e health care system--although more Republicans than Democrats said there was only a need for minor changes (35% vs. 11%). Similarly, large majorities of both the uninsured and insured supported major changes in the current system.

Adults who had experienced serious problems with their care were more likely to say the system needs to be completely rebuilt compared to those reporting no serious problems. Forty-three percent of those who had experienced a medical error in the past two years said the system needs to be rebuilt, compared with 27 percent of those who did not experience a medical error.

Asked about the importance of health care policy actions for President and Congress, survey respondents said the four top priorities were: ensuring that all Americans have adequate and reliable health insurance, controlling the rising costs of medical care, lowering the cost of prescription drugs, and ensuring that Medicare remains financially sound long-term.

Americans Are Concerned About the Future Schoen and her co-authors note that "health insecurity is moving up the income ladder." The survey found that half of adults with incomes up to $75,000 a year worry they won't get high quality health care when they need it. About half (48%) of all adults are very or somewhat worried about their ability to afford the health care they or their families might need in the future.

Other key findings from the survey include: · About two of five adults (39%) report that time spent on paperwork or disputes related to medical bills and health insurance is a serious problem. · Thirty-nine percent of adults said they experienced serious problems getting timely appointments to see doctors. · 94% said it is important that they have easy access to their medical records. · 95% felt it is important to have information about the quality of care provided by doctors and hospitals. · 87% of respondents think it is important for insurance com
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