The Future of Health Care: Where Does the Bipartisan Path Lead? July 25, 2018
Health Care Priorities
SUPPORT FOR BI PARTI SAN REFORM CROSSES PARTY AND I DEOLOGI CAL DI VI DES Do you support or oppose bipartisan efforts and compromises on health care reform? Strongly Support Somewhat Support Don't Know/No Opinion Somewhat Oppose Strongly Oppose Total 20% 28% 36% 11% 5% Democrats 22% 29% 32% 12% 6% Liberal Democrats 25% 35% 22% 13% 5% Non-Liberal Democrats 18% 19% 46% 10% 6% Independents 9% 21% 53% 12% 5% Republicans 24% 32% 30% 10% 4% Conservative Republicans 24% 36% 26% 9% 5% Non-Conservative Republicans 23% 24% 38% 12%
DEMOCRATS’ BI GGEST CONCERN I N HEALTH CARE REFORM I S ACCESS TO COVERAGE, REPUBLI CANS’ I S LOWERI NG COSTS AND LI MI TI NG GOVERNMENT What should be Congress’ biggest priority for the health care system? Total Democrats Independents Republicans 28% Making sure that everyone has health 43% 23% insurance coverage 14% 18% 13% Lowering health insurance premiums 17% 25% 17% 16% Lowering out-of-pocket costs 16% 20% 15% Making sure that low-income families have 17% 18% help in paying for care 11% 12% Limiting government involvement in health 5% 7% care 24% 6% Don't Know / No Opinion 16%
WHEN ASKED ABOUT COST, ALL RESPONDENTS BELI EVE THAT WE SPEND TOO MUCH ON HEALTH CARE Do you agree or disagree: Individuals and families have to pay too much for health care. Strongly Agree Somewhat Agree Don't Know/No Opinion Somewhat Disagree Strongly Disagree Total 63% 23% 7% 5% Democrats 67% 22% 4% 4% Independents 55% 20% 16% 5% Republicans 63% 27% 5% 5% Do you agree or disagree: Overall, Americans spend too much on health care. Strongly Agree Somewhat Agree Don't Know/No Opinion Somewhat Disagree Strongly Disagree Total 55% 25% 9% 7% Democrats 58% 25% 6% 7% 4% Independents 48% 24% 17% 7% 4% Republicans 57% 27% 6% 7%
Finding Common Ground on Health Care Policies
MORE APPEAR OPEN TO A MARKET-DRI VEN APPROACH TO HEALTH CARE Which of the following statements come closest to your views on how to improve health care? The federal government should take the lead role in making sure health care is affordable through regulations and by placing limits on the prices that can be charged for medical services and products. Don't Know / No Opinion Health care would be better and less expensive if it operated more like other markets in our economy, with consumers making more decisions. The government would help people get insurance, but consumers would choose how much they pay based on the provider 39% 14% 48% Total 52% 8% 40% Democrats 59% 4% 36% Liberal Democrats 40% 13% 46% Non-Liberal Democrats 30% 32% 38% Independents 30% 9% 61% Republicans 25% 6% 70% Conservative Republicans 41% 15% 44% Non-Conservative Republicans
HOWEVER, DEMOCRATS AND I NDEPENDENTS WOULD RATHER REFORM THE ACA THAN SWI TCH TO A MORE MARKET-DRI VEN SYSTEM Which approach to changing health care in America are you most comfortable with? Total Democrats Independents Republicans 29% Reforming the Affordable Care Act to lower premiums and cost- 37% sharing for those without employer coverage, made affordable 24% through more generous tax credits and greater cost containment 24% 21% Implementing a market-driven approach with less government 13% involvement where consumers pay more when they elect to get 17% care from less expensive providers 32% 17% 26% Moving to a single-payer system similar to the Medicare program 11% 12% 7% Privatizing the health care market including Medicare and 5% 6% Medicaid programs 11% 22% 16% Don't Know / No Opinion 38% 19%
FEW ARE WI LLI NG TO ACCEPT THE HI GHER COSTS AND LACK OF COVERAGE ASSOCI ATED WI TH A MARKET-DRI VEN APPROACH How willing would you be to support a market-driven approach to health care , with private insurance and less government involvement if… Total Dem. I ndep. Rep. % Willing More responsibility for consumers to choose their insurance plans 54 51 39 67 and providers, and to pay more themselves when choosing more expensive options A requirement that those who earn higher incomes must pay higher 49 59 38 47 deductibles before insurance covers the cost of their care Full reliance on competition and markets among insurers and 47 38 34 63 providers of services to control costs rather than government regulation A requirement that everyone but the very poor must contribute to a 27 27 19 34 health insurance premium, which may mean some people will stay uninsured because of the cost Less regulation of insurance plans, which could mean fewer required 22 18 16 30 benefits and higher premiums for older and less healthy consumers Permission for health insurance companies to set deductibles as high 16 15 13 20 as $10,000 per year
COST-AVERSI ON ALSO HOLDS MANY BACK FROM SUPPORTI NG A SI NGLE-PAYER SYSTEM How willing would you be to support a universal, single-payer health care system run by the US government that ensured every person had generous health coverage with lower out-of-pocket costs if… Total Dem. I ndep. Rep. % Willing Government setting price limits for health care providers and drug 66 74 53 64 manufacturers to constrain program costs Substantial increase in taxes of Americans with incomes over 59 72 49 53 $250,000 39 52 28 33 Increases in taxes by $50 a month Government control of all aspects of program administration, 34 44 25 27 including defining the insurance benefits that are covered and setting rules on how they are administered 32 40 26 27 Elimination of employer-based coverage 22 31 14 18 Increases in taxes by over $100 a month
Controlling Health Care Costs
DESPI TE CONCERNS ABOUT GOVERNMENT I NVOLVEMENT, MOST LOOK TO THE GOVERNMENT TO CONTROL COSTS Some say that federal spending on major health care programs including Medicare, Medicaid, CHIP, and health insurance subsidy payments is expected to double in the next 10 years to $2 trillion, due to our country’s aging population and the rising costs of health care. Furthermore, in just eight years, the Medicare program is expected to run short of the funds needed to pay for all the health care costs for people enrolled in the program. Knowing this, what do you believe the federal government should do… Total Democrats Independents Republicans 37% Increase the government's role in promoting lower 44% 32% prices for health care goods and services 32% 31% Increase taxes on certain goods such as tobacco, 40% 22% sugar beverages, medical marijuana 28% 25% Increase the government's role in establishing 31% 19% payment systems for health care providers 23% 21% Increase the government's role in setting prices for 27% 18% health care goods and services 17% 15% Reduce federal payments to private health insurance 12% 14% plans 18%
HOWEVER, LI TTLE SUPPORT FOR CONVENTI ONAL WAYS THAT GOVERNMENT CONTROLS COSTS, BY CUTTI NG BENEFI TS OR RAI SI NG CONSUMER COSTS Some say that federal spending on major health care programs including Medicare, Medicaid, CHIP, and health insurance subsidy payments is expected to double in the next 10 years to $2 trillion, due to our country’s aging population and the rising costs of health care. Furthermore, in just eight years, the Medicare program is expected to run short of the funds needed to pay for all the health care costs for people enrolled in the program. Knowing this, what do you believe the federal government should do… Total Democrats Independents Republicans 13% 15% Increase Medicare payroll tax contributions 12% 13% 13% 12% Raise the age of eligibility for Medicare from 65 to 67 9% 16% 13% 8% Reduce benefits covered under ACA Marketplace plans 12% 19% 13% 7% Have private sector takeover of health care 8% 22% 12% Cap the total amount spent on Medicaid by the federal 9% 9% government 17%
FEW ARE WI LLI NG TO EMBRACE FEDERAL TAX I NCREASES OR BENEFI T CUTS Some say that federal spending on major health care programs including Medicare, Medicaid, CHIP, and health insurance subsidy payments is expected to double in the next 10 years to $2 trillion, due to our country’s aging population and the rising costs of health care. Furthermore, in just eight years, the Medicare program is expected to run short of the funds needed to pay for all the health care costs for people enrolled in the program. Knowing this, what do you believe the federal government should do… Total Democrats Independents Republicans 10% 15% Increase federal taxes 9% 7% 10% 15% Have government takeover of health care 8% 5% 6% 5% Reduce benefits covered under Medicare 7% 7% 5% 6% Increase Medicare Part B premiums 4% 6% 18% 14% Don't Know / No Opinion 33% 13%
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