WASHINGTON -- As President Donald Trump completes his first year in office, Americans are increasingly concerned about health care, and their faith that government can fix it has fallen.
A new poll by The Associated Press-NORC Center for Public Affairs Research finds that 48 percent named health care as a top problem for the government to focus on in the next year, up 17 points in the last two years.
The poll allows Americans to name up to five priorities and found a wide range of top concerns, including taxes, immigration and the environment. But aside from health care, no single issue was named by more than 31 percent.
And 7 in 10 of those who named health care as a top problem said they had little to no confidence that government can improve matters. The public was less pessimistic in last year's edition of the poll, when just over half said they lacked confidence in the problem-solving ability of lawmakers and government institutions.
"We are way up there on the cost, and as far as giving good health care, we are way down," said Rebekah Bustamante of San Antonio, a retired medical imaging technician. "Now in health care, you're a number."
Bustamante said she voted for Trump, but "he's learning on the job, and he's got a long way to go."
Trump initially promised his own plan that would deliver "insurance for everybody" and "great" health care, "much less expensive and much better." But the White House never released a health care proposal from the president.
GOP legislation to repeal and replace former President Barack Obama's health care law failed in Congress, although the tax bill scraps the Obama requirement that most people get health insurance. Bloodied on both sides, Republicans and Democrats seem to have battled to an uneasy draw on health care.
Meanwhile, conflicting policy signals from Washington, including an abrupt White House decision to cancel insurer subsidies, roiled insurance markets. Premiums on health plans purchased by individuals jumped by double digits. Progress reducing the number of uninsured stalled, and one major survey found an uptick this year.
"There is zero bipartisanship, and it's frustrating," said Eric Staab, a high school teacher from Topeka, Kansas. "It seems like we have thrown everything at this dartboard, and nothing is improving the coverage."
Rumblings of discontent have political repercussions for next year's midterm elections and the presidential contest in 2020, said Robert Blendon, a professor at the Harvard T.H. Chan School of Public Health, who follows opinion trends on health care.
"It's the issue that won't go away," said Blendon. "Given the news cycle, taxes should be first, the economy should be second, and this health care thing should be buried."
FEATURED PHOTO: Retired family physician Jay Brock of Fredericksburg, Va., joins other protesters against the Republican health care bill July 17 outside the office of Senate Majority Leader Mitch McConnell of Ky., on Capitol Hill in Washington. (Manuel Balce Ceneta/AP)