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KFF Health Tracking Poll – June 2019: Health Care in the Democratic Primary and Medicare-for-all

KFF Health Tracking Poll – June 2019: Health Care in the Democratic Primary and Medicare-for-all

Key Findings:

  • Well being care is main the record of attainable subjects Democrats and Democratic-leaning independents need to hear the 2020 Democratic presidential candidates speak about throughout their upcoming debates, with almost 9 in ten (87 %) saying it is extremely essential for candidates to speak about well being care. That is intently adopted by eight in ten who say it is extremely necessary for candidates to debate points affecting ladies, maybe reflecting current information consideration on these points. Well being care and ladies’s points rank forward of different prime points for Democrats and Democratic-leaning independents resembling local weather change (73 %), gun coverage (72 %), revenue inequality (70 %), the financial system (69 %), and immigration (66 %).
  • When requested to say in their very own phrases which well being care points they need to hear candidates talk about, affordability emerges as a prime concern with almost three in ten Democrats and Democratic-leaning independents mentioning decreasing the quantity individuals pay for well being care (28 %). An extra eight % point out decreasing the price of prescribed drugs. Entry to well being care additionally emerges as a key matter with one in 5 mentioning growing entry to well being care (18 %) whereas a further 15 % explicitly point out implementing a single-payer or Medicare-for-all system.

    Ballot: Most People don’t understand how dramatically the main Medicare-for-all proposals would restructure the nation’s well being care system

  • The newest KFF Well being Monitoring Ballot finds majorities throughout partisans assume taxes for most individuals would improve underneath a nationwide well being plan, typically referred to as Medicare-for-all (78 %), and about half (53 %) assume personal medical insurance corporations would not be the first means People would get well being protection underneath such a plan. Nevertheless, in relation to different key modifications that the main Medicare-for-all payments launched by Sen. Bernie Sanders and Rep. Pramila Jayapal would convey, giant shares are unaware of how the present well being care system could also be affected. For instance, majorities say individuals would proceed to pay deductibles and co-pays (69 %) and proceed to pay premiums (54 %) underneath a Medicare-for-all plan. Likewise, majorities say individuals with employer-sponsored or self-purchased insurance coverage would be capable of maintain their plans (55 % every) beneath a Medicare-for-all plan.
  • General, almost half of the general public (46 %) maintain favorable views of the 2010 Reasonably priced Care Act whereas 4 in ten maintain unfavorable views. Majorities of Democrats proceed to carry favorable views in the direction of the regulation whereas majorities of Republicans maintain unfavorable views. Independents are extra divided with comparable shares holding favorable and unfavorable views. To see the shifts in public attitudes in the direction of the regulation over time, take a look at the KFF interactive.

Well being Care in The Democratic Main

What do Democrats need their 2020 presidential candidates to speak about heading into the first debates? Well being care and points affecting ladies prime their precedence record on this @KaiserFamFound ballot

Lower than one month earlier than the primary 2020 Democratic presidential main debate, KFF polling finds well being care is among the many prime points that Democrats and Democratic-leaning independents need to hear the candidates speak about through the upcoming debates. Almost 9 in ten Democrats and Democratic-leaning independents (87 %) say it’s “essential” for the candidates to speak about well being care in the course of the upcoming Democratic presidential debates. That is adopted by eight in ten who say it’s “essential” for the candidates to debate points that have an effect on ladies, a problem that garnered current media consideration.

Determine 1: Well being Care One Of Prime Points Democrats And Democratic-Leaning Independents Need To Hear About In Upcoming Debates

About seven in ten say it’s “essential” for the candidates to debate local weather change (73 %), gun coverage (72 %), revenue inequality (70 %), the financial system (69 %), and immigration (66 %). These are adopted by felony justice reform (59 %), overseas coverage or nationwide safety (58 %), and about half say it’s “essential” for the candidates to speak about taxes (52 %) and worldwide commerce and tariffs (49 %) within the upcoming Democratic debates.

When those that say well being care is at the very least considerably necessary for 2020 Democratic presidential candidates to debate in upcoming debates are requested to supply in their very own phrases what particularly about well being care they need to hear about, almost three in ten Democrats and Democratic-leaning independents general supply responses associated to decreasing the quantity individuals pay for well being care (28 %) and one other eight % explicitly point out decreasing prescription drug prices. To study extra about People’ experiences with well being care prices, take a look at this knowledge word.

Entry to well being care additionally emerges as a key difficulty with one in 5 (18 %) providing responses associated to growing entry to well being care and a further 15 % explicitly mentioning implementing a single-payer or Medicare-for-all system. The 2010 Reasonably priced Care Act can also be nonetheless on the minds of Democrats and Democratic-leaning independents with one in six mentioning defending the Reasonably priced Care Act and protections for individuals with pre-existing circumstances (16 %) as the highest well being care situation they need to hear about in the course of the upcoming presidential debates. A further one in ten (eight %) supply entry to reproductive well being care providers.

Determine 2: Decreasing Prices Is A Prime Well being Care Difficulty In Upcoming 2020 Democratic Presidential Debates

Although decreasing prices and growing entry emerge as the highest points that Democrats and Democratic-leaning independents need to hear presidential candidates speak about, there are some notable variations between liberals and moderates. One-fourth of liberal Democrats and Democratic-leaning independents (23 %) supply implementing a single-payer or Medicare-for-all system when requested what well being care challenge they need to hear the candidates talk about, making it among the many prime well being care points provided by this group together with growing entry (27 %) and decreasing the quantity individuals pay for well being care (24 %). Amongst average Democrats and Democratic-leaning independents, greater than 3 times as many supply decreasing the quantity individuals pay for well being care (34 %) than implementing a Medicare-for-all system (9 %).

Determine three: Medicare-for-all Ranks Greater Amongst Liberal Democrats And Democratic-Leaning Independents

Kaiser Household Basis Focus Teams
Through the spring of 2019, Kaiser Household Basis carried out a collection of 6 focus teams with a complete of 56 individuals in Texas, Florida, and Pennsylvania, analyzing voters’ prime well being care points and their views of varied nationwide well being care proposals. The teams included Republicans, Democrats, independents, seniors, and younger adults, and located a disconnect between what the general public is speaking about with regards to well being care in comparison with the political discussions occurring in Washington, D.C. and on the 2020 marketing campaign path. Learn Drew Altman’s takeaways from the KFF focus teams right here.

A Nationwide Well being Plan or Medicare-for-all

Implementing a nationwide well being plan, typically referred to as Medicare-for-all, has been a dominant challenge in the course of the 2020 Democratic main. Earlier KFF polling has discovered that a slight majority helps the thought of a nationwide well being plan, however attitudes in the direction of such a proposal are pretty malleable with vital shares, on both aspect of the talk, shifting their opinion as soon as they hear counter-arguments. With a number of payments being launched within the 116th Congress that may increase the position of public packages in well being, this month’s Kaiser Well being Monitoring Ballot examines the general public’s consciousness on key features of Medicare-for-all plans together with Sen. Sanders’ Medicare for All Act of 2019 and Rep. Japayal’s invoice of the identical identify.

Eight in ten (78 %) assume that beneath a nationwide well being plan, typically referred to as Medicare-for-all, taxes for most individuals would improve. Majorities of Democrats (71 %), independents (80 %), and Republicans (85 %) say that taxes for many People would improve underneath a nationwide well being plan.

Determine four: Majorities Throughout Partisans Are Conscious Taxes For Most People Would Improve Beneath A Nationwide Well being Plan

As well as, about half of People (53 %) – together with half of Democrats and independents (52 % every) and most Republicans (57 %) – assume that beneath a nationwide well being plan, personal well being insurances would not be the first method People would get well being protection. Nonetheless, a considerable 4 in ten of the general public consider that beneath such a plan, personal medical insurance corporations would nonetheless be the first supply of protection for many People and a further seven % say they have no idea what would occur underneath a nationwide well being plan.

Determine 5: At Least Half Anticipate Reducing Position Of Personal Well being Insurance coverage Corporations Underneath A Nationwide Well being Plan

In focus teams, many members expressed skepticism about the concept personal insurance coverage corporations would stop to exist beneath a Medicare-for-all plan. Some thought these corporations have been simply too highly effective, and others thought they might live on for individuals who need to purchase additional protection past what a nationwide plan would supply.

In their very own phrases: Focus group members on personal insurance coverage

[Moderator: Do you think Medicare-for-all means that private health insurance companies will go away?]

“No, as a result of they’d be operating Medicare-for-all.” (Houston, unbiased)

“And even these people who can afford to have the kind of protection they need, they wouldn’t need a primary burger. No, they need to add all the additional fixings as a result of they will afford it.” (Houston, unbiased)

“They’re going to take successful clearly however I don’t assume that they’re actually going to go away. They’re too highly effective.” (Harrisburg, Democrat)

“I don’t assume for a second that non-public insurance coverage would go away, even in case you carried out this. There’ll all the time be the Cadillac plan that’s out there, as a result of so long as any person—the market will react.” (Orlando, Democrat)

On the subject of different potential impacts of a nationwide well being plan, many People say most points of the present well being care system would stay unchanged. Majorities of Democrats, independents, and Republicans say individuals would proceed to pay deductibles and co-pays once they use well being care providers (71 %, 68 %, and 68 %, respectively). As well as, majorities of each Democrats and independents additionally consider individuals with employer-sponsored insurance coverage would be capable of hold their present protection (68 % and 53 %), individuals who buy their very own plans would be capable of maintain their present protection (65 % and 55 %), and people and employers would proceed to pay medical insurance premiums (61 % and 53 %). At the least 4 in ten Republicans additionally say every of this stuff would occur beneath a nationwide well being plan. Small shares of the general public general say they don’t know whether or not every of this stuff would occur underneath such a plan (four % say they don’t know if individuals would proceed to pay deductibles and co-pays, 7 % say they don’t know for the opposite modifications included).

Determine 6: Vital Shares Of Partisans Assume Most Elements Of Well being Care System Would Be Unchanged Underneath A Nationwide Well being Plan

Focus group findings additionally point out that many individuals don’t consider a Medicare-for-all plan would end result within the elimination of medical insurance premiums or cost-sharing.

In their very own phrases: Focus group individuals on premiums and cost-sharing

[Moderator: Do you think Medicare-for-all means that there would be no more co-pays or deductibles when people use care?]

“No, I feel there’d in all probability nonetheless be co-pays and deductibles, however simply be reasonably priced.” (Houston, unbiased)

“It wouldn’t make sense to you that you simply wouldn’t need to pay [co-pays and deductibles] as a result of it wouldn’t really feel sustainable.” (Houston, unbiased)

“My mother is on Medicare and she or he has to pay co-pays.” (Houston, unbiased)

There’s a partisan divide on some features of how a nationwide well being plan would have an effect on individuals and well being care suppliers. Three-fourths of Democrats (76 %) say that each one U.S. residents would have medical insurance protection beneath a nationwide well being plan whereas about half of Republicans say this might not occur (49 %). However, most Republicans say a nationwide well being plan would result in docs and hospitals being paid much less (64 %) whereas about half of Democrats say this is able to not occur (48 %). Giant shares of independents consider each of this stuff would occur, with six in ten (61 %) saying all U.S. residents would get well being protection and half saying docs and hospitals can be paid much less.

Determine 7: Partisan Divide On Some Potential Results Of A Nationwide Well being Plan

% who assume every of the next would occur underneath a nationwide plan, typically referred to as Medicare-for-all: Complete Democrats Independents Republicans
Taxes for most individuals would improve 78% 71% 80% 85%
All U.S. residents would have medical insurance protection 62 76 61 45
Personal medical insurance corporations would NOT be the first method People get well being protection 53 52 52 57
Docs and hospitals can be paid much less 52 42 50 64
Individuals who purchase their very own insurance coverage would NOT be capable of maintain their present plans 39 24 40 53
People and employers would NOT proceed to pay medical insurance premiums 39 31 42 45
Individuals with employer-sponsored insurance coverage would NOT have the ability to hold their present plans 38 25 42 47
Individuals would NOT proceed to pay deductibles and co-pays once they use well being care providers 27 25 29 28

Public Views of The ACA

Whereas the general public nonetheless holds largely partisan views over the Reasonably priced Care Act and opinions have remained comparatively unchanged for the previous two years because the Republican efforts to repeal the regulation, views are down barely this month. Almost half of the general public (46 %) maintain favorable opinions of the ACA whereas 4 in ten maintain a unfavorable opinion of the regulation. Throughout partisans, almost eight in ten Democrats (79 %) have a positive view of the ACA in comparison with almost half of independents (47 %), and about one-sixth of Republicans (16 %).

Determine eight: The Public Is Considerably Divided On The Reasonably priced Care Act

Methodology