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High Quality Content by WIKIPEDIA articles! Public opinion on health care reform in the United States is mixed. A majority of Americans express a desire for health care reform because they see it as too expensive and because they perceive that insurance companies avoid meeting health costs through coverage exclusions, caps, and co-pays. They also express concern that the system as a whole does not cover everyone and that many people are under-insured or uninsured. A majority support the creation of a government-run insurance plan to compete with private insurers, known as a public option, and a significant minority support a single-payer health care system. Around 80% say they are satisfied with the health care they receive, and around 70% say they are satisfied with their coverage.