Public opinion research findings presented at the Mayo Clinic National Symposium on Health Care Reform.

1. 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 A National Opinion Poll

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

8. (p) (q) (n=896) (n=120) (n=1018) Cost of Health Care State of American Health Care

9. (n=1018) (n=1018) (a) (b) (c) (n=362) (n=427) (n=229) Overall Satisfaction with American Health Care The percent of people very or completely satisfied with American health care is also significantly lower among the uninsured (2%) vs. 15% among the insured. State of American Health Care

12. Overall Quality of Health Care in the US Respondent Breakouts (p) (q) (n=896) (n=120) (a) (b) (c) (n=362) (n=427) (n=229) Health Status Insurance Status State of American Health Care

13. Americans Want Information, Access to Providers and Tools to Better Manage their Own Health (n=1,018) Reform Statements: Importance Ratings Total Respondents Health Care Reform Options 4.0 4.3 4.1 4.0 4.2 Ave

14. Most American Adults Believe the Government Should Not Play an Active Role in Health Care (n=1,018) Reform Statements: Importance Ratings Total Respondents Health Care Reform Options 3.2 3.6 3.3 3.4 3.4 Ave

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

17. 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 their doctor more frequently are more likely to list health care as their top issue. Presidential Election 6% 5% 4% 8% 5% 10% 10% 14% 17% Good Health Status (b) (n=427) 7% 8% 9% Illegal Immigration 10% 11% 10% Terrorism 20% 15% 15% Health Care 14% 19% 17% The War in Iraq 4% 6% 5% Alternative Sources of Energy 6% 5% 6% Job Losses in the Country 6% 8% 6% Balancing the Budget 4% 4% 5% Tax Reform 8% 8% 7% Social Security/Retirement Programs Fair/Poor Health Status (c) (n=229) Total (n=1018) Excellent/ Very Good Health Status (a) (n=362)

18. Participation in Actions to Make Reform a Reality (n=229) (n=362) (n=1018) % Rating Very much Favor/Somewhat Favor Insured, higher-income and more-educated Americans are more likely to favor taking more personal responsibility. Hispanics and also higher-income Americans are significantly more likely to favor paying more in taxes. Prospects for Health Care Reform

19. About 80 Percent Agreed It’s Important to Improve Quality (n=427) (n=229) (n=362) (n=1018) % Rating Very/ Extremely Important Prospects for Health Care Reform 4.2 4.3 4.2 4.2 Ave.

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

21. Likelihood of Reform in the Next Ten Years (n=1,018) Older Americans are more optimistic about the likelihood of reform: 27% of 65-75 year-olds think that it is likely we will see change in the next 10 years. Prospects for Health Care Reform

22. “ 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%) Prospects for Health Care Reform 0% 1% 1% 1% Other 2% 3% 2% 3% Not enough government involvement 11% 7% 15% b 11% Competing interests 5% 3% 2% 3% Lack of coordination among multiple providers 21% 17% 18% 18% Health insurance companies 16% 18% 15% 17% Cost 10% 14% 18% 15% Too much government involvement 26% 31% a 22% 26% Politics 0% Good Health Status (b) (n=427) 2% Fair/Poor Health Status (c) (n=229) 1% 1% None/Don’t know/No answer Total Excellent/ Very Good Health Status (a) (n=362)