"Determined to gain coverage" — that's the attitude of most U.S. adults when asked about their intentions regarding the health insurance that will be available through the Patient Protection and Affordable Care Act public insurance exchanges.

This message comes through clearly in the data gathered by The Commonwealth Fund, in a survey of exchange-eligible adults conducted in October — the first month the exchanges were, at least in theory, open for business.

Commonwealth wanted to find out how savvy consumers were at that point about the exchanges and whether they were more or less interested in obtaining insurance via the exchanges.

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