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Concerns about and dissatisfaction with healthcare costs in the U.S. underscore Americans' belief that the nation's healthcare system is highly flawed.

Since President Joe Biden took office, Americans' satisfaction with specific aspects of the country has mostly stalled or diminished, falling most on the nation's military strength, immigration, gun policy and energy policy.

Gallup data reveal a growing housing affordability crisis in wealthy countries that affects not just economies and politics, but also people's wellbeing.

Majorities are dissatisfied with the United States' global position, think the U.S. is viewed unfavorably and believe world leaders do not respect Biden.

Americans' level of satisfaction with Social Security and Medicare is a modest 45%, but these programs are still among the more positively viewed aspects of the country today.

Less than half of people in 66 countries are satisfied with efforts to preserve the environment. In the U.S., one of the largest CO2 emitters, 48% are satisfied.

A record-high 63% of Americans are dissatisfied with U.S. gun laws, marking a seven-point increase over the past year. Democrats are far less satisfied than Republicans.

Two-thirds of Americans want the U.S. to play a leading or major role in trying to solve international problems.

Whether reflecting the remnants of the pandemic or the difficulty of inflation, Americans remain sour about the state of the union.

Americans' views of national conditions remain sour, with 18% satisfied with the way things are going and the Economic Confidence Index holding at -43.