Health care was cited by 35% of Americans as the most important challenge facing the nation.

It is the first time in the Bloomberg poll's history that respondents have said health care is the most pressing issue. Since it was first included in July 2010 as a response to the question of which issue is most important, health care has never been cited by more than 20% of Americans as most pressing and has never outranked all other issues.

Unemployment and jobs, terrorism or government spending have typically been mentioned as the most important issue.

Unemployment and jobs ranked as the second most cited issue in the poll, with 13% of Americans rating it most important. Eleven percent said terrorism was most important, while immigration and climate change were both rated most important by 10% of respondents.

The poll was conducted in English from July 8 to 12, based on interviews with 1,001 US adults ages 18 and older and has a +/- 3.1 percentage point margin of error. The pollsters dialed numbers from random samples of both landlines and cell phones.

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Poll: Americans say health care is most important issue - CNN International