Public opinion landscape health care - mar 26

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  • 1.The Public Opinion Landscape:Health CareMarch 26, 2012

2. SUMMARY1. Two years since being signed into law, opinion on the health reform law remains divided Views on the health reform law remain strongly partisan2. Most elements of the health reform law are viewed favorably with the exception of the individual mandate3. Most Americans consider the individual mandate unconstitutional A substantial minority believes the law has been overturned by theSupreme Court 1 3. Views on Reform2 4. TWO YEARS OF CLOSELY DIVIDED OPINION ON ACA As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it? 80%ACA signed into lawon March 23, 2010FavorableUnfavorableDont know/Refused 60%505051 484948464546 4644444443 44 4344 43 44 4342 4241 41% 40%4342 43 4240 41 41 40 40 41 41 41 42 42 42 41414240%393737353418 1818 191919% 20%17 161714141415141515 151213 12 1011980%Apr May Jun Jul Aug Sep Oct Nov Dec JanFeb Mar Apr May JunJul Aug Sep Oct Nov Dec JanFeb Mar 201020112012 A recent CBS News/New York Times poll shows 47 percent of Americans disapprove of the Affordable Care Act, with 36 percent indicating they support the law. 3Source: Kaiser Family Foundation Health Tracking Polls 5. A LASTING PARTISAN GAP ON ACA Percent who say they have a favorable opinion of the health reform law:ACA signed into lawon March 23, 2010DemocratsIndependentsRepublicans 80%78 757273737172 69 6869 68 69 666465 64 65 66%6062 64 62 64 60%52 49 4841 42434138 40 40% 40%36 37 3437 37343735 33363332 34 33 30 23 21 21 24 20 19 20%16151716 1613 12 12 111214119 11 12 1212%80%Apr May Jun Jul Aug Sep Oct Nov Dec JanFeb Mar Apr May JunJul Aug Sep Oct Nov Dec JanFeb Mar 201020112012 4Source: Kaiser Family Foundation Health Tracking Polls 6. REPUBLICAN OPPOSITION MARKEDLY MOREINTENSE THAN DEMOCRATIC SUPPORT As you may know, a new health reform bill was signed into law early last year. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it? Total 18% 23%11%29%Democrats34%32% 6%6%Independents 15%25% 13%29%4% 8% 15% 60% RepublicansVery Favorable Somewhat FavorableSomewhat Unfavorable Very Unfavorable Note: DK/REF answers not shown. 5Source: Kaiser Family Foundation Health Tracking Poll, February 29 March 5, 2012 7. VAST MAJORITY HAVE HEARD MOSTLY NEGATIVETHINGS ABOUT THE LAW Have the things youve heard about this law recently been mainly (positive) or mainly (negative)? Mainlypositive, 19%Mainly negative, 70%Mixed, 5% 0% 10%20% 30%40%50%60% 70% 6 Note: No opinion answers not shown.Source: ABC News/Washington Post Poll, March 7-10, 2012 8. MOST AMERICANS FEEL THEY UNDERSTAND THEREFORMS THAT WERE PASSED BUT ONLY SOMEWHATWELL; A QUARTER ADMITS THEY LACK UNDERSTANDING How well do you feel you understand the healthcare reforms that were passed by Congress in March of 2010? Feb-12 10%18% 44%12% 15% Apr-10 8%20%44% 17%12%Extremely Well Very WellSomewhat Well Not Too WellNot Well At AllNote: Dont know / Refused answers not 7shown.Source: AP-GfK Poll, February, 16-20, 2012 9. FEW HAVE FELT LAWS EFFECTTHOSE WHO HAVE CITE INCREASED ACCESS AND COSTSo far, would you say you and your family haveSo far, would you say you and your familypersonally benefitted from the health reformhave been negatively affected by the healthlaw, or not?reform law, or not? 21%83% 14%76% YesYes No No4%3% DK/REFDK/REFMost common benefit: Access to health care (39%)Most common negative: Cost (52%)8Source: Kaiser Family Foundation Health Tracking Polls, February 29 March 5, 2012 10. MIXED FEELINGS ABOUT LAWS IMPACT ON THE COUNTRY Do you think the country as a whole will be better off or worse off under the new health reform law, or dont you think it will make much difference?The country as a whole50%40%38%36%30%20%18%10% 0% Better off Worse offWont make much differenceNote: Depends (vol.) and Dont know /Refused answers not shown.9Source: Kaiser Family Foundation Health Tracking Polls, February 29 March 5, 2012 11. ONLY A QUARTER OF AMERICANS BELIEVE THE LAWWILL MAKE THEIR FAMILYS HEALTHCARE SITUATIONBETTER; VIEWS ARE HIGHLY PARTISAN Now suppose all the provisions of the healthcare law go into effect in the next few years. In the long run, how do you think the healthcare law would affect your familys healthcare situation? Would it make things better, not make much difference, or would it make things worse?All Americans 24% 34%38% Democrats40% 43%12%Independents 26%33% 35%Republicans 3% 25% 68%Make Better Not Much Difference Make Worse10Note: Dont know / Refused answers not shown.Source: USA Today/Gallup Poll, February 20-21, 2012 12. MORE PERCEIVE NEGATIVE EFFECTS OF LAW THAN POSITIVE EFFECTS As of today, do you think the health care law has or has not done each of the following? YES, health care NO, health care lawDont know/Refused law has done thishas not done this Increased the federal budget deficit54%32% 15%Significantly increased the price of health insurance49% 38%12% Allowed many young adults under age 26 to obtain 47%33% 19% health insurance coverageCaused many employers to drop health insurance coverage for their employees 44%40%16%Eliminated costs for preventive services such as blood 27%51% 22% pressure screenings for people with health insurance Lowered prescription drug costs for seniors 26%50% 24% 11Source: Kaiser Family Foundation Health Tracking Polls, February 29 March 5, 2012 13. Elements of the Law12 14. MOST ELEMENTS OF LAW VIEWED FAVORABLY BY MAJORITY OF PUBLIC Next, Im going to read you several elements of the health reform law. As I read each one, please tell me whether you feel very favorable, somewhat favorable, somewhat unfavorable, or very unfavorable about it.VerySomewhat Somewhat Veryfavorablefavorable unfavorable unfavorableRequire easy-to-understand plan summaries 50%29% 7%11%Guaranteed issue 45 24 11 17Tax credits to small businesses44 368 8Subsidy assistance to individuals43 28 10 15No cost sharing for preventive services42 27 15 13Health plan decision appeals 37 34 12 12Medicaid expansion 36 34 12 15Medical loss ratio 32 25 16 19Employer mandate/penalty for large employers 29 25 15 29Increase Medicare payroll tax on upper income26 27 17 24Basic benefits package, defined by government23 28 15 31Individual mandate/penalty 15 17 12 54Response wording abbreviated. Dont know/Refused answers not shown.13Source: Kaiser Family Foundation Health Tracking Polls, February 29 March 5, 2012 15. MOST POPULAR PROVISIONS AMONG LEASTWIDELY RECOGNIZED Percent who say they have a favorable opinion of each of the following and percent who say they are aware each is included in the health reform law:Percent with a favorable Percent who are awareview of provisionprovision is included in ACA80%Tax credits to small businesses49%79%Require easy-to-understand plan summaries49%71%Health plan decision appeals51%69%No cost sharing for preventive services37%57%Medical loss ratio 35% 32% Individual mandate/penalty64%14Source: Kaiser Family Foundation Health Tracking Polls, February 29 March 5, 2012 16. AMERICANS OPPOSE THE INDIVIDUAL MANDATE Do you favor, oppose, or neither favor nor oppose a law... that would require every American to have health insurance, or pay money to the government as a penalty if they do not, unless the person is very poor? Jan, 2011 Feb, 201259% 58% OpposeOppose 31%7%34% 6% FavorNeitherFavor Neither15 Note: Dont know / Refused answers not shown.Source: AP-GfK Poll, February 16-20, 2012 17. BUT FAVOR THE EMPLOYER MANDATE Do you favor, oppose, or neither favor nor oppose a law... requiring most medium-size and large companies to offer health insurance to their employees or pay money to the government as a penalty if they dont?Jan, 2011Feb, 2012 32%32% Oppose Oppose 9%60%59%NeitherFavor6%FavorNeither16 Note: Dont know / Refused answers not shown.Source: AP-GfK Poll, February, 16-20, 2012 18. Next Steps 17 19. PLURALITY OF AMERICANS THINK LAW MAY NEEDSMALL TWEAKS BUT WANT TO SEE HOW IT WORKS;OVER A THIRD WANT IT REPEALED Turning to the health care law passed last year, what is your opinion of the law? It should be repealed. It may need small modifications, but we should see how it works. It should be left alone. 50%46% 40%37% 30% Should be repealed See how it works 20% Should be left alone11% 10% 0%18Source: Bloomberg News Poll, March 8-11, 2012 Note: Unsure answers not shown. 20. Constitutionality19 21. FOUR IN TEN ARE UNSURE WHETHER THE LAW HAS BEEN OVERTURNED BY THE SUPREME COURT OR MISTAKENLY BELIEVE IT HAS BEEN OVERTURNEDAs far as youknow, which comes It has been overturned closest to describing by the Supreme Court 14% the current status of and is no longer law the health reform lawthat was passed in 58%2010? 28%It is still theDontlaw of theknow/ Refused land20Source: Kaiser Family Foundation Health Tracking Polls, February 29 March 5, 2012 22. MOST AMERICANS BELIEVE THE INDIVIDUALMANDATE IS UNCONSTITUTIONAL As you may know, the Supreme Court will hear arguments next month concerning a requirement in the healthcare law that every American must buy health insurance or pay a fine. Regardless of whether you favor or oppose the law, do you think this requirement is constitutional or unconstitutional?All Americans 20%72% Democrats37% 56%Independents21%70%Republicans6%94%Think healthcare law is a good thing38% 54%Think healthcare law is a bad thing 4%94%ConstitutionalUnconstitutional 21Source: USA Today/Gallup Poll, February 20-21, 2012Note: Dont know / Refused answers not shown. 23. AS HEALTH CARE LAWS TRIAL APPROACHES, PLURALITY OF AMERICANS SAY DITCH ENTIRE LAWThe U.S. Supreme Court will hear arguments about the health care law later this month. Of thesethree options, which would you prefer to have the Supreme Court do: 1) uphold the entire law, 2)throw out the part of the law that requires individuals to have coverage and keep the rest of thelaw, or 3) thro