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American Attitudes Towards
    Healthcare

1
Survey Objectives
    The study of What Americans Believe, conducted by Penn
    Schoen Berland for The Aspen Ideas Festival in partnership
    with The Atlantic and the Aspen Institute, provides a detailed
    assessment of what Americans say their values are. This
    survey of 2,000 Americans identifies the issues that divide us
    and the ties that unite us as a nation.

    These findings are specific to American views on
    healthcare.




2
Survey Methodology
       From May 25, 2012 to June 6, 2012, Penn Schoen Berland conducted 2,006 interviews
        with the adult general population of the United States. Of the 2,006 interviews
        completed, 1,006 interviews were conducted by phone and 1,000 interviews were
        conducted online.
                                                            Sample Size      Margin of Error
         General Population (All), including:                  2,006              2.19%
               Male                                             963               3.16%
               Female                                          1,043              3.03%
               Age 18-29                                        441               4.67%
               Age 30-44                                        542               4.21%
               Age 45-64                                        682               3.75%
               Age 65+                                          341               5.31%
               Democrats                                        622               3.93%
               Republicans                                      542               4.21%
               Independents                                     782               3.50%
               Northeast                                        361               5.16%
               Midwest                                          441               4.67%
               South                                            722               3.65%
               West                                             481               4.47%


       The data presented in this study are reflective of U.S. Census Bureau demographic
        statistics in terms of gender, age, ethnicity, income, education, and region.


3
69% say ensuring access to healthcare is the
    responsibility of the government

             Do you think it is the responsibility of the government to make sure that
                                       all Americans have...?

                                           No        Yes




         71%           69%            68%
                                                       47%             46%      40%


         29%           31%            31%
                                                       51%             53%      59%

       Enough food   Access to    A high school
                     healthcare     education
                      coverage
                                                  A home to live in    A job
                                                                               A college
                                                         Showing All           education



4
Responsibility of the government by sub-
    group
    Younger Americans demonstrate far stronger support for government
    involvement in healthcare




    Do you think it is the
    responsibility of the government          Gender                Age              Political Affiliation         Region
    to make sure that all Americans
    have...?                           All
    Showing % Yes                            M     F    18-29 30-44 45-64      65+    D       R        I     NE   MW    S    W

    Enough food                        71    65    75    82    69         69   60    86       47      74     81   69    64   74
    Access to healthcare coverage      69    67    70    81    70         66   55    90       42      69     75   69    61   74
    A high school education            68    65    71    76    68         65   66    83       51      69     77   62    62   77
    A home to live in                  47    45    50    62    42         48   37    64       27      48     57   45    43   48
    A job                              46    42    51    61    40         42   45    60       30      47     46   49    42   51
    A college education                40    37    42    57    36         36   34    53       24      40     35   41    40   44




5
54% say the government should exert more
    influence over healthcare system

                            Which of the following is closer to your view?

 The government                                                                                         The government
should exert more                                                                                      should reduce the
  influence over                                                                                            amount of
    America’s                                                                                            influence it has
    healthcare                                                                                           over America’s
   system, in an                       54%                            44%                                   healthcare
 attempt to lower                                                                                       system, because
costs and provide                                                                                          a more free-
    healthcare                                                                                           market system
 coverage for all                                               Showing All                              will bring costs
    Americans                                                                                                  down


                             Gender                  Age              Political Affiliation         Region
                      All
                            M     F    18-29   30-44   45-64    65+    D       R         I    NE   MW      S    W
     More influence   54    51    55    58      56         54   42     76      26      55     58   54     50    55
     Less influence   44    46    42    42      42         45   51     22      72      42     41   42     49    43
     Don’t know       2     2     2     0       2          2     8     2       3        3     1    5       1    2




6
3 in 4 say those with pre-existing conditions
should not be denied coverage

                                    Which of the following is closer to your view?


 Health insurance                                                                                              Pre-existing
    should be                                                                                               conditions can be
   required to                                                                                               very expensive,
 provide care for                                                                                               and health
 people who have                              77%                       20%                                  insurers or the
   pre-existing                                                                                                government
conditions, even if                                                                                           should not be
 the government                                                                                              required to pay
 has to pay for it                                                       Showing All                             for them



                                     Gender                  Age               Political Affiliation         Region
                              All
                                    M     F    18-29   30-44   45-64     65+   D        R         I    NE   MW    S    W
    Health insurance should
                              77    74    79    79      81         77    66    88       62       78    81   80    73   76
    be required…
    Pre-existing conditions
                              20    23    18    20      17         20    26    11       34       18    17   16    24   21
    can be very expensive…
    Don’t know                3      3    3     1       2          3      8     1       4        4     2    4     3    3




7
59% say contraception should be covered under
    employer health plans


                  Should employer-provided health insurance plans be required to cover
                                           contraception?



                            Yes                          No                             Don't Know



                                  59%                                                             40%                 2%


                                                                                                        Showing All


                                   Gender                Age              Political Affiliation            Region
                       All
                                  M     F    18-29 30-44 45-64      65+   D        R         I     NE    MW     S     W
     Yes                59        49    68    70    63         56   39    76       39       59     62    55     56    62
     No                 40        49    31    28    36         43   55    22       61       38     36    42     42    36
     Don’t know         2         3     1     2      1         0     6    2        0         2      1     2     2     2




8
A majority support stem-cell research

                 Some people support stem-cell research, saying it's an important way to find
              treatments for many diseases. Other people oppose stem cell research, saying it's
              wrong to use any human embryos for research purposes. What about you? Do you
                                   support or oppose stem cell research?


                         Support                        Oppose                               Don't Know

                                         67%                                                          30%                 3%
       2012

                                   58%                                                 30%                          12%
       2001; ABC News/Washington Post
                                                                                                           Showing All

                                     Gender                  Age              Political Affiliation             Region
                             All
                                    M      F   18-29   30-44   45-64    65+   D        R        I      NE     MW     S     W
    Support                  67     66    68    75      70         68   55    73       56      69      75      71    60    69
    Oppose                   30     30    30    24      27         30   39    25       41      27      23      25    36    30
    Don't know               3      4      2    2       3          2     7     2       3        4      3       4     4     1




9
Most say it is morally acceptable to take a
     patient off life support at their request
                  If someone is on life support, for which of these reasons would it be morally
               acceptable to take them off life support, allowing them to pass away? Please select
                                                   all that apply.
           The person on life support requested they not be kept alive in
                                 these situations                                                                                       78%
                                      The person on life support is suffering                                                63%
              The family of the person on life support is enduring great
                                      emotional pain                                                      30%
       The family of the person on life support cannot afford the medical
                                       bills                                                      20%
           It is never morally acceptable to take someone off life support               8%        Showing All
                                                              Another reason             7%
                                                                            Gender                      Age              Political Affiliation
                                                               All
                                                                        M            F    18-29   30-44    45-64   65+   D         R         I
The person on life support requested they not be kept alive
                                                               78      77        79        71      76         83   81    74        80       80
in these situations
The person on life support is suffering                        63      58        67        62      66         63   59    67        58       64
The family of the person on life support is enduring great
                                                               30      29        30        26      31         30   31    33        29       27
emotional pain
The family of the person on life support cannot afford the
                                                               20      20        20        26      18         20   15    23        21       18
medical bills
It is never morally acceptable to take someone off life
                                                                8       9            7        9    12         4     6    5         8        9
support
Another reason                                                  7       7            8        3    5          11   10    8         7        7
Don't know                                                      1       1            0        1    0          1     1    0         1        1
10
Over half say financial cost is not sufficient
     reason to take a patient off life support

                                            Which of the following is closer to your view?



 Someone on life                                                                                                      It’s acceptable to
support should be                                                                                                     take someone off
  required to be                                                                                                       of life support if
        kept                                             57%                      33%                                 the financial cost
 alive, regardless                                                                                                     of keeping them
  of the financial                                                                                                    alive is too great
        cost                                                                      Showing All


                                               Gender                  Age               Political Affiliation         Region
                                      All
                                              M     F    18-29   30-44   45-64     65+    D       R        I     NE   MW    S    W
     Someone on life support
     should be required to be kept
                                      57      55    59    63      64         55     43   57       55      59     60   56    59   54
     alive, regardless of the
     financial cost
     It’s acceptable to take
     someone off of life support if
                                      33      36    31    36      29         35     34   35       38      30     32   34    32   37
     the financial cost of keeping
     them alive is too great
     Don't know                       9       9     10    1       7          10     23    8       7       11     8    10    9     9




11
59% say someone on life support should be required
     to be kept alive if a private insurer is paying


                   If a private insurer is paying the medical bills, should someone on life support be
                                                 required to be kept alive?




                                                  4%
                                                                                 Yes
                                            37%
                                                                                 No
                                                          59%
                                                                                 Don't know




                                        Gender                  Age                   Political Affiliation         Region
                                 All
                                       M     F    18-29   30-44   45-64    65+        D        R        I     NE   MW    S    W
      Yes                        59    62    56    72      63         55   43         61       48      65     57   56    59   63
      No                         37    36    39    28      33         41   50         37       48      31     40   40    38   32
      Don't know                  4    3     5     0       5          4     7          2       4        4     3    4     3    4




12
56% think someone on life support should be required
to be kept alive if the government is paying


            If the government (for example through Medicare) is paying the medical bills, should
                           someone on life support be required to be kept alive?




                                             5%
                                                                            Yes
                                       39%                                  No
                                                     56%
                                                                            Don't know




                                   Gender                  Age              Political Affiliation         Region
                            All
                                  M     F    18-29   30-44   45-64    65+   D        R        I     NE   MW    S    W
     Yes                    56    60    53    70      62         50   40    57       51      60     52   49    58   64
     No                     39    37    40    28      35         44   49    38       45      36     44   43    38   32
     Don't know             5     2     7     2       3          5    11     5       5        4     4    7     4    4




13

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American Healthcare Values

  • 2. Survey Objectives The study of What Americans Believe, conducted by Penn Schoen Berland for The Aspen Ideas Festival in partnership with The Atlantic and the Aspen Institute, provides a detailed assessment of what Americans say their values are. This survey of 2,000 Americans identifies the issues that divide us and the ties that unite us as a nation. These findings are specific to American views on healthcare. 2
  • 3. Survey Methodology  From May 25, 2012 to June 6, 2012, Penn Schoen Berland conducted 2,006 interviews with the adult general population of the United States. Of the 2,006 interviews completed, 1,006 interviews were conducted by phone and 1,000 interviews were conducted online. Sample Size Margin of Error General Population (All), including: 2,006 2.19% Male 963 3.16% Female 1,043 3.03% Age 18-29 441 4.67% Age 30-44 542 4.21% Age 45-64 682 3.75% Age 65+ 341 5.31% Democrats 622 3.93% Republicans 542 4.21% Independents 782 3.50% Northeast 361 5.16% Midwest 441 4.67% South 722 3.65% West 481 4.47%  The data presented in this study are reflective of U.S. Census Bureau demographic statistics in terms of gender, age, ethnicity, income, education, and region. 3
  • 4. 69% say ensuring access to healthcare is the responsibility of the government Do you think it is the responsibility of the government to make sure that all Americans have...? No Yes 71% 69% 68% 47% 46% 40% 29% 31% 31% 51% 53% 59% Enough food Access to A high school healthcare education coverage A home to live in A job A college Showing All education 4
  • 5. Responsibility of the government by sub- group Younger Americans demonstrate far stronger support for government involvement in healthcare Do you think it is the responsibility of the government Gender Age Political Affiliation Region to make sure that all Americans have...? All Showing % Yes M F 18-29 30-44 45-64 65+ D R I NE MW S W Enough food 71 65 75 82 69 69 60 86 47 74 81 69 64 74 Access to healthcare coverage 69 67 70 81 70 66 55 90 42 69 75 69 61 74 A high school education 68 65 71 76 68 65 66 83 51 69 77 62 62 77 A home to live in 47 45 50 62 42 48 37 64 27 48 57 45 43 48 A job 46 42 51 61 40 42 45 60 30 47 46 49 42 51 A college education 40 37 42 57 36 36 34 53 24 40 35 41 40 44 5
  • 6. 54% say the government should exert more influence over healthcare system Which of the following is closer to your view? The government The government should exert more should reduce the influence over amount of America’s influence it has healthcare over America’s system, in an 54% 44% healthcare attempt to lower system, because costs and provide a more free- healthcare market system coverage for all Showing All will bring costs Americans down Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W More influence 54 51 55 58 56 54 42 76 26 55 58 54 50 55 Less influence 44 46 42 42 42 45 51 22 72 42 41 42 49 43 Don’t know 2 2 2 0 2 2 8 2 3 3 1 5 1 2 6
  • 7. 3 in 4 say those with pre-existing conditions should not be denied coverage Which of the following is closer to your view? Health insurance Pre-existing should be conditions can be required to very expensive, provide care for and health people who have 77% 20% insurers or the pre-existing government conditions, even if should not be the government required to pay has to pay for it Showing All for them Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W Health insurance should 77 74 79 79 81 77 66 88 62 78 81 80 73 76 be required… Pre-existing conditions 20 23 18 20 17 20 26 11 34 18 17 16 24 21 can be very expensive… Don’t know 3 3 3 1 2 3 8 1 4 4 2 4 3 3 7
  • 8. 59% say contraception should be covered under employer health plans Should employer-provided health insurance plans be required to cover contraception? Yes No Don't Know 59% 40% 2% Showing All Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W Yes 59 49 68 70 63 56 39 76 39 59 62 55 56 62 No 40 49 31 28 36 43 55 22 61 38 36 42 42 36 Don’t know 2 3 1 2 1 0 6 2 0 2 1 2 2 2 8
  • 9. A majority support stem-cell research Some people support stem-cell research, saying it's an important way to find treatments for many diseases. Other people oppose stem cell research, saying it's wrong to use any human embryos for research purposes. What about you? Do you support or oppose stem cell research? Support Oppose Don't Know 67% 30% 3% 2012 58% 30% 12% 2001; ABC News/Washington Post Showing All Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W Support 67 66 68 75 70 68 55 73 56 69 75 71 60 69 Oppose 30 30 30 24 27 30 39 25 41 27 23 25 36 30 Don't know 3 4 2 2 3 2 7 2 3 4 3 4 4 1 9
  • 10. Most say it is morally acceptable to take a patient off life support at their request If someone is on life support, for which of these reasons would it be morally acceptable to take them off life support, allowing them to pass away? Please select all that apply. The person on life support requested they not be kept alive in these situations 78% The person on life support is suffering 63% The family of the person on life support is enduring great emotional pain 30% The family of the person on life support cannot afford the medical bills 20% It is never morally acceptable to take someone off life support 8% Showing All Another reason 7% Gender Age Political Affiliation All M F 18-29 30-44 45-64 65+ D R I The person on life support requested they not be kept alive 78 77 79 71 76 83 81 74 80 80 in these situations The person on life support is suffering 63 58 67 62 66 63 59 67 58 64 The family of the person on life support is enduring great 30 29 30 26 31 30 31 33 29 27 emotional pain The family of the person on life support cannot afford the 20 20 20 26 18 20 15 23 21 18 medical bills It is never morally acceptable to take someone off life 8 9 7 9 12 4 6 5 8 9 support Another reason 7 7 8 3 5 11 10 8 7 7 Don't know 1 1 0 1 0 1 1 0 1 1 10
  • 11. Over half say financial cost is not sufficient reason to take a patient off life support Which of the following is closer to your view? Someone on life It’s acceptable to support should be take someone off required to be of life support if kept 57% 33% the financial cost alive, regardless of keeping them of the financial alive is too great cost Showing All Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W Someone on life support should be required to be kept 57 55 59 63 64 55 43 57 55 59 60 56 59 54 alive, regardless of the financial cost It’s acceptable to take someone off of life support if 33 36 31 36 29 35 34 35 38 30 32 34 32 37 the financial cost of keeping them alive is too great Don't know 9 9 10 1 7 10 23 8 7 11 8 10 9 9 11
  • 12. 59% say someone on life support should be required to be kept alive if a private insurer is paying If a private insurer is paying the medical bills, should someone on life support be required to be kept alive? 4% Yes 37% No 59% Don't know Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W Yes 59 62 56 72 63 55 43 61 48 65 57 56 59 63 No 37 36 39 28 33 41 50 37 48 31 40 40 38 32 Don't know 4 3 5 0 5 4 7 2 4 4 3 4 3 4 12
  • 13. 56% think someone on life support should be required to be kept alive if the government is paying If the government (for example through Medicare) is paying the medical bills, should someone on life support be required to be kept alive? 5% Yes 39% No 56% Don't know Gender Age Political Affiliation Region All M F 18-29 30-44 45-64 65+ D R I NE MW S W Yes 56 60 53 70 62 50 40 57 51 60 52 49 58 64 No 39 37 40 28 35 44 49 38 45 36 44 43 38 32 Don't know 5 2 7 2 3 5 11 5 5 4 4 7 4 4 13