AS THE POLL TURNS... It's good, every once in awhile, to dig through a comprehensive poll and see where the country's at. For instance, I wasn't aware that only 20 out of every 100 people approved of George W. Bush's job performance. I thought he'd have at least, oh, four more supporters in there. And I am surprised that only 23% of the country thinks the country is on the right track. That matches the low from May 2006, and the two are lower than at any point in the past 25 years. Bush's foreign policy and Iraq ratings have cratered, of course, but support for his handling of terrorism has also drifted downward, hitting a new low of 40% (53% disapprove). And only 24% approve his handling of health care, despite the fact that he used much of the State of the union to announce a new initiative on the subject. Indeed, health care appears to be rising in salience, as 55% name "health insurance for all" as more important than reducing taxes, strengthening immigration laws, or even promoting traditional values. Further, 62% say the Democrats are the likeliest to improve the health care system, while only 19% name the Republicans. As it is, 54% of the country wants fundamental changes to the system, while 36% want to completely rebuild it. That's the highest number since 1993 -- and it's notable that it's not coming amidst a recession. This is an enduring trend, not a temporary squeeze. Indeed, 57% are dissatisfied with the quality of health care in the country, even as 77% are generally satisfied with the quality of care they receive. The unhappiness manifests in the next question, wherein 60% are dissatisfied with the overall cost of care, 52% are upset about what they personally pay. What surprised me is that 61% say providing care to the uninsured is more important than keeping costs down for average Americans. 95% think the uninsured are a serious problem, and 63% think the government should guarantee care for all Americans. This drops, however, to 48% if it means individual costs will rise. That said, 76% say access to insurance is more important than retaining Bush's tax cut,s suggesting that John Edwards' formulation of using the cuts to pay for care may resonate. Indeed, 60% are willing to pay more in taxes to guarantee care and 49% remained willing when the pollsters specified an extra $500 in taxes per year. These anxieties may be part of the reason the Republican Party is in such an image crisis, with only 34% rating them favorably, as compared to 48% approving of the Democrats. That's a moderately low number for the Dems, but an atypical pit for the Republicans. All this suggests health reformers have a real opportunity. But these numbers that existed in early 90s -- and reformers failed. The difference, though, is that the early 90s was a serious recession. The current anxiety comes from enduring trends in the system, and so may prove a more stable base for change. --Ezra Klein