Californians learned about health reform through the news and it influenced their views in a very partisan way.
To see how Californians feel about reform, the CA Endowment completed a poll in mid April. The poll was conducted by Fairbank, Maslin, Maullin, Metz & Associates (FM3). The survey sample was 800 voters with an oversample of 200 Decline to State Voters.
Now let’s look at who moves to support after hearing more information and examine why they move. There are two basic categories of positive movers:Those without a strong ideological predisposition to support or oppose reform – notably independents and moderates.Those with some specific likelihood to benefit from reform once they understand its provisions – including voters with pre-existing conditions, those who lack coverage, seniors, and some communities of color.
In the survey, people were read a list of 19 provisions of the new health law in 4 categories, those that relate to expanding access to services, cost & quality of care, insurance company reform, and how health reform will be funded.
These are worded in a neutral way, simply explaining what the law does..these are the top rated provisions that received over 60% support.
Messages stressing the broad distribution of benefits and insurance company reforms are generally the most compelling.The most important provisions to people depend on their circumstances but it’s also good to let people know about the ones that are most popular so that they get repeated..the key to marketing.
What do we want to do?This moment is unique; when was the last time we had such a major reform?There is a wide base of supporters – and the potential for many moreHealth care has now moved from a cloudy problem to a political issueHealth reform will touch everyone. Potential to create a strong constituency empowered to push for more and better health care.Health that expands access to services – has better quality of care – and honestly invests in prevention.Our goal for public education: Leverage this unique moment of health care reform to build a broader and stronger constituency for health, committed to building a health system that improves access and quality of care, and invests in prevention.
With the passage of health reform, this high profile moment presents a key opportunity to establish a stronger base of support for health issues and raise the bar for consumers’ expectations of their health care.The key to better healthcare is a more empowered consumer who understands what they have and begins to make demands for higher quality and better value. To change the culture from consumer passivity to active involvement begins with an understanding of the new law. That understanding will be beneficial for all that we want to do. And as implementation rolls out, public education must continue. This year is critical because there are many who want to weaken, repeal and replace the law and we need to meet them and beat them in their attempts to take these benefits away from people.If reform becomes known to people as coverage and benefits rather than framed as a mandate and taxes—each step of the way will become easier for reformers.Empowered consumerscan create a game-changing new direction for health in our state.
What can you/your organization do to support health care reform in California?
Let’s talk about how you/your organization would like to participate. Who are you constituents or members?How would you approach them?
Ask Me About Health Reform
“Ask Me About Health Care Reform”<br />A Public Education Campaign to Support Health Care Reform Implementation in California<br />
Our Presentation<br />Prologue: Evolution of a Public Discussion<br />Polling: California – Where We Are Now<br />Goal: A Stronger Constituency for Better Health Care<br />Campaign: “Ask Me About Health Care Reform”<br />Fit: Where Do You/Does Your Organization Fit <br />
Prologue<br />Evolution of Public Discussion<br />
Evolution of Public Discussion<br />Health Reform was 2008 campaign promise, 2009 priority, 2010 passage<br />Congressional process / partisan battle focus<br />Tea Party protests<br />Public doubt<br />Obama focuses<br />Law Passes<br />
The Polling<br />California Voters and Health Care Reform: Current Attitudes and Strategic Implications<br />Survey Conducted: April 8-12, 2010<br />800 Californians Surveyed; 200 Oversample of DTS Voters<br />Survey conducted by Fairbank, Maslin, Maullin, Metz & Associates (FM3) - Public Opinion Research & Strategy<br />
In general, do you support or oppose the new healthcare law/health reform plan recently approved by Congress and signed by the President?<br />Total Support 49%<br />TotalOppose 42%<br />Q5.<br /> Initially, a plurality of Californians support reform.<br />
The fundamental divisions on the issue are partisan.<br />First Ask: Initial Support for Reform by Party<br />76%<br />15%<br />36%<br />49%<br />83%<br />14%<br />5. In general, do you support or oppose the new healthcare law/health reform plan recently approved by Congress and signed by the President?<br />
Many groups that reform will help do not initially see a direct benefit to their families.<br /><ul><li>A direct benefit to their family is only perceived by:
50% of those who have had trouble paying for health care in the past three years;
49% of those who have been denied coverage for a pre-existing condition;
41% of those in households where a member has lacked coverage at some point in the past three years;
36% of those with household incomes under $60,000 per year; and
35% of those with no more than a high school education. </li></li></ul><li>Detailing provisions of reform leads to a significant increase in support<br />5/12/16. In general, do you support or oppose the new healthcare law/health reform plan recently approved by Congress and signed by the President?<br />
<ul><li>Voters can be divided into three groups, based on the consistency of their support for reform in the four support/oppose questions in the survey:
Consistent supporters (47% of the electorate): indicated that they support reform each of the four times they were asked;
Consistent opponents (38% of the electorate): indicated that they would oppose reform each of the four times they were asked;
Swing voters (15% of the electorate): shifted positions (in any direction) over the course of the survey, or remained consistently undecided.</li></ul>Fully 85% of voters are dug in to positions of support or opposition – as is the case on many contentious policy issues.<br />
The Persuadables<br />Ideology – Independent, Moderate<br />The Gainers – Most notably the uninsured<br />
Groups that shift to support reform over the course of the survey that respond to information.<br />7% Shift to Support Reform(Positive Movers)<br />Opposition<br />SUPPORT<br />
Poll Conclusions<br />Support today for health care reform is greater in California than many other regions nationally but still a highly partisan issue.<br />Receiving information about health care reform content builds and intensifies support among all Californians regardless of party or “decline-to-state” registration.<br />Californians who are self-described moderates in political outlook and independent voters who register “decline-to-state” are particularly responsive to information about health care reform’s provisions, as are Californians who would most directly benefit from health care reform.<br />
Lessons from the Poll <br />First, explain what’s in the law.<br />Benefits <br />Most Popular<br /><ul><li>No more dropping people when they’re sick
Where Do You Fit? <br />Talking, Writing<br />Supporting Reform<br />Educating Members<br />Community Outreach<br />Resources<br />Give Health Care to a Graduate<br />Send a gift of health care coverage to a graduate. Let them know how the new health care bill will protect them.<br />Ask Me About the New Health Care Law<br />
The Three Things To Remember<br />Support California legislation to implement reform so its successful.<br />Educate “persuadables” (moderates and people who will gain benefits) on the benefits of reform.<br />Keep in mind the most popular benefits:<br /><ul><li>No more dropping people when they’re sick
Messages stressing the broad distributionof benefits and insurance company reforms are generally most compelling.<br />Ranked by % Very Convincing<br />65%<br />60%<br />13. Here are some statements from people who support the new healthcare law approved by Congress and the President. Please tell me whether you find it very convincing, somewhat convincing, or not convincing as a reason to support the plan. *Split Sample<br />
Continued<br />63%<br />61%<br />61%<br />13. Here are some statements from people who support the new healthcare law approved by Congress and the President. Please tell me whether you find it very convincing, somewhat convincing, or not convincing as a reason to support the plan. *Split Sample<br />
Continued<br />59%<br />61%<br />61%<br />13. Here are some statements from people who support the new healthcare law approved by Congress and the President. Please tell me whether you find it very convincing, somewhat convincing, or not convincing as a reason to support the plan. *Split Sample<br />