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A new Gallup poll reveals what many already know: “Nearly one-quarter of Americans (23%) say cost is the most urgent health problem facing the U.S. today, a four-percentage-point increase since last year that has allowed it to surpass access as the most pressing issue. ”

Indeed, the change at the top of the poll is notable as “Americans named access as the top problem from 2007-2012.”

And what are the issues beyond cost: “Among actual health ailments, obesity ranks first, with 13% naming it. This figure is in line with last year, when an unprecedented 16% saw obesity as the main culprit bedeviling the nation's health. Simultaneously, cancer, the second-leading cause of death in America, has fallen to fourth place on the list. Two percent mention heart disease, the nation's leading cause of death.”

Of course, the poll comes at the Affordable Care Act is prominent in the news. Reports Gallup: “Two of the main issues the law is designed to address — healthcare access and cost — remain the most vexing to Americans. In particular, the percentage citing cost as the central problem is the highest since 2008.”