Embed Size (px)
Citation preview
Health Care and the ACAAmerican Public Opinion Landscape March, 2014
2
Source: Pollster.com Aggregate Data. Latest poll on March 7-11, 2014
RECENT SLIGHT RISE IN OPTIMISM OVER THE DIRECTION OF THE COUNTRY
RIGHT DIRECTION 29.9%
WRONG TRACK 60.1%
AMERICANS CONTINUE TO DISAPPROVE OF OBAMA’S HANDLING OF HEALTHCARE REFORM
3
DISAPPROVE 52.8%
APPROVE 40.2%
APPROVAL %
Overall approval 44%
Foreign policy 40%
The economy 40%
Healthcare 40%
Job Approval on Healthcare is lower than both Foreign Policy and the Economy
Source: Pollster.com Aggregate Data. Latest poll on March 22-24, 2014
HEALTH CARE RANKS 4TH IN A LIST OF PROBLEMS FACING THIS COUNTRY TODAY
4
March6-9, 2014
Unemployment/Jobs 19%
Dissatisfaction with Government/Congress/Politicians; poor leadership/Corruption/Abuse of power 18%
Economy in general 17%
Poor Healthcare/Hospitals; High Cost of Healthcare 11%Federal Budget Deficit/ Federal Debt 8%
Education/Poor education/Access to education 5%
Ethics/Moral/Religious/Family decline; Dishonesty 4%
What do you think is the most important problem facing this country today?
Source: Gallup Poll, March 6-9, 2014
MOST AMERICANS ARE SATISFIED WITH THE HEALTH SYSTEM
5
Satisfied66%
Dissatisfied32%
No Opinion3%
Source: Gallup Poll, March 10-15, 2014
Are you satisfied or dissatisfied with how the healthcare system is working for you?
HOWEVER, THOSE WITH INSURANCE ARE MUCH MORE SATISFIED THAN THOSE WITHOUT
6
Source: Gallup Poll, March 10-15, 2014
Satisfied Dissatisfied No Opinion
72%
26%
2%
33%
59%
8%
Have Health Insurance
Do Not Have Health Insurance
Are you satisfied or dissatisfied with how the healthcare system is working for you?
A MAJORITY OF AMERICANS WORRY ABOUT THE AVAILABILITY AND AFFORDABILITY OF HEALTHCARE
7
How much do you personally worry about the availability and affordability of healthcare?
Source: Gallup Poll, March 6-9, 2014
No opinion
Not at all
Only a little
Fair amount
Great deal
1%
9%
14%
20%
57%
AMERICANS INCREASINGLY BELIEVE THAT HEALTHCARE IS NOT THE GOVERNMENT’S RESPONSIBILITY
8
Do you think it is the responsibility of the federal government to make sure all Americans have healthcare coverage, or is that not the responsibility of the federal government?
Source: Gallup Poll, November 7-10, 2013
AFFORDABLE CARE ACT
9
A MAJORITY OF AMERICANS ARE FAMILIAR WITH THE AFFORDABLE CARE ACT
10
Very familiar Somewhat familiar Not too familiar Not familiar at all No opinion
21%
49%
17%
11%
1%
How familiar are you with the healthcare law – very familiar, somewhat familiar, not too familiar, or not familiar at all?
70%of Americans say they are either very or somewhat familiar with the law.
Source: Gallup Poll, February 28 – March 2, 2014
A MAJORITY IS ALSO NEGATIVE TOWARD THE AFFORDABLE CARE ACT
11
Pew Research Center Poll: Do you approve of or disapprove of the health care law passed by Barack Obama and Congress in 2010?
Approve Disapprove No opinion
41% 53% 5%
Source: Pew Research Center Poll, Feb 27 – Mar 16, 2014
CNN/ORC Poll: As you may know, a bill that makes major changes to the country’s health care system became law in 2010. Based on what you have read or heard about that legislation, do you generally favor or generally oppose it?
Source: CNN/ORC Poll, March 7-9, 2014
Favor Oppose No opinion
39% 57% 4%
DISAPROVAL OF THE AFFORDABLE CARE ACT HAS BEEN CONSISTENT OVER THE PAST YEAR
12
Jun 20 - 24 2013
Aug 17 - 18 2013
Oct 18 - 20 2013
Oct 26 - 28 2013
Nov 7 - 10 2013
Nov 23 - 24 2013
Dec 11 - 12 2013
Jan 3 - 4 2014
Jan 31 - Feb 1 2014
Feb 28 - Mar 2 2014
44% 41%45% 44%
40% 40% 41% 38% 41% 40%
52% 49% 50% 47%55% 54% 51% 54% 51%
55%
Approve Disapprove
Do you generally approve or disapprove of the 2010 Affordable Care Act, the law President Obama signed in 2010 that restructured the U.S. health care system?
Source: Gallup Poll, February 28 – March 2, 2014
OF THOSE WHO OPPOSE THE LAW, MOST FEEL IT IS TOO LIBERAL
13
Favor39%
Op-pose57%
No opin-ion4%
Source: CNN/ ORC poll, March 7-9, 2014
As you may know, a bill that makes major changes to the country’s health care system became law in 2010. Based on what you have read or heard about that legislation, do you generally favor or generally oppose it?
Do you oppose that legislation because you think its approach towards health care is too liberal, or because you think it is not liberal enough?
Too Liberal Not Liberal Enough
Another reason
39%
12%
5%
HOWEVER, MAJORITIES WOULD KEEP SPECIFIC ELEMENTS OF THE LAW
14
Kept Repealed Unsure
Eliminate lifetime caps on how much insurance companies must pay for a person’s health care
53% 38% 9%
Prohibits insurance companies from denying coverage based on pre-existing conditions
65% 31% 4%
Allows children up to age 26 to remain on their parents’ policies
73% 25% 2%
Mandates everyone to have health insurance 47% 51% 2%
You might have different opinions about specific elements of the law. For each of the following provisions, please tell me if you think it should be kept or repealed…”
Source: Bloomberg National Poll, March 7-10, 2014
EFFECT OF THE ACA SO FAR
15
A MAJORITY OF AMERICANS SAY THE AFFORDABLE CARE ACT HAS HAD NO EFFECT ON THEM
16
HelpedHad no effect
HurtNo opinion
10%
63%
23%
4%
As you may know, a few provisions of the healthcare law have already gone into effect. So far, has the new law [ROTATED: helped you and your family, not had an effect, or has it hurt you and your family]?
Source: Gallup Poll, February 28 – March 2, 2014
HOWEVER, THE NUMBER THAT SAY THE LAW HAS HAD NO EFFECT HAS DECREASED
17
As you may know, a few of the provisions of the healthcare law have already gone into effect. So far, has the new law [ROTATED: helped you and your family, not had an effect, (or has it) hurt you and your family]?
Source: Gallup Poll, February 28 – March 2, 2014
Nov 23-24 Jan 3-4 Jan 31 - Feb 1 Feb 28 - Mar 2
19% 19% 19%23%
69%66% 64% 63%
9% 10%13%
10%
HurtHad no effectHelped
THOSE WHO SAY THEY HAVE BEEN NEGATIVELY AFFECTED BY THE LAW CITE COST INCREASES AND COST CONCERNS
18
In what ways would you say you have been negatively affected by the health reform law?
Cost (Net) 62
The cost of my own health care has increased/ can’t afford cost of insurance/ higher costs
53
Policy cancelations (includes employer canceled plans/dropped spouse/ family coverage)
10
Cuts to benefits/Less options/Choices (general) 10
Cost concerns (general) 7
Bad for businesses/Jobs 6
Opposed to individual mandate/ fines/ forced coverage 6
Don’t have/Unable to get insurance 5
*Question asked among those who have been negatively affected*Responses with a frequency lower than 5 and Other were not includedSource: Kaiser Family Foundation Poll, February 11-17, 2014
IN FACT, MOST AMERICANS SAY THEIR HEALTH INSURANCE COSTS HAVE INCREASED OVER THE PAST YEAR
19
Would you say the amount you and your family are paying for health care and health insurance has been going (up) over the past years, going (down), or staying the same?
Source: Kaiser Family Foundation Poll, February 11-17, 2014
Up Down Staying about the same
Don't know/Refused
55%
3%
37%
5%
HOWEVER, MOST AMERICANS WOULD PREFER A BROADER PLAN, EVEN IF IT COSTS MORE
20
Which type of health insurance plan would you rather have?
Source: Kaiser Family Foundation Poll, February 11-17, 2014
Don't know
Neither of these/Something else
A plan that costs less money but has a more limited range of doctors and hospitals you are allowed to see
A plan that costs more but allows you to see a broader range of doctors and hospitals
4%
8%
37%
51%
THE UNINSURED AND THE ACA
21
UNINSURED RATE IS THE LOWEST SINCE 2009 AND CONTINUES TO FALL
22
Do you have health insurance coverage?
Source: Gallup Poll, Jan 28 – Feb 2, 2014
DEMOGRAPHICS OF THE UNINSURED
23
NATIONAL ADULTS 15.9%
18-25 years 23.0%
26-34 years 26.6%
35-64 years 16.3%
65 years and older 2.2%
White 10.9%
Black 18.3%
Hispanic 37.9%
Less than $36,000 27.9%
$36,000-$89,999 10.9%
$90,000+ 5.0%
The Hispanic segment of the population has the largest percentage of uninsured (37.9%), followed by those who make less than $36,000 a year (27.9%)
Source: Gallup Poll, Jan 2 – Feb 28, 2014
Percent of uninsured by subgroup
ONE THIRD OF THE NEWLY INSURED ARE INSURED BECAUSE OF THE AFFORDABLE CARE ACT
24
As a result of the health care
law33%
Some other reason
64%
Don't know/ Refused
3%
Did you get health insurance as a result of the health care law, or for some other reason?
*Based on those who are currently insured but have been uninsured in the last 12 months*8% of those surveyed, n-113
Source: Kaiser Family Foundation Poll, February 11-17, 2014
A MAJORITY KNOWS AT LEAST A LITTLE ABOUT THE INSURANCE MARKETPLACES
25
How much would you say you know about this new health insurance marketplace, also known as healthcare.gov [If SATE HAS STATE-RUN EXCHANGE: OR [INSERT STATE EXCHANGE NAME] in your state]? Would you say you know a lot, some, only a little, or nothing at all about this marketplace?
A lot 15%
Some 30%
Only a little 33%
Nothing at all 21%
Don't know/ Refused 1%
Source: Kaiser Family Foundation Poll, February 11-17, 2014
78% know something about the insurance marketplaces
A MAJORITY OF UNINSURED PLAN ON GETTING INSURANCE RATHER THAN PAYING FINE
26
More likely to get insurance
More likely to pay fine
Don't know
55%
37%
8%
Starting this year, Americans without health insurance either have to get health insurance or pay a fine. Given what you know, as of right now, would you say you are [ROTATED: more likely to get health insurance (or) more likely to pay the fine]?
Source: Gallup Poll, March 7, 2014
USING THE HEALTH EXCHANGES REMAINS A NEGATIVE EXPERIENCE FOR THE UNINSURED
27
All in all, was your experience using the health exchanges – very positive, positive, negative, or very negative?
* Asked of uninsured who have visited federal or state exchanges
Source: Gallup Poll, February 2-28, 2014
HOWEVER, INCREASING NUMBERS OF UNINSURED AMERICANS LOOK TO THE HEALTH EXCHANGES TO GET INSURANCE
28
Do you plan to get health insurance specifically through a state or federal health exchange, or not?
* Asked of uninsured who plan to get health insurance rather than pay fine
Source: Gallup Poll, February 2-28, 2014
THE ACA AND WOMENS’ HEALTH COVERAGE
29
A MAJORITY BELIEVES THAT RELIGIOUS-AFFILIATED ORGANIZATIONS SHOULD BE ABLE TO OPT OUT OF COVERING PRESECRIPTION BIRTH CONTROL
30
Do you think religious-affiliated organizations should have to cover the cost of prescription birth control for their female employees as part of their health insurance plans, or should religious-affiliated organizations be able to opt out of covering that, based on religious objections?
Should have to cover
35%
Should be able to opt out57%
Unsure / No answer
8%
Source: CBS News Poll, March 20-23, 2014
HOWEVER, THE MAJORITY SHIFTS WHEN ASKED WHETHER NON-RELIGIOUS ORGANIZATIONS SHOULD COVER BIRTH CONTROL
31
Should have to cover51%
Should be able to opt
out42%
Unsure / No answer7%
What about companies and non-religious organizations? Do you think these employers should have to cover the cost of prescription birth control for their female employees as part of their health insurance plans, or should these employers be able to opt out of covering that, based on religious objection?
Source: CBS News Poll, March 20-23, 2014
WHEN BIRTH CONTROL IS ASSOCIATED WITH “PREVENTIVE” CARE SUPPORT FOR BIRTH CONTROL COVERAGE INCREASES
32
Under the new health care law, health insurance plans are required to cover preventive health services, including prescription birth control. Religious organizations are exempt from the requirements that their health plans cover prescription birth control. Do you think other employers who object to birth control and other contraceptives on religious grounds should or should not be exempt from the requirement that their health plans cover prescription birth control?
Should be exempt
41%
Should not be exempt
53%
Unsure6%
Source: NBC News/ Wallstreet Journal, March 5-9, 2014
AMERICANS ARE DIVIDED ABOUT WHETHER GOVERNMENT SUBSIDIES SHOULD COVER ABORTION SERVICES
33
Thinking specifically about women who receive government subsidies to purchase health insurance, do you think those women should or should not be allowed to get a health insurance plan that covers abortion services?
Unsure
Should not
Should
3%
49%
49%
Source: CNN/ORC Poll, January 31-February 2, 2014
AFFORDABLE CARE ACT: INTO THE FUTURE
34
AMERICANS ARE DIVIDED OVER HOW THE LAW WILL AFFECT THEM PERSONALLY
35
No opinion
Make worse
Not make much difference
Make better
3%
40%
36%
21%
In the long run, how do you think the healthcare law will affect your family’s healthcare situation? Will it – [ROTATED: make things better, not make much difference, (or will it) make things worse]?
A slight plurality believes that the law will make things worse.
Source: Gallup poll, February 28 – March 2, 2014
SIMILARLY, A PLURALITY SAYS THAT THE LAW WILL MAKE THE SITUATION WORSE ACROSS THE U.S.
36
No opinion
Make worse
Not make much difference
Make better
3%
48%
14%
35%
In the long run, how do you think the healthcare law will affect the healthcare situation in the U.S.? Will it – [ROTATED: make things better, not make much difference, (or will it) make things worse]?
Source: Gallup poll, February 28 – March 2, 2014
HOWEVER, A MAJORITY WANTS TO SEE HOW THE AFFORDABLE CARE ACT WORKS
37
What is your opinion of the health care law? It should be repealed. It may need small modification, but we should see how it works. It should be left alone.
Should be repealed See how it works Should be left alone
34%
51%
13%
Source: Bloomberg national Poll, March 7-10, 2014
IMPLICATIONS FOR NOVEMBER RACES
38
A PLURALITY WOULD LIKE TO SEE CONGRESS KEEP THE LAW IN PLACE AND WORK TO IMPROVE IT
39
What would you like to see Congress do when it comes to the health care law?
Source: Kaiser Family Foundation Poll, February 11-17 2014
Don't know
None of these/They should do something else
They should repeal the law and not replace it
They should repeal the law and replace it with a Republican sponsored alternative
They should keep the law in place and work to improve it
They should keep the law as is
7%
5%
19%
12%
48%
8%
MOST SAY A CANDIDATES’ VIEWS ON THE ACA WILL BE A MAJOR FACTOR IN THEIR VOTING BEHAVIOR
40
Source: Bloomberg National Poll, March 7-10, 2014
A major factor52%
A minor factor20%
Not a factor24%
Unsure4%
Do you think candidates’ opinions about the health care law will or will not affect your decisions about which candidates to vote for in November 2014 elections for Congress? [If will affect] Do you think it will be a major factor or a minor factor in your vote decision?
72% say that a candidates’
opinions about the ACA will be a factor in their decision about which candidates to vote for.
HOWEVER – NO OBVIOUS CONSENSUS ON WHICH POSITION WILL GARNER VOTES
41
Source: NBC News/ Wallstreet Journal Poll, March 5-9, 2014
I’m going to read you several characteristics of a possible candidate for Congress. For each one I mention, please tell me whether you would be more likely or less likely to vote for a candidate for Congress with that characteristic, or whether it would make no difference in your vote either way.
More likely Less likely No difference
47%
32%
19%
Supports repealing the health care reform law.
Supports fixing and keeping the health care reform law.
More likely Less likely No difference
45%42%
11%
42
GPG Research
GPG has a full-scale internal research team offering the full complement of qualitative and quantitative public opinion research services. We use research to inform message development and communication strategy, as well as to help clients assess and monitor critical issues and track the effectiveness of strategic communication campaigns.
GPG has a deep experience conducting research about complex international affairs topics with diverse audiences. We go beyond the standard Q&A, using innovative, projective techniques to uncover key insights. The result is actionable research that helps shape our clients’ messaging and strategy.
For more information about this presentation or to find out more about GPG’s research capabilities contact:
Jason Boxt ([email protected])
