15	38	34	12	1
Coverage
2019 Nov 1-14	6	28	36	30	*
2018 Nov 1-11	7	27	40	26	1
2017 Nov 2-8	4	25	45	26	*
2016 Nov 9-13	5	28	37	28	2
2015 Nov 4-8	6	27	41	26	1
2014 Nov 6-9	7	31	35	26	1
2013 Nov 7-10	6	26	38	28	2
2012 Nov 15-18	5	36	37	21	1
2011 Nov 3-6	6	27	41	24	2
2010 Nov 4-7	7	32	37	23	1
2009 Nov 5-8	8	30	32	28	1
2008 Nov 13-16	4	22	42	30	1
2007 Nov 11-14	6	21	41	31	1
2006 Nov 9-12	6	19	41	33	1
2005 Nov 7-10	2	19	43	35	1
2004 Nov 7-10	4	26	41	29	*
2003 Nov 3-5	5	23	42	29	1
2002 Nov 11-14	4	26	41	27	2
2001 Nov 8-11	5	25	43	26	1
* Less than 0.5%
Gallup

Are you generally satisfied or dissatisfied with the total cost of healthcare in this country?

	Satisfied	Dissatisfied	No opinion
	%	%	%
2019 Nov 1-14	26	73	1
2018 Nov 1-11	20	79	1
2017 Nov 2-8	20	78	1
2016 Nov 9-13	19	80	2
2015 Nov 4-8	21	78	1
2014 Nov 6-9	23	76	1
2013 Nov 7-10	24	74	2
2012 Nov 15-18	22	77	1
2011 Nov 3-6	20	78	2
2010 Nov 4-7	23	76	1
2009 Nov 5-8	26	72	2
2008 Nov 13-16	19	79	2
2007 Nov 11-14	17	81	2
2006 Nov 9-12	19	79	2
2005 Nov 7-10	20	79	1
2004 Nov 7-10	21	78	1
2003 Nov 3-5	20	79	1
2002 Nov 11-14	22	75	3
2001 Nov 8-11	28	71	1
1993 May 10-12 ^	8	90	2
^ NOTE: Asked in rotation with other items.
Gallup

Which of these statements do you think best describes the U.S. healthcare system today -- [ROTATED: it is in a state of crisis, it has major problems, it has minor problems (or) it does not have any problems]?

	Crisis	Major problems	Minor problems	No problems	No opinion
	%	%	%	%	%
2019 Nov 1-14	14	49	35	2	*
2018 Nov 1-11	15	55	27	3	1
2017 Nov 2-8	16	55	26	1	*
2016 Nov 9-13	18	53	27	2	1
2015 Nov 4-8	16	56	26	2	1
2014 Nov 6-9	16	52	30	1	2
2013 Nov 7-10	21	52	24	1	1
2012 Nov 15-18	16	51	30	1	1
2011 Nov 3-6	16	57	24	1	1
2010 Nov 4-7	17	55	26	1	1
2009 Nov 5-8	21	50	25	2	1
2009 Sep 11-13	17	56	25	2	*
2008 Nov 13-16	14	59	26	1	1
2007 Nov 11-14	17	56	24	2	1
2006 Nov 9-12	16	55	25	3	1
2005 Nov 7-10	18	52	28	1	1
2004 Nov 7-10	14	53	31	2	*
2003 Nov 3-5	14	54	30	1	1
2002 Nov 11-14	11	54	32	2	1
2001 Nov 8-11	5	44	47	2	2
2000 Sep 11-13	12	58	28	1	1
1994 Sep 6-7	17	52	29	1	1
* Less than 0.5%
Gallup

Which of the following approaches for providing healthcare in the United States would you prefer -- [ROTATED: a government-run healthcare system (or) a system based mostly on private health insurance]?

	Government-run system	System based on private insurance	No opinion
	%	%	%
2019 Nov 1-14	42	54	4
2018 Nov 1-11	40	54	6
2017 Nov 2-8	47	48	5
2016 Nov 9-13	43	53	4
2015 Nov 4-8	41	55	4
2014 Nov 6-9	35	61	4
2013 Nov 7-10	34	61	5
2012 Nov 15-18	36	57	6
2011 Nov 3-6	39	56	6
2010 Nov 4-7	34	61	5
Gallup

Within the last twelve months, have you or a member of your family put off any sort of medical treatment because of the cost you would have to pay? [IF YES] When you put off this medical treatment, was it for a condition or illness that was -- very serious, somewhat serious, not very serious or not at all serious?

	Yes, for serious condition	Yes, for nonserious condition	No, did not put off treatment	No opinon
	%	%	%	%
2019 Nov 1-14	25	8	67	*
2018 Nov 1-11	19	10	71	*
2017 Nov 2-8	18	11	70	*
2016 Nov 9-13	19	12	69	*
2015 Nov 4-8	19	12	68	1
2014 Nov 6-9	22	11	66	1
2013 Nov 7-10	19	11	70	*
2012 Nov 15-18	19	13	68	*
2011 Nov 3-6	20	10	70	*
2010 Nov 4-7	21	9	69	1
2009 Nov 5-8	17	12	71	*
2008 Nov 13-16	17	12	70	1
2007 Nov 11-14	18	11	70	1
2006 Nov 9-12	18	12	69	1
2005 Nov 7-10	16	12	71	1
2004 Nov 7-10	16	10	74	*
2003 Nov 3-5	12	13	75	*
2002 Nov 11-14	15	10	75	*
2001 Nov 8-11	12	7	81	*
1991 Jan 3-6	11	11	77	1
* Less than 0.5%
Gallup

Overall, how would you rate -- [ROTATED: the quality of healthcare you receive/your healthcare coverage] -- as excellent, good, only fair or poor?

	Excellent	Good	Only fair	Poor	Not applicable (vol.)	No opinion
	%	%	%	%	%	%
Quality
2019 Nov 1-14	35	44	16	4	1	*
2018 Nov 1-11	35	45	15	5	1	*
2017 Nov 2-8	36	41	17	5	1	*
2016 Nov 9-13	32	44	17	5	1	1
2015 Nov 4-8	31	45	16	7	*	*
2014 Nov 6-9	35	44	15	5	1	*
2013 Nov 7-10	39	40	15	4	1	1
2012 Nov 15-18	40	42	12	6	1	*
2011 Nov 3-6	40	42	11	5	1	1
2010 Nov 4-7	40	42	12	4	1	*
2009 Nov 5-8	38	43	13	4	1	1
2008 Nov 13-16	36	47	13	3	1	*
2007 Nov 11-14	33	50	12	3	3	*
2006 Nov 9-12	36	43	15	4	1	*
2005 Nov 7-10	29	49	17	3	2	*
2004 Nov 7-10	38	42	15	4	1	--
2003 Nov 3-5	33	49	13	3	2	*
2002 Nov 11-14	28	54	14	3	1	*
2001 Nov 8-11	31	49	15	3	2	*
Coverage
2019 Nov 1-14	29	42	19	8	1	*
2018 Nov 1-11	27	42	22	7	2	*
2017 Nov 2-8	28	42	17	11	3	*
2016 Nov 9-13	23	42	23	10	2	1
2015 Nov 4-8	25	42	22	10	1	1
2014 Nov 6-9	27	40	21	9	2	1
2013 Nov 7-10	30	39	17	10	4	*
2012 Nov 15-18	27	40	17	10	4	1
2011 Nov 3-6	29	43	14	11	3	1
2010 Nov 4-7	28	43	16	9	3	*
2009 Nov 5-8	29	40	17	10	3	1
2008 Nov 13-16	26	41	19	8	4	1
2007 Nov 11-14	25	45	15	8	5	*
2006 Nov 9-12	26	39	23	8	3	1
2005 Nov 7-10	20	43	21	11	4	1
2004 Nov 7-10	28	41	20	7	4	*
2003 Nov 3-5	22	44	23	6	5	*
2002 Nov 11-14	20	51	17	7	4	1
2001 Nov 8-11	22	46	20	6	5	1
* Less than 0.5%; (vol.)=volunteered response.
Gallup

Are you generally satisfied or dissatisfied with the total cost you pay for your healthcare?

	Satisfied	Dissatisfied	No opinion
	%	%	%
2019 Nov 1-14	61	38	1
2018 Nov 1-11	58	40	3
2017 Nov 2-8	61	38	1
2016 Nov 9-13	56	42	2
2015 Nov 4-8	57	42	1
2014 Nov 6-9	57	41	2
2013 Nov 7-10	59	38	3
2012 Nov 15-18	59	39	2
2011 Nov 3-6	60	38	2
2010 Nov 4-7	58	40	2
2009 Nov 5-8	62	36	2
2008 Nov 13-16	58	39	3
2007 Nov 11-14	57	39	4
2006 Nov 9-12	54	42	4
2005 Nov 7-10	57	41	2
2004 Nov 7-10	58	41	1
2003 Nov 3-5	57	41	2
2002 Nov 11-14	58	39	3
2001 Nov 8-11	64	33	3
Gallup

On another subject, for each of the following business sectors in the United States, please say whether your overall view of it is very positive, somewhat positive, neutral, somewhat negative or very negative. How about the pharmaceutical industry?

	Very positive	Somewhat positive	Neutral	Somewhat negative	Very negative	No opinion
	%	%	%	%	%	%
2019 Aug 1-14	9	18	15	27	31	*
2018 Aug 1-12	12	18	16	25	28	1
2017 Aug 2-6	12	21	16	25	25	*
2016 Aug 3-7	10	18	19	21	30	2
2015 Aug 5-9	12	23	21	23	20	1
2014 Aug 7-10	12	28	23	22	14	1
2013 Aug 7-11	13	22	18	25	20	2
2012 Aug 9-12	11	26	24	23	15	2
2011 Aug 11-14	11	25	20	26	17	1
2010 Aug 5-8	6	26	17	25	23	3
2009 Aug 6-9	8	23	18	28	21	1
2008 Aug 7-10	10	21	23	25	20	1
2007 Aug 13-16	11	22	16	31	19	1
2006 Aug 7-10	12	27	15	24	21	1
2005 Aug 8-11	10	19	22	25	22	2
2004 Aug 9-11	9	22	19	31	17	2
2003 Aug 4-6	12	31	18	22	16	1
2002 Aug 5-8	11	22	22	25	18	2
2001 Aug 16-19	12	27	22	24	14	1
*Less than 0.5%
Gallup

Now I am going to read you a list of institutions in American society. Please tell me how much confidence you, yourself, have in each one -- a great deal, quite a lot, some or very little? The medical system

	Great deal	Quite a lot	Some	Very little	None (vol.)	No opinion
	%	%	%	%	%	%
2019 Jun 3-16	15	21	38	24	2	*
2018 Jun 1-13	16	20	37	25	1	*
2017 Jun 7-11	18	19	35	26	1	1
2016 Jun 1-5	17	22	36	23	1	1
2015 Jun 2-7	17	20	37	23	2	1
2014 Jun 5-8 #	17	17	36	26	3	2
2013 Jun 1-4	15	20	38	25	1	1
2012 Jun 7-10	20	21	34	23	3	*
2011 Jun 9-12	15	24	35	24	2	*
2010 Jul 8-11	16	24	38	20	1	1
2009 Jun 14-17	15	21	41	21	2	1
2008 Jun 9-12	16	19	38	24	2	1
2007 Jun 11-14	13	18	38	28	2	1
2006 Jun 1-4	14	24	36	22	1	1
2005 May 23-26	19	23	33	23	1	1
2004 May 21-23	15	29	37	17	1	1
2003 Jun 9-10	19	25	36	19	1	*
2002 Jun 21-23	15	23	42	18	1	1
2001 Jun 8-10	15	25	38	19	2	1
2000 Jun 22-25	14	26	37	21	2	*
1999 Jun 25-27	17	23	36	22	1	1
1998 Jun 5-7	16	24	40	18	1	1
1997 Jul 25-27	15	23	38	21	2	1
1996 May 28-29	15	27	38	18	1	1
1995 Apr 21-24	18	23	38	18	2	1
1994 Mar 25-29	14	22	38	24	2	*
1993 Mar 22-24	14	20	34	28	3	1
1991 Oct 10-13	--	--	--	--	--	--
1991 Feb 28-Mar 3	--	--	--	--	--	--
1990 Aug 16-19	--	--	--	--	--	--
1989 Sep 7-10	--	--	--	--	--	--
1988 Sep 23-26	--	--	--	--	--	--
1987 Jul 10-13	--	--	--	--	--	--
1986 Jul 11-14	--	--	--	--	--	--
1985 May 17-20	--	--	--	--	--	--
1984 Oct 6-10	--	--	--	--	--	--
1983 Aug 5-8	--	--	--	--	--	--
1981 Nov 20-23	--	--	--	--	--	--
1979 Apr 6-9	--	--	--	--	--	--
1977 Jan 7-10 ^	39	35	15	7	1	3
1975 May 30-Jun 2 ^	44	36	13	4	*	2
1973 May 4-7	--	--	--	--	--	--
(vol.) = Volunteered response; * Less than 0.5%; ^ WORDING=Medicine; # Asked of a half sample
Gallup

Next, please tell me how concerned you are right now about each of the following financial matters, based on your current financial situation -- are you very worried, moderately worried, not too worried or not worried at all? If a particular item does not apply to you, please say so. How worried are you about -- Not being able to pay medical costs for normal healthcare?

	Very worried	Somewhat worried	Not too worried	Not worried at all	Doesn't apply (vol.)	No opinion
	%	%	%	%	%	%
2019 Apr	24	18	24	31	2	1
2018 Apr	24	20	25	28	3	*
2017 Apr	20	21	27	30	2	*
2016 Apr	24	21	27	26	1	*
2015 Apr	23	19	25	30	2	1
2014 Apr	19	20	26	31	3	*
2013 Apr	24	20	24	28	3	*
2012 Apr	25	23	27	24	1	*
2011 Apr	27	21	23	27	3	*
2010 Apr	22	26	27	21	3	*
2009 Apr	26	20	28	26	1	*
2008 Dec	24	22	24	27	3	*
2008 Apr	23	21	24	29	3	*
2007 Apr	21	15	31	30	3	1
2006 Apr	23	22	26	27	2	*
2005 Apr	23	19	24	32	2	*
2004 Apr	21	16	24	36	3	*
2003 Apr	17	20	24	36	3	*
2002 Apr	18	17	26	36	2	1
2001 Apr	22	22	24	31	1	--
* Less than 0.5%; (vol.) = Volunteered response
Gallup

Next, please tell me how concerned you are right now about each of the following financial matters, based on your current financial situation -- are you very worried, moderately worried, not too worried or not worried at all? If a particular item does not apply to you, please say so. How worried are you about -- Not being able to pay medical costs in the event of a serious illness or accident?

	Very worried	Somewhat worried	Not too worried	Not worried at all	Doesn't apply (vol.)	No opinion
	%	%	%	%	%	%
2019 Apr	30	21	24	23	2	*
2018 Apr	33	25	23	18	1	*
2017 Apr	30	24	21	22	2	1
2016 Apr	35	25	19	19	1	*
2015 Apr	30	25	24	19	1	1
2014 Apr	29	24	23	22	1	1
2013 Apr	34	24	21	19	2	1
2012 Apr	35	27	20	16	1	--
2011 Apr	37	23	22	16	2	*
2010 Apr	33	28	20	17	2	*
2009 Apr	34	24	22	18	2	1
2008 Apr	34	22	20	21	2	*
2007 Apr	28	21	27	23	2	*
2006 Apr	33	21	21	22	2	1
2005 Apr	30	22	25	22	1	*
2004 Apr	26	21	24	27	2	*
2003 Apr	24	22	23	29	2	--
2002 Apr	21	24	25	28	1	1
2001 Apr	27	23	24	25	1	*
* Less than 0.5%; (vol.) = Volunteered response
Gallup

Next, I'm going to read a list of problems facing the country. For each one, please tell me if you personally worry about this problem a great deal, a fair amount, only a little or not at all? How much do you personally worry about the availability and affordability of healthcare?

	Great deal	Fair amount	Only a little	Not at all	No opinion
	%	%	%	%	%
2019 Mar 1-10	55	25	13	8	*
2018 Mar 1-8	55	23	16	7	*
2017 Mar 1-5	57	25	11	7	*
2016 Mar 2-6	55	27	12	5	1
2015 Mar 5-8	54	22	15	9	*
2014 Mar 6-9 ^	57	20	14	9	1
2013 Mar 7-10	59	22	12	7	*
2012 Mar 8-11	60	21	15	4	*
2011 Mar 3-6	58	25	12	5	1
2010 Mar 4-7	56	23	12	8	*
2008 Mar 6-9	58	23	11	7	*
2007 Mar 11-14	63	20	12	4	*
2006 Mar 13-16	68	21	7	4	*
2005 Mar 7-10	60	19	14	6	1
2004 Mar 8-11	62	18	13	7	*
2003 Mar 24-25	55	24	12	8	1
2002 Mar 4-7	56	23	14	7	*
2001 Mar 5-7	60	24	11	5	*
^ Asked of a half sample; * Less than 0.5%
Gallup

What would you say is the most urgent health problem facing this country at the present time? [OPEN-ENDED]

	Cost	Access	Drug/Alcohol abuse	Cancer	Obesity	Mental illness	Flu/Viruses	AIDS
	%	%	%	%	%	%	%	%
2018	25	22	10	10	7	2	*	1
2017	16	24	14	11	7	3	*	*
2016	27	20	3	12	8	3	2	*
2015	22	20	2	14	15	1	*	1
2014	19	18	1	10	10	1	18	1
2013	23	16	1	10	13	2	--	1
2012	19	23	*	13	16	*	--	1
2011	20	27	*	13	14	*	*	1
2010	19	24	1	12	14	*	1	1
2009	18	27	--	9	8	*	16	1
2008	25	29	*	11	12	*	--	2
2007	26	29	1	14	10	--	1	2
2006	29	22	1	14	8	1	1	6
2005	25	15	1	15	9	1	10	6
2004	29	28	*	9	7	*	2	5
2003	27	25	1	13	7	*	*	8
2002	25	13	*	21	7	1	1	8
2001	14	8	1	19	4	1	1	7
2000	25	13	2	20	3	1	--	18
1999	13	1	2	23	1	*	--	33
1997	9	13	6	15	*	--	--	29
1992	30	--	--	5	--	--	--	41
1991	20	--	--	6	--	--	--	55
1991	10	2	5	16	1	--	--	45
1987	1	--	4	14	3	--	--	68
* Less than 0.5%; Totals add to less than 100% becuase "Other" responses and "No opinion" not shown.
Gallup

Who pays the cost of premiums on your health insurance? Do you or someone in your household pay the total cost, does an employer pay the total cost, or is the cost shared between the employer and you or someone in your household?

Based on those with a private health insurance plan

	Self/Household pays all	Employer pays all	Costs are shared	None/Other (vol.)	No opinion
	%	%	%	%	%
2018 Nov 1-11	28	11	59	1	1
2017 Nov 2-8	27	10	61	1	1
2016 Nov 9-13	28	10	60	1	1
2015 Nov 4-8	28	10	58	3	1
2014 Nov 6-9	28	8	61	1	1
2013 Nov 7-10	21	11	65	2	*
2012 Nov 15-18	22	10	64	3	1
2011 Nov 3-6	21	15	63	1	*
2010 Nov 4-7	25	10	61	3	2
2009 Nov 5-8	25	12	60	2	2
2008 Nov 13-16	19	15	64	1	1
2007 Nov 11-14	18	15	64	2	1
2006 Nov 9-12	20	15	62	2	*
2005 Nov 7-10	18	14	65	2	1
2004 Nov 7-10	18	17	64	1	*
2003 Nov 3-5	23	16	59	2	*
2002 Nov 11-14	21	19	57	2	1
2001 Nov 8-11	19	24	54	2	1
* Less than 0.5%; (vol.) = volunteered response.
Gallup

Over the past year, has the amount YOU paid for your family's health insurance -- [ROTATED: gone up a lot, gone up a little, not changed, gone down a little (or) gone down a lot]?

Based on those who pay all/part of their health insurance premiums

	Gone up a lot	Gone up a little	Not changed	Gone down a little	Gone down a lot	No opinion
	%	%	%	%	%	%
2018 Nov 1-11	26	40	25	4	1	3
2017 Nov 2-8	26	40	27	4	*	3
2016 Nov 9-13	34	36	22	4	2	3
2015 Nov 4-8	36	38	20	3	1	1
2014 Nov 6-9	28	39	22	4	2	6
2013 Nov 7-10	24	45	25	2	1	4
2012 Nov 15-18	29	42	22	4	1	2
2011 Nov 3-6	29	44	21	2	1	4
2010 Nov 4-7	29	48	18	2	1	3
2009 Nov 5-8	25	47	26	1	*	1
2008 Nov 13-16	24	48	22	3	1	2
2007 Nov 11-14	26	43	26	2	1	3
2006 Nov 9-12	29	46	19	3	1	3
2005 Nov 7-10	28	46	23	2	*	1
2004 Nov 7-10	28	48	17	5	1	1
2003 Nov 3-5	31	43	23	*	1	2
* Less than 0.5%; (vol.)= volunteered response.
Gallup

Next, we'd like you to think about how the United States compares with all other modern, industrialized nations in the world in several areas. For each of the following, please say if conditions in the United States are the best, above average, average, below average or the worst, relative to all other modern industrialized countries. The healthcare system

	The best	Above average	Average	Below average	The worst	No opinion
	%	%	%	%	%	%
2018 Aug 6-12	10	17	27	33	12	1
2012 Dec 14-17	10	19	33	32	6	1
Gallup

Since the Affordable Care Act went into effect a few years ago, do you think it has been -- [ROTATED: very successful, somewhat successful, somewhat unsuccessful (or) very unsuccessful] in -- Expanding Americans' access to healthcare coverage?

	Very successful	Somewhat successful	Somewhat unsuccessful	Very unsuccessful	No opinion
	%	%	%	%	%
2017 Nov 2-8	23	42	16	17	3
Gallup

Since the Affordable Care Act went into effect a few years ago, do you think it has been -- [ROTATED: very successful, somewhat successful, somewhat unsuccessful (or) very unsuccessful] in -- Reducing the cost of healthcare for Americans?

	Very successful	Somewhat successful	Somewhat unsuccessful	Very unsuccessful	No opinion
	%	%	%	%	%
2017 Nov 2-8	9	38	21	29	4
Gallup

As you may know, some senators have proposed a "Medicare-for-all," single-payer health insurance program that would be administered by the federal government and financed through taxes. Please tell me if you favor or oppose this proposal, or if you don't know enough to say?

	Favor	Oppose	Don't know enough to say	No answer
	%	%	%	%
2017 Nov 2-8	17	21	61	*
Gallup

If you had to choose, would you rather -- [ROTATED: keep the Affordable Care Act in place largely as it is, keep the Affordable Care Act in place but make significant changes to it, (or) repeal the Affordable Care Act and replace it with a new healthcare law]?

	Keep as is	Keep, but change	Repeal and replace	No opinion
	%	%	%	%
2017 Jul 5-9	23	44	30	3
2017 Apr 1-2	26	40	30	4
Gallup

As you may know, a number of the provisions of the healthcare law have already gone into effect. So far, has the new law -- [ROTATED: helped you and your family, not had an effect, (or has it) hurt you and your family]?

	Helped	Had no effect	Hurt	No opinion
	%	%	%	%
2016 Aug 30-31	18	51	29	3
2016 May 6-8	22	50	26	2
2015 Jul 1-5 ^	18	55	25	2
2015 Apr 1-4 ^	17	57	23	4
2014 Oct 1-2 ^	16	54	27	3
2014 May 21-25 ^	14	59	24	4
2014 Apr 7-8 ^	15	64	18	3
2014 Feb 28-Mar 2 ^	10	63	23	4
2014 Jan 31-Feb 1 ^	13	64	19	4
2014 Jan 3-4 ^	10	66	19	4
2013 Nov 23-24 ^	9	69	19	4
2012 Feb 20-21 ^	12	70	16	3
^ WORDING: "As you may know, a few of the provisions of the healthcare law...."
Gallup

So far, has the law -- [ROTATED: helped the healthcare situation in the U.S., not had an effect (or has it) hurt the healthcare situation in the U.S.]?

	Helped	No effect	Hurt	No opinion
	%	%	%	%
2016 Aug 30-31	37	12	45	6
2016 May 6-8	39	14	40	7
Gallup

In the long run, how do you think the healthcare law will affect your family's healthcare situation? Will it -- [ROTATED: make things better, not make much difference (or will it) make things worse]?

	Make better	Not make much difference	Make worse	No opinion
	%	%	%	%
2016 Aug 30-31 ^	24	37	36	2
2016 May 6-8 ^	26	39	33	1
2015 Apr 1-4 ^	24	41	32	3
2014 Oct 1-2 ^	23	35	38	5
2014 May 21-25 ^	22	39	36	3
2014 Apr 7-8 ^	24	42	32	3
2014 Feb 28-Mar 2 ^	21	36	40	3
2014 Jan 31-Feb 1 ^	24	34	37	5
2014 Jan 3-4 ^	22	35	37	5
2013 Nov 23-24 ^	20	34	41	5
2013 Oct 26-28 ^	25	36	34	5
2013 Aug 17-18 ^	24	34	38	5
2013 Jun 20-24 #	23	33	42	3
2012 Feb 20-21 ^@	24	34	38	5
^Asked on Gallup Daily tracking poll; #WORDING: "Now suppose all of the provisions of the healthcare law go into effect in the next few years...."
Gallup

In the long run, how do you think the healthcare law will affect the healthcare situation in the U.S.? Will it -- [ROTATED: make things better, not make much difference (or will it) make things worse]?

	Make better	Not make much difference	Make worse	No opinion
	%	%	%	%
2016 Aug 30-31 ^	37	15	45	4
2016 May 6-8 ^	40	16	41	2
2015 Apr 1-4 ^	37	16	43	4
2014 Oct 1-2 ^	36	15	46	4
2014 May 21-25 ^	37	16	44	4
2014 Apr 7-8 ^	37	15	45	3
2014 Feb 28-Mar 2 ^	35	14	48	3
2014 Jan 31-Feb 1 ^	35	14	45	6
2014 Jan 3-4 ^	35	12	48	6
2013 Nov 23-24 ^	34	12	48	6
2013 Oct 26-28 ^	36	14	44	6
2013 Aug 17-18 ^	35	15	44	6
2013 Jun 20-24 #	34	16	47	3
^Asked on Gallup Daily tracking poll
Gallup

Within the last twelve months, have you or a member of your family put off any sort of medical treatment because of the cost you would have to pay? [Asked of those who put off medical treatment due to cost] And when you put off medical treatment, was it for you, another family member or both?

	Yes, for self	Yes, for other family member	Yes, for both	No, did not	No opinion
	%	%	%	%	%
2015 Nov 4-8	16	6	9	68	1
* Less than 0.5%
Gallup

(Asked of uninsured adults) According to the Affordable Care Act, most Americans will be required to have health insurance or pay a fine. Were you aware of this before now, or not?

	Yes, aware	No, not aware	No opinion
	%	%	%
2014 Oct 22-Nov 12	70	28	1
2014 Mar 1-31	76	24	1
2014 Feb 1-28	77	23	1
2014 Jan 1-31	72	27	1
2013 Dec 1-31	80	20	*
2013 Nov 1-30	80	20	*
2013 Oct 7-31	77	23	1
2013 Sep 17-26	68	31	1
2013 Jun 20-24 ^	56	43	*
* Less than 0.5%; ^ WORDING: WORDING: As you may know, under the terms of the Affordable Care Act, starting January 1st most Americans will be required..."
Gallup

(Asked of uninsured Americans) As I mentioned, Americans without health insurance either have to get health insurance or pay a fine. Given what you know, as of right now, would you say you are -- [ROTATED: more likely to get health insurance (or) more likely to pay the fine]?

	Get insurance	Pay the fine	No opinion
	%	%	%
2014 Oct 22-Nov 12	55	35	10
2014 Mar 1-31	56	35	9
2014 Feb 1-28	55	37	8
2014 Jan 1-31	54	38	9
2013 Dec 1-31 ^	60	31	9
2013 Nov 1-30 ^	63	29	8
2013 Oct 7-31 ^	61	30	9
2013 Sep 17-26 ^	65	25	11
^ WORDING: "Beginning January 1, 2014, Americans without health insurance will either have to get health insurance or pay a fine...."
Gallup

(Asked of uninsured adults who plan to get insurance) Do you plan to get health insurance for 2014 specifically through a state or federal health insurance exchange, or not?

	Through an exchange	Not through an exchange	Undecided (vol.)	No opinion
	%	%	%	%
2014 Oct 22-Nov 12	50	29	11	10
2014 Mar 1-31	57	23	11	9
2014 Feb 1-28	53	26	12	9
2014 Jan 1-31	55	23	11	11
2013 Dec 1-31 ^	50	33	10	8
2013 Nov 1-30 ^	46	38	9	7
2013 Oct 7-31 ^	45	36	13	6
(vol.) = Volunteered response; ^ WORDING: [Do you plan to get / (if signed up for 2014 in 2013): Have you gotten] health insurance....?"
Gallup

Do you think it would be justified or unjustified to set higher health insurance rates for people who smoke?

	Yes, justified	No, unjustified	No opinion
	%	%	%
2014 Jul 7-10	58	40	2
2013 Jul 10-14	58	40	2
2011 Jul 7-10	60	38	2
2005 Jul 7-10 ^	64	35	1
2003 Jul 7-9	65	34	1
^ Asked of a half sample
Gallup

Do you think it would be justified or unjustified to set higher health insurance rates for people who are significantly overweight?

	Yes, justified	No, unjustified	No opinion
	%	%	%
2014 Jul 7-10	39	59	2
2013 Jul 10-14	41	56	3
2011 Jul 7-10	42	57	1
2008 Jul 10-13 ^	34	63	3
2005 Jul 7-10 ^	37	61	2
2003 Jul 7-9	43	55	2
^ Asked of a half sample
Gallup

(Asked of those who approve of the 2010 healthcare law) What are some of the reasons why you approve of the 2010 healthcare law? [OPEN-ENDED]

	2013 Nov 7-10
	%
Makes healthcare accessible to more people	23
Fair/Right that everyone should have health insurance	15
Provides more health insurance options	14
Controls costs/Makes healthcare more affordable	14
Covers people with pre-existing conditions	12
Something needed to be done on healthcare	9
Affordable insurance premiums	7
Allows parents to cover children longer on their plans	4
Keeps people from using emergency rooms for general healthcare	2
Moves country closer to universal healthcare	2
Provides preventive care for more people	2
Government should be in charge of healthcare/regulate it	2
Makes people accountable for their own healthcare	1
Increases quality of healthcare	1
Other	4
No opinion	9
Percentages total more than 100% due to multiple responses
Gallup

(Asked of those who disapprove of the 2010 healthcare law) What are some of the reasons why you disapprove of the 2010 healthcare law? [OPEN-ENDED]

	2013 Nov 7-10
	%
Government interference/Forcing people to do things	37
Increases costs/Makes healthcare less affordable	21
Respondent lost insurance	11
Not working/A big mess/Hurting people	8
Not well planned/Poorly designed/Website issues	8
President lied about plan/Not what he said it would be	7
Paying for others' insurance (non-citizens, foreigners)	6
Complicated/Don't understand	4
Not fair	3
Too many changes in coverage/coverage requirements	3
Don't like it/Not happy with it	3
People are losing jobs because of it	2
Don't get to keep doctors/Creates doctor shortage	2
Tax increase	2
Not happy with government fines	2
Making economy worse	1
Destroying healthcare in general	1
Other	3
No opinion	6
Percentages total more than 100% due to multiple responses
Gallup

(Asked of those without health insurance) What would you say is the main reason you don't have health insurance? Any other reasons? [OPEN-ENDED]

	2013 Jun 20-24
	%
Can't afford/Costs too much	43
Unemployed	24
Haven't gotten it yet/Need to get	9
Job does not provide it	8
Don't need it/Healthy/Don't get sick	7
Self-employed	2
Disability	2
Use VA hospital/Veteran	2
Other	11
Percentages total more than 100% due to multiple responses
Gallup

Now I am going to read you a list of institutions in American society. Please tell me how much confidence you, yourself, have in each one -- a great deal, quite a lot, some or very little? Health Maintenance Organizations, HMOs

	Great deal	Quite a lot	Some	Very little	None (vol.)	No opinion
	%	%	%	%	%	%
2013 Jun 1-4	8	11	45	29	2	4
2012 Jun 7-10	8	11	44	29	3	6
2011 Jun 9-12	7	12	39	35	4	4
2010 Jul 8-11	8	11	43	28	4	5
2009 Jun 14-17	8	10	44	31	4	3
2008 Jun 9-12	6	7	41	38	3	5
2007 Jun 11-14	7	8	39	38	4	4
2006 Jun 1-4	6	9	40	33	5	6
2005 May 23-25	7	10	43	35	2	3
2004 May 21-23	6	12	39	36	4	3
2003 Jun 9-10	7	10	39	38	4	2
2002 Jun 21-23	5	8	36	42	5	4
2001 Jun 8-10	7	8	34	40	7	4
2000 Jun 22-25	6	10	35	38	7	4
1999 Jun 25-27	8	9	34	42	4	3
(vol.) = Volunteered response; * Less than 0.5%
Gallup

In general, would you say that the 2010 healthcare law recently upheld by the Supreme Court will make things better or worse for each of the following? How about ... [RANDOM ORDER]?

	Better	Worse	Same (vol.)	No opinion
	%	%	%	%
People who currently do not have health insurance	59	32	2	6
People who get sick	55	34	2	8
Hospitals	45	45	2	8
You, personally	38	42	13	7
Doctors	37	51	3	9
People who currently have health insurance	36	46	10	8
Businesses	33	57	3	8
Taxpayers	30	60	3	8
July 9-12, 2012; (vol.)=volunteered response
Gallup

As you may know, two years ago, Congress passed a law that restructures the nation's healthcare system. All in all, do you think it is a good thing or a bad thing that Congress passed this law?

	Good thing	Bad thing	No opinion
	%	%	%
2012 Feb 20-21	45	44	11
2011 Oct 26-27 ^	42	47	11
2011 Mar 18-19 ^	46	44	10
2010 Mar 22 #	49	40	11
^ WORDING: "...a year ago...' # WORDING: "...yesterday..."
Gallup

As you may know, the Supreme Court will hear arguments next month concerning a requirement in the healthcare law that every American must buy health insurance or pay a fine. Regardless of whether you favor or oppose the law, do you think this requirement is constitutional or unconstitutional?

	Constitutional	Unconstitutional	No opinion
	%	%	%
2012 Feb 20-21	20	72	7
Gallup

When your doctor gives you important medical advice, which comes closer to your view -- [ROTATED: you usually feel confident in the accuracy of your doctor's advice, (or) you usually feel it is necessary to check for second opinions or do your own research on the subject]?

	Confident in accuracy of advice	Necessary to check/Do more research	No opinion
	%	%	%
2010 Nov 4-7 ^	70	29	1
2002 Nov 11-14	64	34	2
^ Asked of a half sample
Gallup

Next, we'd like to read a list of several aspects of the U.S. healthcare system. For each, please tell me if you think the medical care or medical services they provide are generally excellent, good, only fair or poor? How about -- [RANDOM ORDER]?

	Excellent	Good	Only fair	Poor	No opinion
	%	%	%	%	%
Hospitals
2010 Nov 4-7 ^	16	56	20	7	1
2003 Nov 3-5	14	56	22	7	1
Physicians
2010 Nov 4-7 ^	26	58	11	4	1
2003 Nov 3-5	19	62	15	4	*
Nurses
2010 Nov 4-7 ^	31	57	11	1	1
2003 Nov 3-5	26	59	12	1	2
Nursing homes
2010 Nov 4-7 ^	3	30	33	16	18
2003 Nov 3-5	3	26	39	20	12
Pharmaceutical or drug companies
2010 Nov 4-7 ^	12	42	26	18	2
2003 Nov 3-5	10	43	30	15	2
Health insurance companies
2010 Nov 4-7 ^	6	36	32	24	2
2003 Nov 3-5	3	30	44	21	2
Hospital emergency rooms
2010 Nov 4-7 ^	17	43	27	10	3
2003 Nov 3-5	15	47	24	12	2
Walk-in clinics
2010 Nov 4-7 ^	9	45	25	7	15
2003 Nov 3-5	6	45	27	8	14
^ Asked of a half sample; * Less than 0.5%
Gallup

Would you advise your member of Congress to vote for or against a healthcare bill this year, or do you not have an opinion? (Asked of those with no opinion on healthcare bill) As of today, would you say you lean more toward advising your member of Congress to vote for a healthcare bill, or lean more toward advising your member of Congress to vote against a healthcare bill?

	Vote for/Lean vote for	Vote against/Lean vote against	No opinion
	%	%	%
2010 Jan 8-10	49	46	6
2009 Dec 11-13	46	48	6
2009 Nov 20-22	44	49	7
2009 Nov 5-8	43	48	9
2009 Oct 1-4	51	41	8
2009 Sep 11-13	50	47	3
Gallup

If Congress is going to reform the healthcare system, should Congress deal with healthcare reform on a gradual basis over several years, or should Congress try to pass a comprehensive healthcare reform plan this year?

	Gradual basis	Pass comprehensive reform	No opinion
	%	%	%
2009 Oct 16-19	58	38	4
1994 Aug 8-9	68	28	5
1994 Jul 15-17	63	32	5
1994 Jun 25-28	62	33	5
1994 Jun 11-12	55	39	7
1994 Apr 16-18	59	37	4
Gallup

What do you, personally, see as the biggest problem with healthcare in the United States today? [OPEN-ENDED]

	2009 Sep 11-13
	%
Cost/Unaffordable	38
Too many uninsured	15
Insurance companies/Insurance company greed	13
Lack of availability/accessibility	8
Too many frivolous lawsuits/Medical malpractice	5
Too much bureaucracy/Government involvement	5
Overcharging/Excessive charges for medical procedures	3
Drug companies/Drug company greed	3
Problems with Medicaid/Medicare	3
Doctor/Hospital greed	3
Lack of portability of insurance	3
Illegal immigrants getting healthcare	2
Waste and fraud in the system	2
Cannot get insurance if have pre-existing condition	1
Other	2
Nothing (vol.)	3
No opinion	5
Percentages total more than 100% due to multiple responses
Gallup

If you had to choose, which goal would you say is more important in terms of healthcare -- [ROTATED: expanding healthcare coverage to include nearly all Americans (or) controlling rising healthcare costs in the U.S. today]?

	Expanding coverage	Controlling costs	Neither (vol.)	No opinion
	%	%	%	%
2009 Sep 11-13	39	59	1	1
(vol.) = Volunteered response
Gallup

As you may know, President Obama is proposing a healthcare plan that is designed to expand coverage to nearly all Americans without raising taxes on the middle class or lowering the quality of healthcare. If Obama's plan is passed, do you think it would or would not be able to accomplish all of these goals?

	Yes, will be able to	No, will not	No opinion
	%	%	%
2009 Sep 11-13	38	60	2
Gallup

How confident are you that most of the cost of President Obama's healthcare plan can be paid for through cost savings in Medicare and other parts of the existing healthcare system -- very confident, somewhat confident, not too confident or not confident at all?

	Very	Somewhat	Not too	Not at all	No opinion
	%	%	%	%	%
2009 Sep 11-13	11	32	19	37	1
Gallup

For each of the following health conditions, please say whether you think it is a very serious problem around the world, a somewhat serious problem or not a serious problem? How about -- [RANDOM ORDER]?

	Very serious	Somewhat serious	Not serious	No opinion
	%	%	%	%
HIV or AIDS
2007 Jun 11-14 ^	82	16	2	*
2006 Dec 8-10 ^	89	10	1	*
Cancer
2007 Jun 11-14 ^	79	20	1	1
2006 Dec 8-10 ^	87	11	1	--
Tuberculosis
2007 Jun 11-14 ^	24	51	23	2
2006 Dec 8-10 ^	31	48	17	3
Malaria
2007 Jun 11-14 ^	24	50	22	3
2006 Dec 8-10 ^	28	47	20	4
Poor nutrition
2007 Jun 11-14 ^	75	22	3	1
2006 Dec 8-10 ^	80	18	1	1
^ Asked of a half sample; * Less than 0.5%
Gallup

Healthcare System

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