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Dissatisfaction with aspects of the U.S. government remained the most important problem this month, while healthcare was not far behind in Americans' concerns.

Americans' confidence in the U.S. economy tumbled last week. Gallup's U.S. Economic Confidence Index dropped six points to a score of +5 -- the lowest weekly average since November.

Americans are more likely to say the 2010 healthcare law now upheld by the Supreme Court will hurt the national economy than help it, 46% to 37%.

Discover how Highmark Health employed strategies and tools to drive performance, embrace disruption and make healthcare better in the pandemic.

Thirty-five percent of Americans have a great deal or quite a lot of confidence in the U.S. medical system, down from 41% last year. Republicans' confidence fell by eight points this year; Democrats' fell by two.

Forty-eight percent of U.S. small-business owners say the Affordable Care Act is going to be bad for their business, 9% say it will be good, and 39% expect no impact. Forty-one percent are postponing hiring as a result of the law.

Two-thirds of Americans are satisfied with the way the healthcare system in the U.S. is working for them, little changed since mid-March. Those without health insurance and Republicans have the lowest satisfaction levels.

In the U.S., 65% are satisfied with the way the healthcare system works for them, down slightly from 67% in 2014. Those with government health plans are most satisfied, and Democrats are more satisfied than Republicans.

The uninsured rate among U.S. adults held steady at 12.2% in the fourth quarter of 2017, but is up 1.3 points since the end of 2016.

Four percent of Americans are newly insured this year. About half of this group obtained their new health insurance through a health exchange, and half got it using some other mechanism.