(CBS)  Most Americans find the health care reforms being discussed in Congress confusing and say President Obama has not clearly explained his plans to overhaul the system, according to a CBS News poll released Tuesday. 

Two in three Americans call the health care reforms being debated by lawmakers confusing; only 31 percent said they have a clear understanding of the proposed changes. Sixty-seven percent of those questioned said the reform ideas were confusing. 

This evaluation cuts across party lines, with majorities of both Republicans (69 percent) and Democrats (58 percent) saying the current proposals are confusing. 

Most Americans (60 percent) say the President has not clearly explained his health care reform plans. While slightly more than half of Democrats think Mr. Obama has clearly explained his plans, majorities of Republicans and independent voters say he has not. 

Government vs. Private Industry 

Americans also have increasing doubts as to how well the government can compete with private insurers. Just under half of those questioned said the government would do a worse job providing medical coverage – only 36 percent said it would do better, marking a change since earlier this summer. 

There has also been a significant drop in the percentage that says government would be better than insurers at keeping costs down; from 59 percent in June to 47 percent now. Still, more said the government rather than private insurers would do a better job containing costs.