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Although support for a government-run healthcare system has edged up in the past five years, the majority of Americans continue to prefer a system based on private health insurance.

By a 52% to 39% margin, a majority of Americans support Joe Biden over Donald Trump to lead the U.S. healthcare system most efficiently amid COVID-19.

Since key provisions of the Affordable Care Act took effect, fewer U.S. adults lack health insurance and have difficulty affording the care or medicines they need, but they remain concerned about the cost and quality of healthcare.

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Republicans' satisfaction with U.S. healthcare costs jumped to 43%, from 26% in 2018. Democrats' satisfaction fell to 9%, from 13% last year.

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.

Gallup will release the findings of its annual Health and Healthcare survey in the coming weeks.

Americans name the Affordable Care Act, also known as Obamacare, as President Barack Obama's biggest accomplishment and his biggest failure, says Gallup Editor-in-Chief Frank Newport.

Americans' political identities are powerful drivers of views on healthcare, making it hard to change public opinion on healthcare-related policy issues.

Americans are not opposed to reforming the tax system but don't want tax cuts for the wealthy or corporations. They also support changing the ACA but not necessarily repealing it.