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What do you think are the two most important problems for the government to address? PowerPoint PPT Presentation


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Public Opinion Challenges (and Opportunities?) For Addressing the Uninsured Issue Mollyann Brodie, PhD Vice President, Public Opinion & Media Research, Kaiser Family Foundation Grantmakers in Health January 21, 2004. What do you think are the two most important

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What do you think are the two most important problems for the government to address?

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Public Opinion Challenges (and Opportunities?) For Addressing the Uninsured IssueMollyann Brodie, PhDVice President, Public Opinion & Media Research,Kaiser Family FoundationGrantmakers in HealthJanuary 21, 2004


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What do you think are the two most important

problems for the government to address?

Economy

War

Health care

Terrorism/National Security

Taxes/Budget

Education

Crime

Note: Adds up to more than 100% because of multiple responses

Source: Kaiser Family Foundation Health Poll Report September/October 2003 (conducted Oct. 3-5, 2003)


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Americans’ Perceptions of the Most Important Issues for the Government to Address

Percent naming health care as one of the two most important issues for the government to address

Jun-03

Note: "Don't know" responses were included in the base when percentages were calculated.

Source: Harris Interactive Polls, cited in: Blendon, Robert J., John M. Benson, & Catherine M. DesRoches. 2003. Americans’ views of the uninsured: An era for hybrid proposals. Health Affairs, Web Exclusive, W3 :405-414.


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Most Important Priority Within Health Care

How important do you think it is for the President and Congress to deal with the issue of increasing the number of Americans with health insurance?

What do you think is the most important problem in health or health care for the government to address? (OPEN-ENDED RESPONSES*)

Costs

Seniors’ issues

Very important

Coverage and access

Medical conditions

Somewhat important

Not too/ Not at all important

Insurance issues

*Note: Adds up to more than 100% because of multiple responses

Source: Kaiser Family Foundation Health Poll Report September/October 2003 (conducted Oct. 3-5, 2003)


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Public Often Agrees About Goals…

“Everyone--regardless of age, income, health status, or employment --should have access to the same type of health insurance coverage.” (1993)

“Health care should be provided equally to everyone just as public education is” (2000)

Agree

Agree

Disagree

Disagree

No Opinion

No Opinion

Sources: 1993: Consumers Union/Gallup Survey On Health Care, conducted March 26-April 9, 1993.

2000: Newshour with Jim Lehrer/Kaiser Family Foundation National Survey on the Uninsured, conducted Jan. 10 – Feb. 9, 2000.


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… But Not on the Best Solution

When forced to choose…

Percent who say “MOST preferred option”

Percent who FAVOR

Tax credits for businesses

Expanding state government programs such as Medicaid

Requiring businesses to offer insurance to employees

Tax credits for individuals

Expanding Medicare to people under age 65

National single-payer plan

Source: Kaiser Family Foundation Health Poll Report January/February 2003


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Level of Support for Three Health Reform Plans, 1945

Percent favoring in forced 3-way choice

Percent saying “good” or “fair” idea

Insurance company plan

Federal government plan

Doctor organization plan

Source: Opinion Research Corporation Poll, 1945, cited in: Payne, Stanley. 1946. Some opinion research principles developed through studies of social medicine. Public Opinion Quarterly, 10 (1), 93-98.


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Willingness to Pay to Help the Uninsured

Would you be willing to pay more--either in higher health insurance premiums or higher taxes--in order to increase the number of Americans who have health insurance, or not?

Yes, willing to pay

No, not willing to pay

Don’t know/ Refused

Source:Kaiser Family Foundation Health Poll Report January/February 2003


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Concerns About National Health Insurance

Percent saying they would be LESS INCLINED to support national health insurance if they heard the following arguments…

Your ability to choose doctors and hospitals could be restricted

Some expensive treatments you can get now may be unavailable

Might reduce quality of care

Most of us will pay higher taxes

Source: Robert Wood Johnson Foundation/Harvard School of Public Health, American Attitudes Toward Health Care Reform (conducted Mar. 18-25, 1993)


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Knowledge: Who are the Uninsured?

Would you say that more uninsured Americans are... employed or from families where someone is employed, or that more of these uninsured Americans are... unemployed or from families where no one is employed?   

Source: Kaiser Family Foundation Health Poll Report January/February 2003


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Health Care Worries

Percent saying they are VERY worried over the next six months…

The amount you pay for health care or health insurance will increase

Your health plan would be more concerned about saving money for the plan than about what is the best treatment for you*

You might lose your health insurance coverage*

Source: Kaiser Family Foundation Health Poll Report September/October 2003 (conducted Oct. 3-5, 2003)

* Asked of insured only.


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Trust in the Federal Government

to Do the Right Thing

Percent saying “always/most of time”

Sources: Michigan-American National Election Study (1958-1982), ABC News/Washington Post and NPR/Kaiser/Harvard (1987-2003).


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The “Issue-Attention Cycle”

Anthony Downs

  • The pre-problem stage

  • Alarmed discovery and euphoric enthusiasm

  • Realizing the cost of significant progress

  • Gradual decline in public interest

  • The post-problem stage


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Change in Public Support for Clinton Health Reform Plan Over Time

Favor

Oppose

Favor

Oppose

No opinion

No opinion

Source: Gallup/CNN/USA Today Polls, Sept. 24, 1993 and April 16, 1994.


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Change in Public Support for Truman Health Reform Plan Over Time

Oppose

Favor

Oppose

Favor

No opinion

No opinion

Source: Gallup Polls, 1949 and 1950.


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Self-Reported Voting in 2000 Presidential Election by Age and Insurance Status

Percent saying they voted in the 2000 presidential election

Source: Kaiser Family Foundation/Harvard School of Public Health Post-Election Survey: The Public and the Health Care Agenda for the New Administration and Congress (conducted Nov. 13 – Dec. 13, 2000)


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Health Care Priorities for the

President and Congress by Age

Percent choosing as the MOST important health priority…

Age 18-64

Age 65+

Increasing number of covered Americans

Helping seniors pay for prescription drugs

Making Medicare more financially sound

Lowering the cost of malpractice insurance

Source: Kaiser Family Foundation Health Poll Report September/October 2003


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A Graying Electorate – Non-Presidential Elections

The 1974 Electorate

18%

were younger than 30

17%

were 65 and older

The 2002 Electorate

10%

were younger than 30

23%

were 65 and older

The 2022 Electorate

8%

will be younger than 30

33%

will be 65 and older

Source: Washington Post/Kaiser Family Foundation/Harvard University – projections based on a statistical model created using U.S. Census Bureau Current Population Surveys conducted after every election since 1972 and official Census population projections.


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Opportunities (?)

  • Goals – public pays attention to news about the issue

  • When the economy is bad, it’s a good time to talk about this (people feel more insecure)

  • Combined approaches

  • Build on current system


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