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Americans are more negative than positive when it comes to the healthcare law's impact on their family and on the U.S. in general. The uninsured are slightly more likely to see the law as a positive, but even they are somewhat divided.

Gallup World Poll data show a strong association between people's satisfaction with local conditions and their confidence in national institutions.

Gallup analyzes the public opinion context surrounding many of the proposals and statements President Barack Obama made in his Tuesday State of the Union address.

Seven in 10 Americans say they would prefer that primary care providers ask about both mental and physical health concerns during appointments.

Twenty-eight percent of uninsured Americans say they are more likely to pay the fine for not having health insurance than to obtain insurance, as required by the healthcare law. Politics appear to be a major factor in that decision.

Nearly one-quarter of Americans (23%) say cost is the most urgent health problem facing the U.S., surpassing healthcare access for the first time since 2006. Obesity remains the No. 1 health condition named.

Because of better wellbeing, residents of the Beach Cities in Southern California have much lower per-person healthcare expenditures than do Americans overall.

Americans' views about the Affordable Care Act are more positive now than they were last fall, although they are still more negative than positive. Half disapprove of the law, while 44% approve -- the narrowest gap since 2013.

With the Supreme Court set to rule on the 2010 healthcare law, Americans' confidence in the U.S. medical system is greater now (41%) than before the law passed (36%), though not substantially higher than its historical average of 39%.

Of 17 policy goals, Americans are most optimistic about Donald Trump's ability to control immigration and most pessimistic about his ability to heal political divisions in the U.S.