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The affordability of health care is high on the public’s list of the biggest problems in the country today, with 56% of adults describing this as “a very big problem” and an additional 30% rating it “a moderately big problem.”
Health care costs is the only issue of the 15 asked on the survey seen as a very big problem by a majority of Americans, though about half say that the federal budget deficit (49%), violent crime (48%), illegal immigration (48%) and gun violence (48%) are very big problems. A similar share (47%) name the coronavirus outbreak as a very big problem – though that is down significantly from last summer, when nearly six-in-ten (58%) said this.
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All of the 15 problems in the survey are seen as at least moderately big problems by a majority of the public. However, Americans differ over the severity of these problems.
For example, nearly a quarter of adults (23%) say sexism is a very big problem – the lowest share of any issue asked about –while 36% view sexism as a moderately big problem. Just one-in-ten say that sexism is not a problem at all, while 30% say it is a small problem.
As the Biden administration makes the case for massive new investment in the nation’s infrastructure, the condition of roads, bridges and other infrastructure ranks relatively low on the list of major problems facing the country. About a third of adults (34%) say the condition of infrastructure is a very big problem, four-in-ten say it is a moderately big problem, and a quarter say it is either a small problem (23%) or not a problem (2%).
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Though neither domestic nor international terrorism ranks among the public’s top problems, roughly a third of Americans (35%) say domestic terrorism is a very big problem in the country today, while a smaller share (26%) says the same about international terrorism.
Gun violence, the affordability of health care, the coronavirus outbreak and racism are each seen as very big problems facing the country today by two-thirds or more Democrats and Democratic leaners.
By contrast, far fewer Republicans say these are major problems in the country. Four-in-ten say health care affordability is a very big problem, and only about two-in-ten rate the coronavirus and gun violence as very big problems.
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The extent to which climate change and economic inequality are viewed as very big problems is similarly split along partisan lines. About six-in-ten Democrats say each of these are very big problems, while just 21% of Republicans say economic inequality is a very big problem and even fewer (14%) say this about climate change.
By contrast, illegal immigration and the federal budget deficit are the top problems identified by Republicans. About seven-in-ten say both of these are very big problems for the country. Only about three-in-ten Democrats identify these issues as very big problems.
Since last summer, Republicans and Democrats have diverged sharply in their views of whether the federal budget deficit represents a very big problem. Today, 71% of Republicans say the federal budget deficit is a very big problem – 22 percentage points higher than the share saying this in June 2020. By comparison, about three-in-ten Democrats (31%) now say the deficit is a very big problem – 14 points
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As a result, Republicans are now 40 percentage points more likely than Democrats to say the deficit is a very big problem, a stark contrast to the lack of a substantial partisan gap in these views 10 months ago.
The shares of both Republicans and Democrats who say the coronavirus outbreak is a very big problem have decreased since June, though this decline has been steeper among Republicans (a 16 percentage point change) than among Democrats (8 points).
The share of the public viewing unemployment as a very big problem for the country has declined since last June from 50% to 41% (when national unemployment was substantially higher than it is today). The share of Democrats who say unemployment is a very big problem has fallen from 61% to 45% over this period, while the share of Republicans saying this is unchanged (36% then and now).
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Since 2018, the share of Democrats who say the affordability of health care is a very big problem has decreased by 10 percentage points, while the share of Republicans who say this has decreased by 18 points. The shares who say economic inequality is a very big problem have also decreased among members of both parties in recent years.
A similar share of Democrats say that the condition of infrastructure is a very big problem (44%) as said this in 2016 (41%). Republicans have become somewhat less likely to describe the condition of infrastructure as a very big problem (23% in 2021 vs. 32% in 2016).
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When asked to consider the major problems facing the country, the affordability of health care and drug addiction top the American public’s list.
Other issues, including illegal immigration and climate change, are seen as less pressing, due in part to stark partisan disagreements over the importance of these issues.
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Two-thirds of Americans view the affordability of health care as a very big problem for the country today, while another 26% say it is a moderately big problem. Fewer than one-in-ten say affording health care is a small problem (6%) or not a problem at all (2%).
A comparable majority says drug addiction is a major problem: 64% say it is a very big problem in the country and 28% say it is a moderately big problem.
Narrower majorities say the affordability of a college education (55%) and the federal budget deficit (53%) are very big problems in the country. About half say this about climate change (48%).
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Somewhat smaller shares of the public cite other issues as very big problems for the country. For instance, 43% say this about illegal immigration and 39% say this about terrorism.
Sexism and job opportunities rank at the bottom of the public’s list of problems in the country. At a time when the public holds positive views of the economy overall, just 25% say job opportunities for all Americans is a very big problem. About the same share (26%) calls sexism a very big problem.
For the most part, assessments of the pressing problems facing the U.S. have not changed a great deal in recent years. However, the shares of Americans who say that terrorism and job opportunities for all Americans are very big problems have declined substantially since November 2016, shortly before the presidential election. At that time, 53% viewed terrorism as a very big problem; today, 39% express this view. And the share who view job opportunities as a very big problem is only about half the level it was three years ago (25% now, 47% then).
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As in the past, there are wide partisan differences on the perceived seriousness of most of the problems asked about in the survey. Democrats and Democratic-leaning independents are far more likely than Republicans and GOP leaners to say several concerns are very big problems – especially climate change, economic inequality and racism.
Majorities of Democrats say all three are very big problems, compared with fewer than a quarter of Republicans. For example, 73% of Democrats say climate change is a very big problem, compared with just 17% of Republicans. (For more on partisanship and views of climate change, see “U.S. Public Views on Climate and Energy.”)
Republicans, by contrast, are more likely to say illegal immigration is a very big problem. Two-thirds of Republicans say illegal immigration is a very big problem; the only problem cited by similar shares of Republicans is drug addiction (68%). Just 23% of Democrats cite illegal immigration as a very big problem, the lowest share for any of the 11 issues included in the survey.
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There are a handful of issues that are viewed similarly across partisan lines: Majorities in both parties say drug addiction is a very big problem, though Republicans are more likely than Democrats to express this view (68% vs. 61%). About half of Republicans (54%) and Democrats (52%) say the federal budget deficit is a very big problem. Terrorism ranks relatively low as a concern among Republicans (41%) and Democrats (36%).
Among Democrats and Republicans, there are areas of ideological agreement – and some notable differences – on the severity of problems in
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