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Asked separately about three possible courses for the future of the Affordable Care Act, more Americans favor replacing it with federally funded health insurance for all Americans than favor either keeping it in place or repealing it.

Americans' views of the Affordable Care Act remain stable, with a slight majority, 53%, disapproving. More than four in 10 Americans want the law kept with major changes, while 37% want the law repealed and replaced.

The U.S. adult uninsured rate rose to 13.7% in the fourth quarter of 2018, its highest level since the first quarter of 2014.

Americans are split on whether they approve or disapprove of the Affordable Care Act, but overall, they are steadily seeing more benefits to the law since 2012.

Fifty-six percent of Americans say it is the federal government's responsibility to provide healthcare coverage for all Americans, the highest in 10 years.

Nine in 10 U.S. K-12 superintendents regard summer learning programs as important. Most say their district will maintain or increase program funding.

Americans' support for the Affordable Care Act remains basically unchanged since May; 44% currently approve of the law. Nearly three in 10 Americans say the law has hurt their family, the highest Gallup has measured to date.

Americans' favorable ratings of House Speaker Paul Ryan, who announced his retirement Wednesday, declined steeply in 2017.

Sixty-three percent of Americans describe the U.S. healthcare system as "in a state of crisis" or having "major problems"; this percentage has been lower only once before.

About one in four Americans report that they personally (15%) or they and a member of their household (9%) have a preexisting condition.