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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.

West Health-Gallup research examines how Americans rate the U.S. healthcare system, how cost impacts their ability to access care, and their worries about future affordability of care.

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%.

In the West Bank and East Jerusalem, the inability to afford food, economic pessimism and negative emotions remain higher than pre-war levels.

About one in three Gen Z adults feel at least somewhat prepared to use artificial intelligence at work, while 40% of middle and high school students believe they will be prepared to do so after graduation.

Keep up with how Americans react to the Trump administration and how society evolves with key Gallup trends.

Improving healthcare for veterans is Americans' top legislative priority for the president and Congress out of nine issues now or recently in the national spotlight. Passing equal pay legislation for women is a somewhat distant second.

The percentage of U.S. adults who anticipate high-quality lives in five years declined to 59.2% in 2025, the lowest level since measurement began in 2008.

In 2024, Gallup's global tracking reached a new milestone: 73% of adults worldwide said they feel safe walking alone at night in their city or area.