Exhibit 1. Majority of Americans Say Health Care System Needs Fundamental Change or Complete Rebuilding Percent reporting Only minor changes needed Fundamental.

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Exhibit 1. Majority of Americans Say the Health Care System Needs Fundamental Change or Complete Rebuilding Percent reporting Only minor changes needed.

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Exhibit 1. Majority of Americans Say Health Care System Needs Fundamental Change or Complete Rebuilding Percent reporting Only minor changes needed Fundamental changes needed Rebuild completely Total Annual income <$35, $35,000–$49, $50,000–$74, $75,000 or more Insurance status Insured all year Uninsured during year U.S. region Northeast North Central South West Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.

Exhibit 2. Access Problems: Three of Four Adults Have Difficulty Getting Timely Access to Their Doctor Percent reporting that it is very difficult/difficult: Getting an appointment with a doctor the same or next day when sick, without going to ER Getting advice from your doctor by phone during regular office hours Getting care on nights, weekends, or holidays without going to ER Any of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.

Number of Doctors Seen Percent reporting in past two years:Any1 to 23 + After medical test, no one called or wrote you about results, or you had to call repeatedly to get results Doctors failed to provide important information about your medical history or test results to other doctors or nurses you think should have it Test results or medical records were not available at the time of scheduled appointment Your primary care physician did not receive a report back from a specialist you saw Your specialist did not receive basic medical information from your primary care doctor Any of the above Exhibit 3. Poor Coordination of Care Is Common, Especially if Multiple Doctors Are Involved Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.

Exhibit 4. Potential Waste: One-Third of Adults Experience Duplicative or Unnecessary Care Percent reporting in past two years: Doctors ordered a test that had already been done Doctors recommended unnecessary treatment or care, with little health benefit Either/both of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.

Exhibit 5. Administrative Hassles Related to Medical Bills and Insurance Are Serious Problems for More Than a Quarter of Adults Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Percent reporting serious problems spending time on paperwork or disputes related to medical bills and health insurance in past two years

Percent reporting it is very important/important that: Total: Very important or important Very importantImportant You have one place/doctor responsible for primary care and coordinating care On nights and weekends, you have a place to go besides ER You have easy access to your own medical records All your doctors have easy access to your medical records You have information about the quality of care provided by different doctors/hospitals You have information about the costs of care to you before you actually get care Exhibit 6. Majority Support More Accessible, Coordinated, and Well-Informed Care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Note: Subgroups may not sum to total due to rounding.

Percent reporting very important/important for improving patient care: Total: Very important or important Very importantImportant Doctors use computerized medical records Doctors can access your tests results, such as lab tests or X-rays, electronically Doctors can share information electronically with other doctors Doctors prescribe your medications electronically Exhibit 7. Strong Support for Use of Information Technology to Improve Patient Care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Note: Subgroups may not sum to total due to rounding.

Exhibit 8. Few Adults Have Internet/ Access to Their Records or Doctors; Many Would Like It Among those with Internet access, percent reporting ability to: Access your medical records via the Internet Schedule appointments via or Internet Communicate with your doctors via Yes Among those who cannot do any of the above: Would like to be able to Would not like to be able to Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.

Exhibit 9. Support for Doctors Working in Teams and Groups to Improve Patient Care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Percent reporting very important/important for improving patient care

Exhibit 10. Political Support for Change: Majority Think Next President Should Address Health Care Quality, Costs, and Coverage Percent reporting very important/ important presidential candidates include measures to: Improve the quality of health care Ensure care and insurance are affordable Decrease the number of uninsured Total Annual income Less than $35, $35,000–$49, $50,000–$74, $75,000 or more U.S. region Northeast North Central South West Political affiliation: Democrat Independent Republican Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2008.