Public Opinion And Perceptions Of Health Insurance In European Societies – Lunna Lopes , Liz Hamel Follow @lizhamel on Twitter , Audrey Kearney Follow @audrey__kearney on Twitter and Mollyann Brodie Follow @Mollybrodie on Twitter
This month’s poll finds most are in favor of a Medicare-for-all national health plan (56%) and in favor of a “public option” (68%) in which a government-run plan would compete with insurance. private healthcare facility and would be available to all Americans.
Public Opinion And Perceptions Of Health Insurance In European Societies
While both proposed changes to the country’s health care system have majority support, a public option that would compete with private health insurance plans continues to garner more support than the more sweeping change touted in a Medicare-for-all plan. (Click here to see a side-by-side comparison of competing proposals.) Large majorities of Democrats favor both proposals (77% Medicare-for-all, 85% public option), as do most independents (61% Medicare-for-all, 73% public option). Among Republicans, one in four (24%) support a national Medicare-for-all plan and four in ten (42%) favor a public option.
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While both proposals aim to expand the federal government’s role in health care, the two plans are very different – as was highlighted during recent Democratic presidential primary debates. However, almost half of adults (48%) are in favor
When those who are in favor of a public option but opposed to Medicare-for-all are asked to explain their reasoning in their own words, the most common responses indicate that people like that option, a public option is not forced. , but an option that allows choice ( 32% of respondents, or 5% of the total public). Thirteen percent of respondents (2% overall) cited competition among private plans as the reason they support a public option but not Medicare for All. Smaller shares mention that it would allow people to keep their current plans, concerns about costs and tax increases for a Medicare plan for all, or concerns about government involvement in health care (each mentioned by 7% of respondents, or 1% of the total audience).
Most Americans feel that the two major health care reform proposals being discussed by Democratic presidential candidates, as well as the Affordable Care Act of 2010, are primarily intended to extend health coverage to all Americans, in instead of reducing people’s healthcare costs. About two-thirds of Americans think Medicare-for-all (68%) is primarily intended to provide health coverage to all Americans. Fewer, but still a majority, say the Affordable Care Act (59%) and a government-run public option plan (58%) are primarily intended to provide coverage for all Americans, rather than to reduce health care costs. (26% and 29% respectively). For each of these health care reform proposals, most supporters say they are primarily intended to provide coverage for all Americans.
Figure 5: Most say Medicare-for-all, the public option, and the ACA are primarily intended to provide health care to all Americans
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In general, the public does not perceive major differences in how a public option or a Medicare-for-all plan would impact taxes and personal health care costs. Eight in 10 (81%) think taxes for most people would increase under a public option, which is similar to the share who say taxes would increase under a Medicare-for-all plan (83%). In addition, a majority say people would continue to pay deductibles and co-payments when using health care services under both the public option and the Medicare-for-all plan (68% and 61%, respectively). About half say individuals and employers would continue to pay premiums under both proposals (50% versus 44%). However, there are some differences in perceptions of how the proposals would affect those with private health insurance coverage. Larger shares say people who buy their own coverage or get their coverage through their employer could keep their current plans under a public option (59% and 60%) than say the same about a Medicare-for-national plan. all (48% and 47%).
Figure 6: Most expect taxes to rise, deductibles and co-payments to continue on both Medicare-for-all and the public option
There has been some shift in the public’s perception of how things would or would not change under Medicare-for-all since the first Democratic presidential debate. Compared to six months ago, a larger share of adults now say that under Medicare-for-all, people with employer-sponsored insurance would not be able to maintain their current coverage (45% versus 38% in June 2019) and people purchasing their own plans would not be able to maintain their current coverage (44% vs. 39%). In addition, larger shares now say that individuals and employers would not continue to pay health insurance premiums (50% versus 39%) and that people would not continue to pay deductibles and co-payments when using health services (33% versus 39% ). 27%).
Democrats in particular are now more familiar with some of the potential impacts of a Medicare-for-all plan than they were in the June 2019 tracking poll. With the Democratic presidential primary campaign featuring extensive Medicare-for-all debates, Democrats are now more likely than they were six months ago to say that under a Medicare-for-all plan, individuals and employers would not continue to pay health insurance premiums (53% versus 31%). Likewise, compared to six months ago, Democrats are now more likely to say that under Medicare-for-all, people with employer-sponsored insurance would not be able to maintain their current health plans (41% vs. 25% as of June 2019), that people who purchase their own insurance would not be able to maintain their current plans (40% vs. 24%) and that people would not continue to pay deductibles and co-payments when using health services (36% vs. .25%).
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When asked about a list of possible health care priorities for Congress, most say it is at least very important that Congress work to reduce prescription drug costs for as many Americans as possible (87%) by making sure that ACA protections for people with pre-existing health conditions continue (83%), protecting people with health insurance from unexpected and high out-of-network medical bills (80%), doing more to address the addiction epidemic heroin and opioids (75%) and working to address rising vaping and e-cigarette use among teens (61%).
Figure 9: Half of adults say it is extremely important for Congress to work on prescription drug costs, pre-existing conditions and protections
When asked to pick their top health care priority, reducing prescription drug costs (22%) and continuing with pre-existing ACA protections (19%) top the list of most important priorities for Congress to work on. About a fifth (21%) said none of these health issues were critically important for Congress to work on. Notably, lowering the cost of prescription drugs and continuing pre-existing ACA protections were also top public health priorities for Congress a year ago.
Figure 10: Prescription drug costs and ongoing protections for people with pre-existing conditions Top Health Priorities for Congress
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Reducing the cost of prescription drugs is the only health priority that tops the list of Democrats (26%), independents (21%) and Republicans (19%). While ensuring the ACA’s protections for pre-existing conditions continue ranks among the top priorities of Democrats (31%) and independents (19%), it ranks lowest among Republicans (10%). Independents and Republicans are about twice as likely as Democrats to say that doing more to address the opioid epidemic is their top priority for Congress on the health issues presented.
NOTE: If more than one priority was chosen as “extremely important”, the respondent was asked to choose which priority was “most important”.
In December 2019, the US House of Representatives passed a bill that would require the government to negotiate prices for a minimum of 25 Medicare Part D drugs annually and would limit direct drug costs for Medicare beneficiaries.1 The House bill aimed at addressing drug costs would also provide dental, vision and hearing benefits for older adults on Medicare. Two in ten adults are aware that the House has passed legislation to address the cost of prescription drugs and that the House has passed legislation to address these additional benefits (21% each).
While there has been an effort by House Democrats to pass legislation to deal with surprise medical bills, the House ultimately failed to pass legislation to address this problem last year. A majority of the public (56%) are aware that the House has not passed legislation to deal with surprise medical bills, while 14% say the House has actually passed a law and 29% say they “don’t know”.
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Figure 11: Most of the public are unaware that the House has passed legislation to address the cost of prescription drugs
The latest poll reveals that nearly four in ten adults (42%) approve of the way President Trump is handling his job as president, while a slim majority (56%) disapprove.
The overall net approval of the president’s job (measured as the share of those who approve minus the share of those who disapprove) among adults is -14 percentage points, and their net approval is also negative when it comes to dealing with various programs and issues. of health. Among health issues, President Trump receives his lowest net approval ratings on Prescription Drug Cost Treatment (-24 percentage points) and Affordable Care Act Treatment (-21 percentage points), while his net approval on Treatment Medicare is slightly higher by -10 percentage points. While
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