have poorer health or lower incomes. adults in high-deductible health plans are far more likely to delay or avoid getting needed care, or to skip medications, because of the cost. problems are particularly pronounced among those with poorer health or lower incomes. few americans in any health plan have the information they need to make decisions. just 12 to 16 percent of insured adults have information from their health plan about the quality or cost of care provided by their doctors and hospitals. some policy analysts say that consumer satisfaction doesn't reflect quality of health care. researchers at rand corporation and department of veterans affairs asked 236 vulnerable elderly patients at two managed care plans to rate their care, then examined care in medical records, as reported in annals of internal medicine. there was no correlation. "patient ratings of health care are easy to obtain and report, but do not accurately measure the technical quality of medical care," said john t. chan, ucla, lead author. health policy according to a 2006 zogby poll, seven in ten voters back congressional action to allow hsa participants to pay for their insurance premiums using money in their savings plans.