Mirroring the debate in Washington, most Americans agree that Medicare needs to undergo some form of change, but they're not in agreement on the nature of the reform.

According to a health poll from Truven Health Analytics, 65 percent of Americans believe changes need to be made to the federal health insurance system. Republicans—at 71 percent—felt stronger about the need for changes to the program than Democrats (58 percent). The highest rate (80 percent) of respondents who said they would favor changes to the Medicare system was among those who make over $100,000 per year.

Half said Medicare would benefit by encouraging competition within the program; 69 percent of Republicans and 31 percent of Democrats said changes to encourage competition were necessary.

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