This research uses data from an online survey to examine the attitudes and perceptions of U.S. adults toward the health care system, and health care reform. Analysis of 185 participant survey responses provides evidence that current trends may differ from the findings of previous research on these perceptions. Measured were socioeconomic status, political affiliation, and media influence on perspectives and experiences with regard to the U.S. health care system and the Affordable Care Act of 2010. For example, political affiliation may play a stronger role than education or income level when it comes to satisfaction with health care delivery or extending coverage to all legal US residents. This research may provide insight into more effective ways to inform citizens of issues related to health and well-being of the nation.