U.S. Healthcare Quality Ratings Among Lowest Since '12
by Megan Brenan
- 77% rate the quality of their own healthcare as "excellent" or
- Ratings of personal coverage and cost have edged up since 2016
- Worst rating for national healthcare coverage since 2008
WASHINGTON, D.C. -- After multiple unsuccessful attempts by Republicans
to dismantle the Affordable Care Act this year, Americans continue to
be more positive about their own healthcare than the nation's healthcare
as a whole when evaluating each on quality, coverage and cost.
Americans' ratings of the cost and coverage of their personal healthcare
have become a bit more positive since last year. But their rating for
national healthcare coverage is the lowest since 2008, before the passage
of the ACA.
The public still rates the quality of both positively, although the rating
Americans give to the quality of the personal care they receive is down
slightly from where it was after the ACA passed in 2010.
The latest results are from Gallup's annual Health and Healthcare survey,
conducted Nov. 2-8.
The 77% of U.S. adults who say the quality of their own healthcare is "excellent"
or "good" is well above the 54% who say the same about healthcare
quality in the U.S. overall. The average 24-percentage-point difference
between the two measures since 2001 represents the smallest personal-national
gap of the three dimensions of healthcare that Gallup tests.
Today's positive ratings of healthcare quality, both personally and
nationally, are slightly below the historical highs. Eighty percent or
more rated their personal healthcare as excellent or good from 2001 through
2004, and again from 2007 through 2012. Perceptions of healthcare quality
in the U.S. rose to 62% after the passage of the Affordable Care Act in
2010 and matched that reading again in 2012.
Majority Rates Personal Healthcare Coverage High, National Coverage Much Lower
Turning to their healthcare coverage, seven in 10 Americans rate their
own coverage "excellent" or "good." Since last year,
the percentage giving these responses has risen five points. Meanwhile,
the 29% with a positive assessment of coverage nationally is down four
points from last year and is the lowest it has been since 2008.
Majority Satisfied With Personal Healthcare Costs, but Not With National Costs
Gallup measures Americans' views of healthcare costs by asking if they
are satisfied or dissatisfied with their own costs and with healthcare
costs nationally. One in five (20%) are satisfied with the total cost
of healthcare in the U.S. this year, consistent with most of the yearly
readings since 2002. At the same time, three times as many, 61%, are satisfied
with the total cost of their own healthcare. This represents a five-point
uptick from last year but is largely consistent with the general trend
The highest satisfaction with personal and national healthcare costs was
in 2001, at 64% and 28%, respectively.
Since 2001, Gallup has found that Americans' assessments of their own
healthcare -- its quality, coverage and costs -- are typically better
than their assessments of healthcare in the country overall. This is consistent
with a larger pattern found in Gallup research on such topics as
The Trump administration and congressional Republicans have thus far been
unable to dismantle the ACA despite multiple attempts during the past
year. Over that period, Americans' ratings of their personal coverage
and cost have edged up, a finding that is contrary to Republican arguments
for repeal of the law.
Results for this Gallup poll are based on telephone interviews conducted
Nov. 2-8, 2017, with a random sample of 1,028 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. All reported
margins of sampling error include computed design effects for weighting.
Each sample of national adults includes a minimum quota of 70% cellphone
respondents and 30% landline respondents, with additional minimum quotas
by time zone within region. Landline and cellular telephone numbers are
selected using random-digit-dial methods.
View survey methodology, complete question responses and trends.
Learn more about how the
Gallup Poll Social Series works.