Nearly 1 in 4 Americans believe the U.S. health care system is in crisis, and high costs are the top reason why, the results of a new poll suggest.

The data, released Monday by Gallup Inc., showed that 29% of adults consider the biggest health problem facing the country to be the cost of care.

Another 23% said the health care system is either in crisis or has major problems, one of the highest levels Gallup has ever recorded.

Gallup surveyed about 1,300 adults between Nov. 3 and Nov. 25. The results have a margin of error of plus or minus three percentage points.

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