Six in Ten Americans Think the Country is Off on the Wrong Track

Two in Five Worry Most About Healthcare

The author(s)

  • Chris Jackson Vice President, US, Public Affairs
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Washington, DC, April 11, 2019 –  The majority (63%) of Americans think the country is heading in the wrong direction, a sentiment that has not changed since the beginning of the year (62% in January 2019). Thirty-seven percent of Americans think the country is heading in the right direction. Americans are also slightly less optimistic than the global average (42%).
Healthcare (39%) continues to be the topic that Americans find the most worrying. The number two issue most cited by Americans is immigration control (28%), which is down six points since last month (34%). Financial and political corruption (28%) is also tied with immigration as the second most worrying issue. Other issues that Americans find the most worrying are moral decline (26%), crime and violence (22%), poverty and social inequality (21%), climate change (21%), rise of extremism (19%) and terrorism (18%).

Top five issues in the United States:

  • Healthcare (39%)
  • Financial/Political Corruption (28%)
  • Immigration Control (28%)
  • Moral Decline (26%)
  • Crime and Violence (22%)

Top five global issues:

  • Financial/ Political corruption (34%)
  • Poverty/Social Inequality (34%)
  • Unemployment (33%)
  • Crime & Violence (31%)
  • Healthcare (24%)

About the Study

The survey is conducted monthly in 28 countries around the world via the Ipsos Online Panel system. The countries included are Argentina, Australia, Belgium, Brazil, Canada, Chile, China, France, Great Britain, Germany, Hungary, India, Israel, Italy, Japan, Malaysia, Mexico, Peru, Poland, Russia, Saudi Arabia, Serbia, South Africa, South Korea, Spain, Sweden, Turkey and the United States of America. An international sample of 20,019 adults aged 18-64 in Canada, Israel and the US, and aged 16-64 in all other countries, were interviewed between February 22 and March 8, 2019.

Approximately 1000+ individuals participated on a country by country basis via the Ipsos Online Panel with the exception of Argentina, Belgium, Hungary, India, Israel, Mexico, Peru, Poland, Russia, Saudi Arabia, South Africa, South Korea, Sweden and Turkey, where each have a sample of approximately 500+. Weighting has been employed to balance demographics and ensure that the sample’s composition reflects that of the adult population according to the most recent country census data.

 A survey with an unweighted probability sample of this size would have an estimated margin of error of +/- 3.1 percentage points for a sample of 1,000 and an estimated margin of error of +/- 4.5 percentage points for a 500 sample 19 times out of 20.

In 17 of the 28 countries surveyed internet penetration is sufficiently high to think of the samples as representative of the wider population within the age ranges covered: Argentina, Australia, Belgium, Canada, France, Germany, Hungary, Israel, Italy, Japan, Poland, Serbia, South Korea, Spain, Sweden, Great Britain and United States. Brazil, Chile, China, India, Malaysia, Mexico, Russia, Peru, Saudi Arabia, South Africa and Turkey have lower levels of internet penetration and so these samples should not be considered nationally representative, and instead be considered to represent a more affluent, connected population.  These are still a vital social group to understand in these countries, representing an important and emerging middle class.




The author(s)

  • Chris Jackson Vice President, US, Public Affairs