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Despite media reports that the U.S. economy is strong, productivity has been trending down for decades. America needs more entrepreneurs.

Americans are expressing near record enthusiasm for voting in this year's midterm elections, driven by strong interest from both parties.

The job approval ratings for President Trump (37%) and Congress (20%) are little changed from before the government shutdown.

Congressional job approval stands at 21% in October, largely unchanged after the Brett Kavanaugh hearings but improved from lows earlier this year.

The percentage of Americans putting off medical treatment due to costs remains steady, but rates are still up from over a decade ago, suggesting rising costs are winning out over healthcare reform.

In early November, about one in six Americans approved of Trump on the economy but not on healthcare. Addressing their concerns could have helped the GOP electorally.

After the midterm elections, U.S. satisfaction has dipped to 31%, and mentions of immigration and healthcare as the most important problem have fallen. The government is again the top overall problem.

Democrats' views of the healthcare industry have soured since Trump took office, while Republicans' views have recovered to their pre-Obama levels.

Twenty-seven percent of Americans say they have a long-term medical condition, illness or disease that would be considered a "pre-existing condition."

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.