People in general just aren't that happy with their health coverage, no matter the provider. But Medicare enrollees are giddy with delight about their insurance compared to those who receive health insurance courtesy of the Patient Protection and Affordable Care Act.

Yet those covered with an exchange plan appear to be increasingly taking their insurance plan design, and medical care, into their own hands. That suggests that the president's effort to educate the public about insurance and medical care is working.

Such is the gist of a study released Monday by consulting firm Deloitte, via an internal research arm.