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 the 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, 2011.

Exhibit 2. Access Problems: More Than Two of Three 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 the emergency room Getting advice from your doctor by phone during regular office hours Getting care on nights, weekends, or holidays without going to the emergency room Any of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.

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, 2011.

Percent reporting in past two years: Surgical or medical error or mistake, including wrong drug dose or lab results You or a family member ended up with an infection or complication as a result of medical care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Exhibit 4. Medical Errors Are Common Either/both of the above

Exhibit 5. Potential Waste and Inefficiency: More Than Half of Adults Experience Wasteful and Poorly Organized Care Percent reporting in past two years: Doctors ordered a test that had already been done Time spent on paperwork related to medical bills and health insurance a problem Any of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Health care system poorly organized

Exhibit 6. 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

Exhibit 7. More Than One-Third of Adults Changed Their Health Insurance Plan Within the Past Three Years Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Percent reporting number of times health insurance plan changed in past three years Required to change physicians when changing health plans Health plan change was involuntary Of those with health plan change in past three years, percent reporting: 47 17

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 other than the emergency room 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 to you of care before you actually get care Exhibit 8. Majority Support More Accessible, Coordinated, and Well-Informed Care Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.

Exhibit 9. Widespread Support for Medical Homes NE=Northeast; NC=North–Central; Dem=Democrat; Rep=Republican; Ind=Independent. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Percent reporting importance of having one place/doctor responsible for primary care and coordinating care U.S. regionPolitical affiliation

Exhibit 10. Support for Doctors Working in Teams and Groups to Improve Patient Care Note: Subgroups may not sum to total because of rounding. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Percent reporting it is very important/important for improving patient care

Exhibit 11. Strong Support for Use of Health Information Technology to Improve Patient Care Note: Subgroups may not sum to total because of rounding. Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Percent reporting it is very important/important for improving patient care

Exhibit 12. 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 Order or refill a prescription using the Internet 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, 2011.

Percent reporting in past two years: Problem paying medical bills Problem that insurance denied payment for medical care or did not pay as much as expected Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, Exhibit 13. Difficulty Paying Medical Costs Either/both of the above

Exhibit 14. Three of Four Adults Are Worried About the Future Percent very or somewhat worried when looking into the future: Will not get high-quality care when needed Will not be able to pay your medical bills in the event of serious illness Either/both of the above Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.

Exhibit 15. Majority Think Private Insurers and Public Payers Should Work Together to Negotiate Pricing and Improve Quality Percent reporting it is very important/important that private insurers and public payers such as Medicare: Negotiate prices together with hospitals and doctors Negotiate prices together with pharmaceutical, medical device, and imaging companies Identify and reward doctors and hospitals who excel in delivering high- quality care Total Annual income Less than $35, $35,000–$49, $50,000–$74, $75,000 or more U.S. region Northeast North–Central 8389 South West Political affiliation Democrat Independent Republican Source: Commonwealth Fund Survey of Public Views of the U.S. Health Care System, 2011.