| March 15, 2010 Is Health Care Reform Popular? Yes, it is. The American people favor the Democrats’ health care reform plan, substantively. They don’t know what's in it. And they don’t know that they like it. But they like it. So why does everyone think Americans oppose health care reform? Because when asked to say, up or down, whether they favor it, a plurality of Americans says they don't: ![]() (But note the
apparent
narrowing of the gap in recent weeks.)
So when
people are told
what’s in the plan—rather than asked to say, up or down,
whether they favor something
called “health care reform”—they like it. (For some
reason the pollsters
discontinued this question in subsequent versions of the poll.) 2.
Kaiser Health Tracking Poll In a Kaiser
Family Foundation
survey of January of this year, the legislation was divided into 27
features,
most of them components of the bill, some not, but all in the
discussion about
health care. In view of the
fact that “many
Americans remain unaware of the specific content of the
legislation,” a “subset
of Americans were told the proposed legislation included each
provision
and asked whether that particular element made them more likely to
support
health reform, less likely to support it or didn’t affect their
views.” Here
are the results (which I’ve re-graphed for ease of comprehension):
*Basic
benefits package, defined by the government: Smacks of an
enlarged government role, which has negative connotations for Americans
conditioned
by decades of demonization of government (some of it
deserved, much
of it
part of a cynical “starve the beast” strategy). But of
course a
government-defined benefits package is an essential consumer
protection. Every
state has one. Many women, for example, will be thankful to discover
that their
insurance plan was required to cover breast cancer care. *Cadillac-plan
tax on insurers: Anything with the word “tax” in it is
unlikely to poll well. (Still the Cadillac-plan tax is a good idea that
sadly
has been watered down.) *Not
take full effect until 2013: But the only reason this would be a
negative is that the bill is viewed favorably overall. *Individual mandate/penalty: No doubt requiring people to buy insurance (or anything) feels like (a) an infringement on liberty and (b) a potential source of economic hardship. But the question is meaningless unless conjoined with two other questions: the question about guaranteed issue, since we can’t have guaranteed issue without the individual mandate, and the question about subsidies, since the point of the subsidies is to make the mandate workable. Putting these three components together, we have:
*Cost
at least $871 billion over 10 years: An abstract question
about the cost of anything not explicitly tied a benefit will always
poll
badly. 3.
Newsweek Poll Very similar
results were
found in a recent Newsweek poll (PDF of topline results here). As
Newsweek notes, “The majority of
Americans are opposed to President Obama's health-care
reform plan—until they learn the details.” The pollsters first asked respondents whether they favored or opposed the bill. They found that 40 percent favored it and 49 percent were opposed. They then asked the respondents whether they favored or opposed eight specific proposals that are in the plan. Here are the results:
Finally,
the pollsters asked: “Now please think about
the proposals I just described to you. ALL of these proposals are
included in
Barack Obama’s health care reform plan. Having heard these
details, what is
your OVERALL opinion of Obama’s plan – do you favor it or
oppose it?” The
results: 48 percent in favor; 43 percent opposed. And
remember, this swing occurred among respondents who had answered the
same
question just minutes before. 4.
Popularity
of the Massachusetts Health Care Reform Then there is
the
Massachusetts health care reform plan, nearly identical to the national
one
proposed by the Democrats, and generally popular. A poll by the Harvard
School of Public Health and The
Boston Globe, for example, found
that
Massachusetts residents favor the plan by 59 to 22 percent and
that 79
percent want the law to continue while just 11 percent want it
repealed.
Support is even stronger among physicians. A New England Journal of
Medicine
poll found that physicians favor the plan by 70 to 13 percent and
that
75
percent say the law should continue while just 7 percent want it
repealed. In Sum The plan is obviously a political winner. And the Democrats will get credit for it for years to come (as with FDR and social security and LBJ with Medicare). The Republicans know this and so must demonize it and kill it if at all possible. Before the bill passes, before the public knows much of anything about it, this is still possible. After the bill passes, I trust the Democrats will never let Americans forget who pulled out all the stops to kill it. |
Other Postings Where the Economy is and Where It's (Apparently) Going Some Reality about Deficits Armageddon: The Aftermath The Hype Is Health Care Reform Popular? How to Explain It The Point of the Public Plan The Context of Health Care Reform Addendum Is Low Life Expectancy the Fault of Our Health Care System? What Americans Believe American Health Care: Best in the World? Is 76.5 Large? NBC-WSJ Poll Inside the Asylum More About Bubbles Why Has Monetary Policy Been so Ineffective? The Geithner Plan Is 22.2 Large? Economics: A Theoretical Divide The New Deal and the Great Depression Stimulus By the Skin of Our Teeth The Interregnum Postmortem Obama and McCain on Tax Cuts and Health Care Religion and the New Atheism Home |