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Americans' ratings of the quality and coverage of healthcare in the U.S. have been steady for the past few years, but are down from the first years of Barack Obama's presidency. Views have not improved since the Affordable Care Act passed.

Despite major changes in the U.S. healthcare system since 2010, Americans' overall satisfaction with their healthcare costs and quality have been generally stable over the past 14 years.

Fifty-two percent of Americans disapprove of the 2010 Affordable Care Act, which is a slightly more negative evaluation than Gallup found in July. Approval is also down slightly since then.

Americans with government-sponsored insurance are the most likely to be satisfied with the way the healthcare system works for them, while those without insurance are least likely to be satisfied.

Democrats view two Republican-appointed Supreme Court justices -- Anthony Kennedy and John Roberts -- more positively than Republicans do. Republicans are more positive toward another GOP appointee, Antonin Scalia.

After key Supreme Court decisions legalized same-sex marriage and upheld the healthcare law, a record-low 18% of Republicans approve of the job the court is doing. With 76% of Democrats approving, the party gap is the largest to date.

Shortly after the Supreme Court turned back another legal challenge to the Affordable Care Act in late June, Americans' views of the law improved. Yet as many still disapprove of the law as approve of it.

Americans' satisfaction with the way the government handles healthcare is up sharply from 2013. Overall, Americans are most satisfied with the government's mail delivery and least satisfied with its efforts to handle poverty.

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.

The percentage of Americans mentioning terrorism as the most important problem facing the U.S. is at its highest level since January 2010, at 8%. Government dissatisfaction and the economy are still the top overall problems.