Most Americans (66%) say the federal government has a responsibility to make sure all Americans have health care coverage. Far fewer (33%) say it does not.

Pew Research Center conducted this analysis to understand public opinion on the government’s role in providing health insurance.

For this analysis, we surveyed 10,357 U.S. adults from Nov. 17 to 30, 2025. Everyone who took part in this survey is a member of the Center’s American Trends Panel (ATP), a group of people recruited through national, random sampling of residential addresses who have agreed to take surveys regularly. This kind of recruitment gives nearly all U.S. adults a chance of selection.

Interviews were conducted either online or by telephone with a live interviewer. The survey is weighted to be representative of the U.S. adult population by gender, race, ethnicity, partisan affiliation, education, presidential vote (among voters) and other factors. Read more about the ATP’s methodology.

Here are the questions used for this analysis, the topline and the survey methodology.