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Public Opinion Landscape - Health Care and the ACA
1. Health Care and the ACA
American Public Opinion Landscape March, 2014
2. 2
Source: Pollster.com Aggregate Data. Latest poll on March 7-11, 2014
RECENT SLIGHT RISE IN OPTIMISM OVERTHE
DIRECTIONOFTHE COUNTRY
RIGHT DIRECTION 29.9%
WRONG TRACK 60.1%
3. 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
4. HEALTHCARE RANKS 4TH IN A LIST OF PROBLEMS
FACINGTHIS COUNTRYTODAY
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: GallupPoll, March 6-9, 2014
5. MOST AMERICANS ARE SATISFIEDWITHTHE
HEALTH SYSTEM
5
Satisfied
66%
Dissatisfied
32%
No Opinion
3%
Source: Gallup Poll, March 10-15, 2014
Are you satisfied or dissatisfied with how the healthcare system is working for you?
6. HOWEVER,THOSEWITH INSURANCE ARE MUCH
MORE SATISFIEDTHANTHOSEWITHOUT
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?
7. A MAJORITY OF AMERICANSWORRY ABOUTTHE
AVAILABILITYAND AFFORDABILITY OF
HEALTHCARE
7
How much do you personally worry about the availability and affordability of healthcare?
Source: GallupPoll, March 6-9, 2014
1%
9%
14%
20%
57%
No opinion
Not at all
Only a little
Fair amount
Great deal
8. AMERICANS INCREASINGLY BELIEVETHAT
HEALTHCARE IS NOTTHE 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
10. A MAJORITY OF AMERICANS ARE FAMILIARWITH
THE AFFORDABLE CARE ACT
10
21%
49%
17%
11%
1%
Very familiar Somewhat familiar Not too familiar Not familiar at all No opinion
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
11. A MAJORITY IS ALSO NEGATIVETOWARDTHE
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%
12. DISAPROVAL OFTHE AFFORDABLE CARE ACT HAS
BEEN CONSISTENT OVERTHE PASTYEAR
12
44% 41%
45% 44%
40% 40% 41% 38% 41% 40%
52% 49% 50% 47%
55% 54% 51% 54% 51%
55%
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
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
13. OFTHOSEWHO OPPOSETHE LAW, MOST FEEL IT IS
TOO LIBERAL
13
Favor
39%
Oppose
57%
No
opinion
4%
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?
39%
12%
5%
Too Liberal Not Liberal Enough Another reason
14. HOWEVER, MAJORITIESWOULD KEEP SPECIFIC
ELEMENTS OFTHE 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
16. A MAJORITY OF AMERICANS SAYTHE AFFORDABLE
CARE ACT HAS HAD NO EFFECT ONTHEM
16
Helped
Had no effect
Hurt
No 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
17. HOWEVER,THE NUMBERTHAT SAYTHE 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
19% 19% 19%
23%
69%
66% 64% 63%
9% 10%
13%
10%
Nov 23-24 Jan 3-4 Jan 31 - Feb 1 Feb 28 - Mar 2
Hurt
Had no effect
Helped
18. THOSEWHO SAYTHEY HAVE BEEN NEGATIVELY
AFFECTED BYTHE 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
19. IN FACT, MOST AMERICANS SAYTHEIR HEALTH
INSURANCE COSTS HAVE INCREASED OVERTHE
PASTYEAR
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
55%
3%
37%
5%
Up Down Staying about the same Don't know/Refused
20. HOWEVER, MOST AMERICANSWOULD 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
4%
8%
37%
51%
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
22. UNINSURED RATE ISTHE LOWEST SINCE 2009 AND
CONTINUESTO FALL
22
Do you have health insurance coverage?
Source: Gallup Poll, Jan 28 – Feb 2, 2014
23. DEMOGRAPHICS OFTHE 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
24. ONETHIRD OFTHE NEWLY INSURED ARE INSURED
BECAUSE OFTHE AFFORDABLE CARE ACT
24
As a result
of the
health care
law
33%
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
25. A MAJORITY KNOWS AT LEAST A LITTLE ABOUTTHE
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
26. A MAJORITY OF UNINSURED PLAN ON GETTING
INSURANCE RATHERTHAN PAYING FINE
26
55%
37%
8%
More likely to get
insurance
More likely to pay
fine
Don't know
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
27. USINGTHE HEALTH EXCHANGES REMAINS A
NEGATIVE EXPERIENCE FORTHE 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
28. HOWEVER, INCREASING NUMBERS OF UNINSURED
AMERICANS LOOKTOTHE HEALTH EXCHANGESTO
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
30. A MAJORITY BELIEVESTHAT RELIGIOUS-AFFILIATED
ORGANIZATIONS SHOULD BE ABLETO 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
out
57%
Unsure / No
answer
8%
Source: CBS News Poll, March 20-23, 2014
31. HOWEVER,THE MAJORITY SHIFTSWHEN ASKED
WHETHER NON-RELIGIOUS ORGANIZATIONS
SHOULD COVER BIRTH CONTROL
31
Should
have to
cover
51%
Should be
able to
opt out
42%
Unsure /
No answer
7%
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
32. WHEN BIRTH CONTROL IS ASSOCIATEDWITH
“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%
Unsure
6%
Source: NBC News/ Wallstreet Journal, March 5-9, 2014
33. AMERICANS ARE DIVIDEDABOUT 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?
3%
49%
49%
Unsure
Should not
Should
Source: CNN/ORC Poll, January 31-February 2, 2014
35. AMERICANS ARE DIVIDEDOVER HOWTHE LAWWILL
AFFECTTHEM 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
36. SIMILARLY, A PLURALITY SAYSTHATTHE LAWWILL
MAKETHE SITUATIONWORSE ACROSSTHE 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
37. HOWEVER, A MAJORITY WANTSTO SEE HOWTHE
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.
34%
51%
13%
Should be repealed See how it works Should be left alone
Source: Bloomberg national Poll, March 7-10, 2014
39. A PLURALITYWOULD LIKETO SEE CONGRESS KEEP
THE LAW IN PLACE ANDWORKTO 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
7%
5%
19%
12%
48%
8%
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
40. MOST SAY A CANDIDATES’VIEWS ONTHE ACAWILL
BE A MAJOR FACTOR INTHEIRVOTING BEHAVIOR
40
Source: Bloomberg National Poll, March 7-10, 2014
A major
factor
52%
A minor
factor
20%
Not a factor
24%
Unsure
4%
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.
41. HOWEVER – NO OBVIOUS CONSENSUS ON WHICH
POSITIONWILL GARNERVOTES
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.
47%
32%
19%
More likely Less likely No difference
Supports repealing the health care
reform law.
Supports fixing and keeping the health
care reform law.
45%
42%
11%
More likely Less likely No difference
42. 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 (Jboxt@gpgdc.com)
