Women are down on docs, according to the 1999 Health Confidence Survey (HCS), which measures public attitudes on healthcare. The annual report from the Employee Benefit Research Institute finds that women - generally the primary healthcare decision-maker in the household - are somewhat less satisfied and less confident than men about the country's healthcare system. Sixty-one percent of women, versus 45 percent of men, say that the healthcare system in America today needs a major overhaul. Only 36 percent of women are confident that hospitals deliver quality medical care, compared to 49 percent of men. Eight in ten (83 percent) women - versus 76 percent of men - say that healthcare costs have grown worse. And they want the federal government to do something about it: Roughly 77 percent of women and 68 percent of men favor using the federal budget surplus to pay some of Medicare's costs.