Public Opinion Landscape - Health Care and the ACA

1,073 views

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,073
On SlideShare
0
From Embeds
0
Number of Embeds
355
Actions
Shares
0
Downloads
7
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Public Opinion Landscape - Health Care and the ACA

  1. 1. Health Care and the ACA American Public Opinion Landscape March, 2014
  2. 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. 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. 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. 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. 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. 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. 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
  9. 9. AFFORDABLE CARE ACT 9
  10. 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. 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. 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. 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. 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
  15. 15. EFFECT OF THE ACA SO FAR 15
  16. 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. 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. 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. 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. 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
  21. 21. THE UNINSURED AND THE ACA 21
  22. 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. 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. 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. 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. 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. 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. 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
  29. 29. THE ACA AND WOMENS’ HEALTH COVERAGE 29
  30. 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. 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. 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. 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
  34. 34. AFFORDABLE CARE ACT: INTO THE FUTURE 34
  35. 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. 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. 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
  38. 38. IMPLICATIONS FOR NOVEMBER RACES 38
  39. 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. 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. 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. 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)

×