chartpack: the public's health care agenda for the 113th congress

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NOTE: Some items asked of half sample. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113 th Congress (conducted January 3-9, 2013) Creating Health Insurance Exchanges Tops The Priority List For States 20% 30% 30% 33% 37% 39% 55% 26% 35% 35% 33% 30% 36% 31% 14% 16% 12% 10% 10% 11% 6% 39% 17% 21% 22% 20% 12% 5% Top Priority Important but a lower priority Not too important Should not be done Now I’d like to ask you about possible priorities for your state’s governor and legislature when it comes to health policy this year. Should each of the following be a top priority, important but a lower priority, not too important or should it not be done? 50% Creating a health insurance exchange or marketplace Supporting women’s access to family planning and other reproductive health services Increasing state regulation of health insurance premiums Increasing state regulation of charges by doctors and hospitals Expanding Medicaid Creating or supporting programs to fight obesity Limiting women’s access to family planning and other reproductive health services

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Page 1: Chartpack: The Public's Health Care Agenda for the 113th Congress

NOTE: Some items asked of half sample. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

Creating Health Insurance Exchanges Tops The Priority List For States

20%

30%

30%

33%

37%

39%

55%

26%

35%

35%

33%

30%

36%

31%

14%

16%

12%

10%

10%

11%

6%

39%

17%

21%

22%

20%

12%

5%

Top Priority Important but a lower priority Not too important Should not be done

Now I’d like to ask you about possible priorities for your state’s governor and legislature when it comes to health policy this year. Should each of the following be a top priority, important but a lower priority, not too important or should it not be done?

50%

Creating a health insurance exchange or marketplace

Supporting women’s access to family planning and other reproductive health services

Increasing state regulation of health insurance premiums

Increasing state regulation of charges by doctors and hospitals

Expanding Medicaid

Creating or supporting programs to fight obesity

Limiting women’s access to family planning and other reproductive health services

Page 2: Chartpack: The Public's Health Care Agenda for the 113th Congress

NOTE: Other/Neither (vol.) and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

More Support Than Oppose Medicaid Expansion

As you may know, the health care law expands Medicaid to provide health insurance to more low-income uninsured adults. The federal government will initially pay the entire cost of this expansion, and after several years, states will pay 10 percent and the federal government will pay 90 percent. The Supreme Court ruled that states may choose whether or not to participate in this expansion. What do you think your state should do?

66%

45%

23%

42%

27%

46%

75%

52%

Republicans

Independents

Democrats

Total

Keep Medicaid as it is today Expand Medicaid to cover more low-income people

Page 3: Chartpack: The Public's Health Care Agenda for the 113th Congress

NOTE: Some items asked of separate half samples. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

Majority Want No Spending Cuts To Education, Medicare, And Social Security

If the president and Congress decide to reduce the deficit by reducing spending on federal programs and services, I’d like to know which programs you would be wiling to see spending reduced. For each program I name, please tell me if you would support major spending reductions, minor spending reductions or no reductions at all as a way to reduce the federal deficit.

9%

13%

15%

27%

29%

31%

32%

40%

46%

58%

58%

61%

34%

27%

39%

50%

41%

40%

47%

34%

37%

29%

31%

23%

52%

54%

43%

21%

28%

26%

18%

24%

16%

12%

10%

14%

Foreign Aid

The conflict in Afghanistan

Salaries and benefits for federal government workers

Unemployment insurance

Food stamps

National defense

Aid to farmers

Health insurance subsidies

Medicaid

Social Security

Medicare

Public education

No reductions Minor reductions Major reductions

Page 4: Chartpack: The Public's Health Care Agenda for the 113th Congress

SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

Seniors Most Likely To Say Medicare Is Working Well

Would you say the current Medicare program is working well for most seniors, or not?

80%

62%

52%

60%

15%

29%

31%

28%

5%

9%

17%

12%

65+

50-64

18-49

Total

Yes, Medicare is working well No, Medicare is not working well Don't know/Refused

Page 5: Chartpack: The Public's Health Care Agenda for the 113th Congress

NOTE: Asked of half sample. Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

Most Believe Deficit Reduction Can Happen Without Cutting Medicare

76%

73%

81%

75%

21%

20%

13%

19%

Republicans

Independents

Democrats

Total

Can reduce deficit without reductions in Medicare

Medicare spending needs cuts to reduce deficit

Which comes closer to your opinion: if the president and Congress made the right changes, they could reduce the federal budget deficit without major reductions in Medicare spending, or in order to significantly reduce the federal budget deficit, the president and Congress will need to make major cuts in Medicare spending?

Page 6: Chartpack: The Public's Health Care Agenda for the 113th Congress

NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

Support For Various Deficit Reducing Changes to Medicare

I’m going to read you some changes to the Medicare program that have been discussed as ways to reduce the federal budget deficit. Please tell me whether you would generally favor or oppose each one.

3%

16%

23%

26%

32%

68%

10%

27%

23%

22%

27%

17%

24%

22%

21%

12%

17%

6%

61%

33%

30%

39%

21%

7%

Strongly favor Somewhat favor Somewhat oppose Strongly oppose

50%

Requiring drug companies to give the federal government a better deal on medications for low-income people on

Medicare

Requiring only high income seniors to pay higher Medicare premiums

Gradually raising the age of eligibility for Medicare from 65 to 67 for future retirees

Reducing payments to hospitals and other health care providers for treating people covered by Medicare

Increasing the payroll taxes workers and employers pay to help fund Medicare

Requiring all seniors to pay higher Medicare premiums

Page 7: Chartpack: The Public's Health Care Agenda for the 113th Congress

42%

67%

35%

14%

32%

21%

34%

50%

21%

8%

26%

35%

Total

Democrats

Independents

Republicans

NOTE: Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013)

Partisan Differences On Role Of Government In Health Care

When it comes to making the health care system in American work well, do you think each of the following should play a major role, a minor role or no role?

27%

38%

58%

43%

48%

41%

32%

39%

22%

17%

8%

14%

Major role Minor role No role

The federal government State governments

Page 8: Chartpack: The Public's Health Care Agenda for the 113th Congress

NOTE: Asked of half sample in 2013. Only responses of 10% or more shown. Other and Don’t know/Refused answers not shown. SOURCE: Kaiser Family Foundation/Robert Wood Johnson Foundation/Harvard School of Public Health, The Public’s Health Care Agenda for the 113th Congress (conducted January 3-9, 2013); Robert Wood Johnson Foundation/Harvard School of Public Health (conducted April 11-15, 2007)

Threat Of Obesity Up Over Time, HIV/AIDS Down

56%

35%

30%

26%

10%

54%

31%

14%

6%

32%

Cancer

Heart disease

Diabetes

Obesity

HIV

2013 2007

What two diseases or health conditions do you think pose the greatest health threats to the American public? {open-end}