Your Voice, New Vision

Slide 1: A National Opinion Poll Consumers’ Views of Health Care, Reform Options and Prospects for Change Jack Korte, Vice President Amy Collis, Senior Research Manager Conducted by Harris Interactive® for Mayo Clinic Health Policy Center December 2007 CP1303118-1

Slide 2: Research Goals Learn about the health care consumer and their views on: • Health care today • American reform options • Health care and the 2008 election • Importance of reform • Prospects for change CP1303118-2

Slide 3: Methodology • 1,018 online surveys • U.S. residents, ages 25-75 • All health care decision makers CP1303118-3

Slide 4: Health Care Consumer Profile (n=1018) More than Half of Americans Reported A Chronic Health Condition Percent of Americans with a Major Chronic Conditions Chronic Condition (multiple responses allowed; conditions listed by at (n=1018) least 5%) Total Respondents Have a Chronic Condition (n=612) Arthritis 27% Do not have Have a a chronic Diabetes 25% chronic condition condition Depression 20% 46% Heart Disease 15% Chronic Pain 14% 53% Hypertension/ 10% High Blood Pressure Cancer 7% 1% High Cholesterol/ 5% Hyperlipidemia Decline to answer COPD 5% CP1303118-4

Slide 5: Health Care Consumer Profile (n=1018) Health Status — 19 Percent with Fair/Poor Health Health Status Chronic Condition by Health Status Total Respondents 2% Decline Good Health 20% to answer Status 40%c bc 41% 63% Do not have a chronic condition ab 80% Have a a 58% chronic 40% condition 37% Excellent/Very 19% Good Health Status Fair/Poor Excellent/Very Good Health Fair/Poor Health Health Status Good Health Status Status Status (a) (b) (c) (n=362) (n=427) (n=229) CP1303118-5

Slide 6: Health Care Consumer Profile (n=1018) 1 in 8 Americans Uninsured Percent of Americans with Insured vs. Uninsured: Health Insurance Key Demographic Differences (n=1018) Total Respondents Insured Uninsured (p) (q) (n=896) (n=120 ) Insured Highest Education 35% 50%p Completed: High School or Less Employment 2% 12%p Status: Unemployed and looking for work Income: Under 10% 39%p $25K Uninsured Marital Status: 64%q 41% Married Note: The US Census places the 2006 uninsured rate at 15.8%. Our slightly lower rate is likely explained by the fact that our sample excludes 18-24 year olds, a group with a much higher rate of uninsured (29.3%)1 CP1303118-6

Slide 7: State of American Health Care Total (n=1018) Cost/formulary coverage (net) 54% Rising costs (unspecified) 33% Rising health care costs 5% Rising insurance costs 5% Rising drug prices 3% Other cost/formulary coverage mentions 8% Availability of health care (net) 24% Availability of health care to everyone 12% Availability of health care to poorer people 5% Universal health care/coverage 3% Other mentions included: the number of uninsured, Other availability of health care mentions 4% preventing government run health care, and All other mentions 17% providing better/higher quality care. Don’t know 2% Decline to answer/None 3% CP1303118-7

Slide 8: State of American Health Care Cost of Health Care Far Too High/A Little Too High 91% 91% Just Right 99%p Far Too Low/A Little Too Low 8% 8%q 1% 1% 1% Total Insured Uninsured (p) (q) (n=1018) (n=896) (n=120) CP1303118-8

Slide 9: State of American Health Care (n=1018) Overall Satisfaction with American Health Care The percent of people 11% 14% 12% Very/Completely very or completely 18%b Satisfied satisfied with American health care is also Satisfied significantly lower 27% 26% among the uninsured 29% (2%) vs. 15% among the 33% Not at insured. All/Somewhat Satisfied 57% 63%a 62%a 49% Total Excellent/Very Good Good Health Status Fair/Poor Health Status Health Status (a) (b) (c) (n=1018) (n=362) (n=427) (n=229) CP1303118-9

Slide 10: State of American Health Care (n=1018) About Half of Respondents Rated Quality, Coordination and Value of Care as Fair or Poor Ratings of Quality, Coordination, Value and Access to Care (n=1018) Total Respondents 15% 15% 17% Excellent/Very Good 27% Good 31% 24% 40% Fair/Poor 29% 59% 54% 44% 45% Quality Coordination Value Access CP1303118-10

Slide 11: State of American Health Care (n=1018) • The views of the uninsured and sick differ from those who are healthier and have insurance CP1303118-11

Slide 12: State of American Health Care Overall Quality of Health Care in the US Respondent Breakouts Insurance Status Health Status 19% 23% 23% 29% b 34% Excellent/Very Good 24% 20% c Good 35% 30% 28% Fair/Poor 57%p 56%ab 42% 38% 43% Insured Uninsured Excellent/Very Good health Fair/Poor health good health status status status (p) (q) (a) (b) (c) (n=896) (n=120) (n=362) (n=427) (n=229) CP1303118-12

Slide 13: Health Care Reform Options Americans Want Information, Access to Providers and Tools to Better Manage their Own Health Reform Statements: Importance Ratings (n=1,018) Total Respondents Very/Extremely 70% Important 72% 72% 79% 79% Important 19% 22% 24% 18% 16% Somewhat/Not at All Important 3% 5% 9% 6% 6% Patients should be able to Patients should be able to No one should be denied Efforts to improve the US Medical care should always obtain accurate and have \"freedom of choice\" health insurance coverage health system should strive be centered on the needs complete information on when they select doctors, due to a pre-existing to increase efficiency and and preferences of the their own health conditions hospitals and insurance medical condition decrease waste, not just individual patient so they can actively plans allocating more resources participate in making to it treatment decisions Ave 4.3 4.2 4.1 4.0 4.0 CP1303118-13

Slide 14: Health Care Reform Options Most American Adults Believe the Government Should Not Play an Active Role in Health Care Reform Statements: Importance Ratings (n=1,018) Total Respondents Very/Extremely Important 49% 49% 47% 44% 53% Important 21% 28% 23% 32% Somewhat/Not 31% at All Important 35% 23% 28% 16% 20% A common set of standards It would be a good idea to All Americans should be Patients should be The federal government of care, including patient have an independent required to have health encouraged to select a should play an important outcomes, satisfaction National Health Board, not insurance, with financial specific provider or group role in the funding of ratings and safety scores, involving politicians, to assistance available to of providers who can healthcare should be established define essential health people with lower incomes coordinate treatment for across the US to ensure services available for their chronic conditions that healthcare is a good Americans to receive value Ave 3.6 3.4 3.3 3.4 3.2 CP1303118-14

Slide 15: Health Care Reform Options (n=1018) • No new taxes to pay for reform CP1303118-15

Slide 16: Direction of America The Vast Majority of American Adults are Dissatisfied with the Overall Direction of the Country Satisfaction with the General Direction of the Country (p) (q) (n=1018) (n=896) (n=120) CP1303118-16

Slide 17: Presidential Election After the War in Iraq, Health Care is the Most Important Issue Facing the Next President Americans with a health condition and those who visit Total Excellent/ Good Health Fair/Poor their doctor more frequently Very Good Status Health Status are more likely to list health Health Status care as their top issue. (a) (b) (c) (n=1018) (n=362) (n=427) (n=229) The War in Iraq 17% 19% 17% 14% Health Care 15% 15% 14% 20% Terrorism 10% 11% 10% 10% Illegal Immigration 9% 8% 10% 7% Social Security/Retirement 7% 8% 5% 8% Programs Job Losses in the Country 6% 5% 8% 6% Balancing the Budget 6% 8% 4% 6% Alternative Sources of Energy 5% 6% 5% 4% Tax Reform 5% 4% 6% 4% CP1303118-17

Slide 18: Prospects for Health Care Reform Participation in Actions to Make Reform a Reality Insured, higher-income and more- Hispanics and also higher-income educated Americans are more likely % Rating Very much Americans are significantly more likely to favor taking more personal Favor/Somewhat Favor to favor paying more in taxes. responsibility. 80% 85%c 72% 62% 60% 59% 58% 56% 55% 54% 54% 49% 15% 18% 15% Take more personal Spend more time Spend more time Support political Pay more in taxes responsibility for my own researching healthcare researching insurance candidates that promote health, such as providers such as coverage/plans patient-centered complying with medical doctors, hospitals healthcare reform treatments and leading a more healthy lifestyle Total (n=1018) Excellent/Very good health status (a) (n=362) Fair/Poor health status (c) (n=229) CP1303118-18

Slide 19: Prospects for Health Care Reform About 80 Percent Agreed It’s Important to Improve Quality Total (n=1018) Excellent/Very Good Health Status (a) (n=427) Good Health Status (b) (n=362) Fair/Poor Health Status (c) (n=229) % Rating Very/ 81% 79% 78% 78% Extremely Important We should strive to increase the quality of healthcare and patient satisfaction as we decrease medical mistakes unnecessary costs and waste Ave. 4.2 4.2 4.2 4.3 CP1303118-19

Slide 20: Prospects for Health Care Reform Greatest Ability to Affect Change (Those Mentioned by at Least 5%; Multiple Responses Accepted) Excellent/ Good Health Fair/Poor Health Very Good Status Status Total Health Status (a) (b) (c) (n=362) (n=427) (n=229) Insurance companies 36% 29% 40%a 41%a Doctors and other health care 32% 31% 35% 27% providers Congress 31% 23% 39%a 31% Consumers 29% 33%c 30%c 18% The President 16% 15% 18% 16% Hospitals 16% 14% 20%c 11% Individual state legislatures 16% 11% 18% 19% Large employers 15% 19%c 15% 9% News Media 6% 4% 8% 6% Other 2% 1% 3% 3% None/Don’t Know/No answer 9% 10% 8% 9% CP1303118-20

Slide 21: Prospects for Health Care Reform Likelihood of Reform in the Next Ten Years Older Americans are more 17% Very Likely/Somewhat optimistic about the Likely likelihood of reform: 27% of 65-75 year-olds think that it 17% is likely we will see change Neither Likely nor in the next 10 years. Unlikely Somewhat Unlikely/Very Unlikely 66% Total (n=1,018) CP1303118-21

Slide 22: Prospects for Health Care Reform “Politics,” Health Insurance Companies, and Costs are Seen as the Biggest Barriers to Achieving this Reform Goal Single Biggest Barrier to Achieving Goal (those mentioned by at least 5%) Excellent/ Good Health Fair/Poor Health Very Good Status Status Total Health Status (a) (b) (c) (n=362) (n=427) (n=229) Politics 26% 22% 31%a 26% Health insurance companies 18% 18% 17% 21% Cost 17% 15% 18% 16% Too much government involvement 15% 18% 14% 10% Competing interests 11% 15%b 7% 11% Lack of coordination among multiple 3% 2% 3% 5% providers Not enough government involvement 3% 2% 3% 2% Other 1% 1% 1% 0% None/Don’t know/No answer 1% 1% 0% 2% CP1303118-22

Slide 23: (n=1018) Take Aways American consumers are: • Frustrated with health care • Interested in getting more involved in their own care • Distressed with the high cost of health care • Opposed to new taxes • Believe quality, coordination and access can be improved CP1299153-23