Half say America's system of democracy needs either "a lot of changes" or a complete overhaul, according to the poll conducted by the AP-NORC Center for Public Affairs Research. Just 1 in 20 says it works well and needs no changes.
Americans, who have a reputation for optimism, have a sharply pessimistic take on their government after years of disappointment in Washington.
The percentage of Americans saying the nation is heading in the right direction hasn't topped 50 in about a decade. In the new poll, 70 per cent lack confidence in the government's ability "to make progress on the important problems and issues facing the country in 2014."
People feel somewhat better about their personal lives. Most have at least some confidence that they'll be able to handle their own problems in the coming year. A narrow majority say they'd do a better job running the country than today's leaders in Washington.
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Local and state governments inspire more faith than the federal government, according to the poll, with 45 per cent at least moderately confident in their state government and 54 per cent expressing that much confidence in their local government.
Jobs and the economy were next, followed by the nation's debt and deficit spending.
Some issues that draw ample media and campaign attention rank lower in the public's priorities. No more than 3 per cent of Americans listed gay rights, abortion or domestic spying as prime topics for government action.
For instance, 86 per cent of those who called health care reform a top priority said they want the government to put "a lot" or "a great deal" of effort into it. But about half of them (49 per cent) are "not at all confident" there will be real progress, and 20 per cent are only "slightly confident.