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A Nationwide Survey of Voter Attitudes on Health Care

June 3-4, 2009 / N=500 Registered “Likely” Voters / ±4.5% M.O.E.

Now I would like to read you a list of issues that some people from this part of country have said are important for the President and Congress to deal with. Please listen as I read the list and tell me which one issue you think is most important
Balancing the federal budget Improving health care Strengthening the national economy Improving education Dealing with the wars in Iraq and Afghanistan Protecting Social Security and Medicare Reducing the tax burden on working families Fighting the war against terrorism Dealing with the financial crisis

10% 11% 26% 3% 4% 7% 6% 6% 11%

0%

10%

20%

30%
Q1

Now, thinking about the issue of health care and health insurance – Do you and your immediate family currently have health insurance coverage?

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Yes

89%

8%
No

1%
Self, but not family

1%
Others in family
Q2

How satisfied would you say you are with your current health insurance plan?
(If answered “Yes” or “Self but not family” in Q3, N=451 or 90.1% of sample)

40%

36%
30%

30% 27%

20%

10%

6%
0%
Extremely satisfied Very satisfied Somewhat satisfied Not at all satisfied

1%
Unsure
Q3

And, being as specific as you can, what would you say is the thing you like the most about your current health insurance plan?
(If Answered “Extremely satisfied,” “Very satisfied” in Q4; Asked of N=284 or 56.7% of Sample)

Q5-1 Open-Ended Responses

Percent (%)

Get to choose doctors / no referrals necessary Pays the medical bills Comprehensive coverage / low cost / good coverage for procedures Low / No co-payment General positive view Other Low cost / affordable Have Medicare / Veterans health care / Government health program Covers prescription drugs Employer provides Mentioned plan supplements Medicare coverage

13.2 7.3 7.1 5.5 5.2 5.2 4.8 3.4 1.5 1.5 1.4
Q4

And, being as specific as you can, what would you say is the thing you dislike the most about your current health insurance plan?
(If Answered “Somewhat satisfied,” “Not at all satisfied” or ”Unsure” in Q4; Asked of N=161 or 32.1% of Sample)

Q5-2 Open-Ended Responses

Percent (%)

High price for coverage Insurance does not cover enough procedures / limits to choices Insurance does not pay enough of the procedure costs High co-payments Does not cover prescription drugs / Does not pay all of the costs of prescription drugs Deductibles are too high System supports those who do not pay their share Unhappy with Medicare coverage / supplement not enough Increasing / high premiums Other Too slow on payments / too much paperwork No dental / Vision coverage

7.6 3.9 2.9 2.7 2.6 2.2 1.9 1.9 1.9 1.7 1.1 1.0
Q5

Now, thinking about the cost of health insurance – Which of the following would you say is the most important reason why health care is too expensive? Would you say that the main reason is:
Lifestyle habits

4% 7% 13% 7% 11% 2% 16% 16%
10% 20%
Q6

Cost of drugs and technology

Cost drug companies charge

Doctors’ fees

Hospital fees Medical advances for disease treatment Profits for health insurance providers Legal costs

0%

Now I would like to read you a list of different “types” of health care systems that exist. Please listen as I read the list and tell me, what your impression is of each of these different types of health care systems.
“Government-run health care system”

40%

30%

30%

20%

19% 13%

19% 10%

10%

8%
0%
Extremely negative Very negative Neutral Very positive Extremely positive

Unsure
Q7

70% 60% 50% 40% 30% 20% 10% 0%
Yes

Now, thinking about the issue of health care reform – Have you seen, read, or heard anything in recent weeks about a proposal by President Obama and the Democrats in Congress to reform the health care system in the United States?
65%

33%

2%
No Unsure
Q8

Congress is currently considering three options for health care reform. Which of theses three options do you think would be the best?

40%

•Create a national government run system to cover the uninsured, •Enact reforms to lower the costs of the current health insurance offered most employers, •Provide Americans with a tax credit to purchase their own health insurance?

38%
30%

27%
20%

27%

10%

7%
0%
National system Lower costs of employer insurance Provide individual tax credits Unsure
Q9

60% 50% 40% 30% 20% 10% 0%
Favor

As you may know, 170 million Americans currently get health insurance from their employers, and 40 million Americans have no health insurance. Now, thinking about ways to provide health insurance coverage to the uninsured. Would you favor or oppose a proposal to eliminate the tax benefit that employers receive for providing health insurance to their employees, if you knew that this would provide the money needed to create a government run health plan that would cover all Americans?

50% 43%

6%

Unsure

Oppose
Q10

And – Would you favor or oppose the elimination of the tax benefit that employers receive for providing health insurance to their employees as a way to pay for a government health plan that would cover all Americans if you knew that it would cause many employers to cancel the health plans they provide to their employees?

50% 40% 30% 20% 10% 0%
Favor

(If answered “Favor” or “Unsure” in Q22, N=249 or 49.6% of sample)

46% 40%

14%

Unsure

Oppose
Q11

Would you favor or oppose a proposal to reinstating the death tax and raising the capital gains tax to provide the money needed to create a government run health plan that would cover all Americans?
60% 50% 40% 30% 20%

56%

33%

11%
10% 0%
Favor Unsure Oppose
Q12

As you may or may not know, President Obama and the Democrat majority in Congress are currently working on a proposal to change the health care system in the United States to a system that administered by the government and would cover everybody. I would like to read you a list of different “concerns” that some people have about a government run health care system. Please listen as I read the list and tell me, for each one, about these things happening to you or your family under a government-run health care system.

60% 50% 40% 30% 20% 10% 0%
Extremely worried

“Losing the ability to choose your own doctor”

54%

16%

15%

14% 1%

Very worried

Somewhat worried

Not at all worried

Unsure
Q14

As you may or may not know, President Obama and the Democrat majority in Congress are currently working on a proposal to change the health care system in the United States to a system that administered by the government and would cover everybody. I would like to read you a list of different “concerns” that some people have about a government run health care system. Please listen as I read the list and tell me, for each one, about these things happening to you or your family under a government-run health care system.

60% 50% 40% 30% 20% 10% 0%
Extremely worried

“Having your access to health care ‘rationed’”

54%

16%

12%
Somewhat worried

15%

3%
Unsure
Q15

Very worried

Not at all worried

As you may or may not know, President Obama and the Democrat majority in Congress are currently working on a proposal to change the health care system in the United States to a system that administered by the government and would cover everybody. I would like to read you a list of different “concerns” that some people have about a government run health care system. Please listen as I read the list and tell me, for each one, about these things happening to you or your family under a government-run health care system.

70% 60% 50% 40% 30% 20% 10% 0%
Extremely worried

“Having the government deny you medical treatment”

62%

19% 11%
Very worried

8%
Somewhat worried Not at all worried

1%
Unsure
Q16

As you may or may not know, President Obama and the Democrat majority in Congress are currently working on a proposal to change the health care system in the United States to a system that administered by the government and would cover everybody. I would like to read you a list of different “concerns” that some people have about a government run health care system. Please listen as I read the list and tell me, for each one, about these things happening to you or your family under a government-run health care system.

70% 60% 50% 40% 30% 20% 10% 0%
Extremely worried

“Having to wait weeks or months to receive medical treatment”

63%

12%
Very worried

15% 8%
Somewhat worried Not at all worried

1%
Unsure
Q17

Now, I would like to read you a list of statements about the health care system in the United States that some people agree with and others disagree with. Please listen carefully as I read each statement and tell me if you would agree or disagree with that particular statement.

Q18

Now, I would like to read you a list of statements about the health care system in the United States that some people agree with and others disagree with. Please listen carefully as I read each statement and tell me if you would agree or disagree with that particular statement.

Frivolous medical malpractice lawsuits are one of the main reasons why health care costs are so high

65%

6%

29%

Illegal aliens should be given access to taxpayer-funded health care. The health care systems in Canada and Great Britain are better than the health care system in the United States.

21%

3%

76%

31%
10% 20% 30%

23%
40% 50% 60% 70%

46%
80% 90% 100%

0%

Agree

Unsure

Disagree
Q19-20

Now I would like to read you a list of issues and factors that are related to a government run health care system. Please listen as I read this list and tell me, for each one, whether knowing about this issue or factor would make you more likely or less likely to support changing over to a government run health care system that would cover everybody.

To pay the cost of creating a government run health care system that would cover everybody, Congress would have to significantly raise income taxes on millions of Americans and small businesses.

20%

5%2%

74%

In a government run health care system, patients would lose the freedom to choose their own doctors.

12% 3% 3%

82%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

More likely

Unsure

No difference

Less likely
Q21-22

Now I would like to read you a list of issues and factors that are related to a government run health care system. Please listen as I read this list and tell me, for each one, whether knowing about this issue or factor would make you more likely or less likely to support changing over to a government run health care system that would cover everybody.

In a government run health care system, the government has the right to deny certain medical services and treatments, even if your doctor thinks that you need them.

11%3% 3%

83%

In a government run health care system, illegal aliens would get the same health care benefits and access to health care that you do.

17%

3% 3%

77%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

More likely

Unsure

No difference

Less likely
Q23-24

Now I would like to read you a list of issues and factors that are related to a government run health care system. Please listen as I read this list and tell me, for each one, whether knowing about this issue or factor would make you more likely or less likely to support changing over to a government run health care system that would cover everybody.

Under a government run health care system, Congress would cut tax credits for employer-provided health insurance, causing the employers to “drop” this benefit and force their employees into the government run program. Under a government run health care system, the rationing of health care would mean that many patients, particularly the elderly, would have to wait weeks or months for treatment, and sometimes it would be too late.

20%

4% 2%

74%

8% 6% 2%

84%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

More likely

Unsure

No difference

Less likely
Q25-26