There is something of a paradox in the public's thinking about managed care. In general, Americans are divided on whether they have a favorable view of managed care and more than half say HMOs do a poor job of serving their consumers. Majorities also say managed care plans have made it harder to see specialists and have decreased the amount of time doctors spend with patients; however, many say they don't know. Six in 10 believe HMOs are mainly interested in making a profit and few say they trust what HMOs say in their advertisements. At the same time, most Americans say they have not personally had any problems with managed care. Also, most people give high marks for their health coverage and three-quarters of those with private health insurance say they belong to some kind of managed care plan.