2. 1
TABLE OF CONTENTS
1. Importance of Health Care, Health Care Issues
2. Health Care Reform
3. Elements of Reform
4. Effects of Reform
5. Players
Slide
2
8
17
26
31
4. AMERICANS’ CONFIDENCE IN U.S. MEDICAL
SYSTEM DROPS
3
Now I am going to read you a list of institutions in American society. Please tell me how much confidence
you, yourself have in the U.S. medical system – a great deal, quite a lot, some, or very little?
Source: Gallup Poll, June 1-4, 2013
5. NEARLY 3-IN-10 AMERICANS BELIEVETHE HEALTH CARE
SYSTEM MUST BE COMPLETELY REBUILT
4
Do you think [INSERT ITEM] in this country works pretty well and requires only MINOR CHANGES, do you
think it needs MAJOR CHANGES, or do you think it needs to be COMPLETELY REBUILT?
Source: Pew Research Center Poll, May 1-5, 2013
19%
21%
27%
27%
21%
32%
35%
26%
34%
31%
37%
45%
40%
39%
51%
40%
36%
32%
31%
26%
21%
Homeland security system
Social Security system
Medicare system
Health care system
Education system
Tax system
Immigration policy
Needs to be
completely
rebuilt
Needs
major changes
Works pretty
well / minor
changes
NET:
Rebuilt
/major
75%
72%
66%
64%
58%
54%
44%
6. YET,VAST MAJORITY OF AMERICANS SATISFIED
WITH MEDICAL CARE & HEALTH COVERAGE
5
Would you say you are very satisfied, somewhat satisfied, somewhat dissatisfied, or very
dissatisfied with the medical care and health coverage you and your family receive?
Source: NBC/WSJ Survey, September 5-8, 2013
31%
42%
12% 13%
Very satisfied Somewhat satisfied Somewhat
dissatisfied
Very dissatisfied
73%
Satisfied
25%
Dissatisfied
Note: “Not sure” results are not shown.
7. MOST AMERICANS HAVE FAVORABLEVIEW OF
DOCTORS AND HOSPITALS; LESS ENAMOREDWITH
PHARMACEUTICAL COMPANIES AND INSURERS
6Note: “Don’t know/Refused” results are not shown.
Do you have a generally (favorable) or generally
(unfavorable) opinion of…?
Favorable Unfavorable Difference
Doctors 80% 14% +66
Hospitals 73% 22% +51
Airlines 53% 30% +23
President Barack Obama 52% 43% +9
Banks 50% 42% +8
Drug or pharmaceutical companies 43% 47% -4
Health insurance companies 44% 48% -4
ObamaCare 42% 47% -5
Democrats in Congress 41% 48% -7
Republicans in Congress 35% 55% -20
Oil companies 31% 57% -26
Source: Kaiser Family Foundation Health Tracking Poll. June 4-9, 2013
8. ECONOMYTOPS ISSUES LIST; HEALTH CARE IS A
DISTANT FOURTH
5%
5%
5%
8%
10%
16%
17%
21%
Foreign aid/Focus overseas
Ethical/Moral/Family decline
Federal budget deficit
Situation in Syria
Healthcare
Dissatisfaction with government
Unemployment/Jobs
Economy in general
7
What do you think is the most important problem facing this country today? [Open-ended]
Source: Gallup Poll, September 5-8, 2013
Issues mentioned by 4%
or less not shown
10. OVER FOUR INTEN UNSURE WHETHER ACA
REMAINS LAW OF LAND
9
As you may know, a health care bill was signed into law in 2010. As far as you know, which comes
closest to describing the current status of the health care law?
Source: Kaiser Family Foundation Health Tracking Poll Omnibus Supplement, August 15-18, 2013
11. NEGATIVEVIEWS OF ACA CONTINUETO
OUTPACE POSITIVE
10
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?
Source: Kaiser Family Foundation Health Tracking Poll, September 12-18, 2013
12. 11
DIFFERENT POLLS SHOWVARYING LEVELS OF
OPPOSITION/DISAPPROVAL FOR HEALTH CARE
LAW
CNN / ORC
ABC/Wash Post
CBS News/NY Times
Approve/Support Disapprove/Oppose
Pew/USA Today
39%
39%
42%
42%
38%
43%
51%
52%
53%
57%
Kaiser
Don’t know/
No opinion
4%
6%
10%
5%
17%
13. DIFFERENT POLLS SHOWVARYING LEVELS OF
OPPOSITION/DISAPPROVAL (The Details)
12
Organization Dates Question Wording Results
CNN / ORC Poll 9/27-29
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?
Favor: 38%
Oppose: 57%
Unsure: 4%
Pew /
USA Today
9/4-8
Do you approve or disapprove of the health care law
passed by Barack Obama and Congress in 2010?
Approve: 42%
Disapprove: 53%
Unsure: 5%
Washington
Post /
ABC News
9/12-15
Overall, do you support or oppose the federal law making
changes to the health care system?
Support: 42%
Oppose: 52%
Unsure: 6%
CBS News /
NY Times
9/19-23
From what you've heard or read, do you approve or
disapprove of the health care law that was enacted in
2010?
Approve: 39%
Disapprove: 51%
Unsure: 10%
Kaiser Family
Foundation
9/12-18
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?
Favorable: 39%
Unfavorable: 43%
Unsure: 17%
14. ONGOING PARTISAN DIVIDE ON ACA
13
Percent who say they have a favorable opinion of the health reform law
Source: Kaiser Family Foundation Health Tracking Poll, September 12-18, 2013
15. OBAMACAREVS. AFFORDABLE CARE ACT
14
Source: CNBC AAES Third-Quarter Survey, September 16-19, 2013
What are your feelings toward… Obamacare Affordable Care Act
POSITIVE (NET) 29% 22%
Very positive 14% 10%
Somewhat positive 15% 12%
Neutral 13% 11%
Somewhat negative 11% 13%
Very negative 35% 24%
NEGATIVE (NET) 46% 37%
Don’t know enough to say/not sure 12% 30%
Putting Obama in the name raises the positives and the negatives.
30 percent of the public don't know what ACA is, vs. only 12 percent when
asked about Obamacare.
Asked of half samples
16. STEADY OPPOSITION TO DEFUNDINGTHE ACA
SINCE 2011
15
Some lawmakers who oppose the health care law say that if Congress isn’t able to repeal the law,
they should try to stop it from being put into place by cutting off funding to implement it.
Whether or not you like the health care law, would you say you approve or disapprove of cutting
off funding as a way to stop some or all of the law from being put into place?
Source: Kaiser Family Foundation Health Tracking Poll, September 12-18, 2013
62% 61% 64% 64% 63%
58% 56% 58% 57% 56%
33% 34%
30% 30% 33% 32% 35%
31%
36% 37%
Jan-11 Feb-11 Mar-11 Apr-11 May-11 May-12 Jul-12 Apr-13 Aug-13 Sep-13
Disapprove of cutting off funding
Approve of cutting off funding
Note: “Don’t know” results are not shown.
17. OPPONENTS OF HEALTH CARE LAW DIVIDED
OVER NEXT STEPS
16
IF DISAPPROVE: What do you think elected
officials who oppose the health care law should
do now that the law has started to take effect?
Source: Pew Research/USA Today Poll, September 4-8, 2013
Disapprove
53%
Approve
42%
DK
5%
View of 2010 health care law
Make it work as
well as possible
27%
Make it fail
23%
19. MAJORITY OF AMERICANS DON’T FEELTHEY
HAVETHE INFORMATION TO UNDERSTAND
WHAT CHANGES WILL OCCUR WITH ACA
18
Do you feel that you personally do or do not have the information you need to understand what
changes will occur as the new health care law takes effect?
Source: ABC News/Washington Post Poll, September 12-15, 2013
Do not have the
information
62%Do have the
information
35%
DK/Ref
2%
20. SOME CONFUSION REMAINS ABOUT WHAT
IMPACTTHE LAW WILL HAVE
19
Do you feel you have a good understanding of how the 2010 health care
law will affect you and your family, or is it confusing to you?
Source: CBS News/NY Times Poll, September 19-23, 2013
53%
48%
52% 51%
41%
47%
44%
46%
Mar-10 Mar-12 Jul-13 Sep-13
No, it's confusing
Yes, understand
Note: “Don’t know/No answer” results are not shown.
21. 20
Source: Kaiser Family Foundation Health Tracking Poll. September 12-18, 2013
MOST REPORT HEARING LITTLE OR NOTHING
ABOUT HEALTH INSURANCE MARKETPLACES
As you may know, the health care law does create health insurance exchanges or marketplaces where people who don’t
get coverage through their employers can shop for insurance and compare prices and benefits. How much, if anything,
have you heard about this new health insurance marketplace, [also known as (STATE EXCHANGE NAME)] in your state?
5%
14%
32%
48%
A lot Some Only a little Nothing at all
19%
A lot / Some
80%
A little /
Nothing
Note: “Not sure” results are not shown.
22. 21
Source: Kaiser Family Foundation Health Tracking Poll. September 12-18, 2013
MOST OFTHE UNINSURED DON’T KNOW
EXCHANGES OPEN ON OCTOBER 1st
Do you happen to know when people will be able to begin shopping and signing up for health
insurance using the health insurance marketplace?
23. LESSTHAN HALF OF UNINSURED SAYTHEY
WILL USETHE STATE OR FEDERAL EXCHANGES
22
Source: Gallup Poll, September 17-26, 2013
More likely to get health insurance or pay the fine %
Get health insurance 65
Pay the fine 25
No opinion 11
Plan on getting health insurance for 2014 through a
state or federal health insurance exchange
%
Yes, plan to 48
No, do not plan to 36
Not decided yet/No opinion 17
Uninsured Americans’ Plans Regarding Health Insurance
24. UNISUREDTHINK EXCHANGES WILL BE
DIFFICULT TO UNDERSTAND ANDTHE
INSURANCETHEY PROVIDE WILL BE EXPENSIVE
23
How strongly do you agree or disagree with the following statements?
Source: Harris Poll, September 13-17, 2013
42%
53%
70%
72%
The process of enrolling in health insurance on
an exchange is going to be easy to understand
I will be able to find a plan on an exchange that
will meet my health needs at a reasonable price
Health insurance exchanges are going to be
difficult to understand
Health insurance purchased through an
exchange will be expensive
Among Uninsured % Agree
25. 31% OF UNINSURED UNAWARETHEY MUST GET
COVERAGE
24
According to the Affordable Care Act, starting in January 2014, most Americans will
be required to have health insurance or pay a fine. Were you aware of this before
now, or not?
Source: Gallup Poll, September 17-26, 2013
All Insured Uninsured
Yes, aware 83% 86% 68%
No, not aware 17% 13% 31%
26. MAJORITY OF AMERICANS FAVOR DELAYING
INDIVIDUAL MANDATE FOR ONEYEAR
25
As you may know, the federal health care law requires nearly all Americans to obtain
health insurance by January 1, 2014. Would you favor or oppose delaying this
requirement for one year?
Source: Reason-Rupe Survey, September 4-8, 2013
Favor
60%
Oppose
35%
DK/Ref
4%
28. 27
Source: ABC/Post Poll, September 12-15, 2013
MORE SAY LAW HAS HAD NEGATIVE RATHER
THAN POSITIVE EFFECTS SO FAR, ALTHOUGH
MANY ASYET SEE NO IMPACT
Thinking specifically about [ITEM] – so far has the health care law made this better, made it worse, or had no effect?
19%
9% 11% 12%
36% 33%
25% 22%
39%
55%
61% 63%
The health care system Your and your family's
health care costs
Your and your family's
health insurance
coverage
The quality of the health
care you and your family
receive
Better Worse No effect
Note: “No opinion” results are not shown.
29. 28
Source: CBS/NY Times Poll, September 19-23, 2013
NEARLY HALF OF AMERICANS SEE AN
ECONOMIC DOWNSIDETO LAW
In the long run, do you think the 2010 health care law will improve the national
economy, hurt the national economy, or won’t it affect the national economy?
TOTAL REP DEM IND
Improve 26% 7% 47% 21%
Hurt 49% 79% 22% 52%
No effect 18% 11% 23% 17%
Don’t know 8% 2% 8% 10%
30. 29
Thinking about the new health care law, do you
feel more reassured or worried about your
personal health care in the future?
And from what you have heard about the new
health care law, do you believe it will result in the
cost of your health care – going up, going down,
or staying about the same as now?
Source: Fox News Poll, June 22-24, 2013
AMERICANS WORRIED ABOUT FUTURE HEALTH
CARE; FEAR COSTS WILL GO UP
Worried
66%
Reassured
23%
Same
7%
DK
4%
Increase
52%
Decrease
9%
Stay the
Same
20%
No opinion /
DK
19%
Source: NBC/WSJ Survey, Sept 5-8, 2013
31. HALF OF U.S. SMALL BUSINESSES THINK
HEALTH LAW BAD FORTHEM
30
Overall, do you think the Affordable Care Act,
or Obamacare, is going to be good for your
business, bad for your business, or have no
impact on your business?
Source: Gallup Poll, April 1-5, 2013
39%
48%
9%
Have no impact on
your business
Bad for your
business
Good for your
business
Have you done any of the following
as a specific result of the Affordable
Care Act, or Obamacare, or not?
% Yes
Held off on plans to hire new
employees
41%
Pulled back on plans to grow your
business
38%
Considered dropping health insurance
coverage for your employees
24%
Reduced the number of employees
you have in your business
19%
Reduced the hours of employees to
part time
18%
FORTY-ONE PERCENTARE
HOLDING OFF ON HIRING BECAUSE
OFTHE AFFORDABLECARE ACT
33. 32
MORE DISAPPROVETHAN APPROVE OF OBAMA’S
HANDLING OF HEALTH CARE
Source: Pollster.com Aggregate Data as September 26, 2013
DISAPPROVE 52.7%
APPROVE 39.4%
OBAMA JOB APPROVAL –
HEALTH CARE
34. MAJORITYTHINK IMPLEMENTATION OF ACA IS
NOT GOING WELL
33
Turning to health care… so far, do you think the implementation of the federal health care
law, known as the Affordable Care Act or Obamacare, is going very well, somewhat well, not
too well, or not well at all?
Source: Reason-Rupe Survey, September 4-8, 2013
10%
24%
21%
41%
Very well Somewhat well Not too well Not well at all
34%
Well
62%
Not well
Note: “Not sure” results are not shown.
35. 34
MOST DISAPPROVE OFTHE WAY OBAMA IS
HANDLINGTHE IMPLEMENTATION OFTHE LAW
Source: ABC News/Washington Post Poll, September 12-15, 2013
Do you approve or disapprove of the way
Obama is handling implementation of the new
health care law?
Who do you trust to do a better job handling
implementation of the new health care law –
Obama or the Republicans in Congress?
Disapprove
55%
Approve
34%
No
opinion
11%
4%
16%
1%
38%
41%
No opinion
Neither (vol.)
Both (vol.)
Reps
Obama
36. 35
PUBLIC SAYS MEDIA COVERAGE MORE ABOUT
POLITICS THAN PRACTICAL INFORMATION
Thinking in general about the news media’s coverage
of the health care law, would you say the mix of
coverage has been mostly about (politics and
controversies), mostly about (how the law might
impact people), or has been a balance of the two?
Do you think the news media coverage you’ve seen
about the health care law is biased (in favor of) the
law, biased (against) the law, or is it mostly
balanced?
Mostly about
politics and
controversies
56%
Balance of
the two
33%
Mostly about
how the law
might impact
people
6%
10%
43%
27%
20%
DK/REF
Mostly balanced
Biased against
Biased in favor
Source: Kaiser Family Foundation Health Tracking Poll, September 12-18, 2013
DK/REF
5%
37. 36
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 health care 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) I Chris Gallup (cgallup@gpgdc.com)
