Pennsylvanians are less pleased with conditions in their state and feel more burdened by financial and economic problems in their own lives, according to the April 2004 IssuesPA/Pew Poll. In particular, Keystone state residents voice more complaints about the affordability of health care, the cost of living, high taxes, and the job situation today than they did last September in the IssuesPA/Pew benchmark poll. Concern about health care affordability has risen the most on a personal level, but jobs still are rated the number one problem facing the state.