Poll: Broad Support for Requiring Health Coverage
thumbnail (NPR/Kaiser Family Foundation/Harvard School of Public Health )
A new poll on health care from NPR, the Kaiser Family Foundation and the Harvard School of Public Health finds that a majority of Americans are backing key elements in the health reform proposals of Democratic presidential candidates Hillary Clinton and Barack Obama.
The poll also found very strong support for doing something about the problem of 50 million Americans being uninsured — 93 percent call it a serious problem, with 74 percent saying it's a very serious problem.
"One thing that the survey shows is that Americans are concerned about the problem of the uninsured," says Mollyann Brodie of the Kaiser Family Foundation, co-director of the NPR/Kaiser/Harvard polling project. "We see a universal sort of agreement that they'd like to see more people covered — that it's a good goal to go after."
(NPR/Kaiser Family Foundation/Harvard School of Public Health )
One aim of the poll was to find out how people feel about the idea of requiring all individuals to buy health insurance. That's a centerpiece of Clinton's plan.
When asked whether they would support a broad proposal that would require everyone to get coverage, 59 percent said they would support it. Such a proposal would require employers to provide coverage or pay into a pool. The government would help low-income people get coverage, and insurance companies would be required to take anyone who applies. People who don't get coverage through one of these channels or purchase it themselves would pay a fine.
But when the question was asked a different way — without emphasizing government subsidies, employer mandates and requirements on insurance companies — support dropped to 47 percent in favor and 44 percent against. That's an even split, given the poll's margin of error of plus or minus 3 percentage points.
(Joshua Lott/Getty Images)
The finding suggests that support for requiring everyone to buy insurance may be iffy.
One of the people responding to the poll was Jeffreyna Harper of St. Clair Shores, Mich. She likes Clinton's plan better than Obama's, which would not require all adults to have coverage but would require that parents get their children covered.
"It's good that your children have insurance," Harper told NPR. "The parents need insurance too. Who's going to take care of the kids if the parents are sick?"
(NPR/Kaiser Family Foundation/Harvard School of Public Health)
The poll finds most independents also support a requirement that everybody buy insurance. But many independents have trouble with that, including Lori Moyer of Roanoke, Va.
"That's a tough call for me because I don't know that the government should be requiring people to buy it," she says. "To me, that's too much involvement from the government by saying that you have to purchase health care."
Moyer favors Republican John McCain. But she also likes Obama's plan to require coverage for children.
"My main concern is children that are uninsured," she says. "I think it's important for the children to get the vaccines that they need and not be afraid to take them to the doctor because they can't afford a doctor visit to make them well."
Covering Children First
When asked whether they would favor a proposal that would not require all adults to get insurance, but one that would require parents to get health coverage for their children, support was higher: 65 percent support that proposal, including a majority (54 percent) of Republicans.
Robert Blendon of the Harvard School of Public Health, a co-director of the polling project, says support for covering children first may have something to do with last year's debate over the State Children's Health Insurance Plan. President Bush vetoed the proposal by Congress as too expansive. But the debate brought the problem of uninsured children to the public's attention.
"There was extraordinary support in this poll among all groups — Democrats, Republicans and independents — for the idea of requiring that every child has a health insurance policy and then provid[ing] help to parents that can't afford it," he says. "And we don't have as wide a consensus for what to do about adults. So it's the childrens' side of this which offers the possibility of a very quick breakthrough in the next Congress."
On the issue of employers' responsibilities, there's sharp difference between the parties. Three-quarters of Americans say employers should offer health insurance or pay into a government pool to provide coverage. But about twice as many Democrats as Republicans are strongly in favor of this approach.
"The employer issue is, I think, going to be a very important issue because that's going to be quite popular from the Democratic side — that the employers be asked to contribute," Blendon says. "And Sen. McCain is going to say absolutely no requirement for individuals and absolutely no requirements for business."
The poll also showed that there is a fairly low level of understanding about what the presidential candidates have proposed regarding health care. Only 48 percent could correctly answer the question, "Have any of the current candidates for president proposed a health plan requiring all Americans to have health insurance, or not?"
Some 42 percent correctly identified Clinton as having proposed such a plan, but only 11 percent knew correctly that Obama had not.
9(MDAyNzUwMDI2MDEyNTA3MTU5NzcyNTQyNA004))
RENEE MONTAGNE, host:
It's MORNING EDITION from NPR News. I'm Renee Montagne.
A candidate can hardly run for president this year without a plan for health coverage. And a poll on health care out this morning from NPR, the Kaiser Family Foundation and the Harvard School of Public Health finds that a majority of Americans are backing key elements in the health reform proposals of the two Democratic presidential candidates, Hillary Clinton and Barack Obama.
NPR's Richard Knox has more details on the poll.
RICHARD KNOX: The new poll shows that the nearly 50 million people without health insurance are very much on Americans' minds this election season. More than nine out of ten call it a serious problem, and three-quarters say it's a very serious problem.
Mollyann Brodie of the Kaiser Family Foundation is co-director of the survey project.
Ms. MOLLYANN BRODIE (Co-director of NPR/Kaiser, Harvard Survey Project): One thing that the survey shows is that Americans are concerned about the problem of the uninsured. We see a universal sort of agreement that they'd like to see more people covered — that it's a good goal to go after.
KNOX: One aim of the poll was to find out how people feel about the idea of requiring all individuals to buy health insurance. That's a centerpiece of Senator Clinton's plan.
Six out of ten people support a plan that requires individuals to buy coverage, but also says employers must contribute, government should provide subsidies for low income people, and insurers can't refuse coverage.
But when the question was asked a different way - without emphasizing government subsidies and employer mandates - support dropped.
Ms. BRODIE: When we asked about a very sort of straightforward - just requiring people to have health insurance - it's more 50/50.
KNOX: That suggests support for requiring everybody to buy insurance may be iffy.
Jeffreyna Harper(ph) of St. Clair Shores, Michigan, was a poll participant. She likes Clinton's plan better than Senator Barack Obama's, which would require that parents get their children covered.
Ms. JEFFREYNA HARPER (Poll Participant, Michigan): It's good that your children have insurance. The parents need insurance, too. Who's going to take care of the kids if the parents are sick?
KNOX: The poll finds most independents support a requirement that everybody buy insurance. But many independents have trouble with that, like Lori Moyer(ph) of Roanoke, Virginia.
Ms. LORI MOYER (Independent, Virginia): That's a tough call for me because I don't know that the government should be requiring people to buy it. That kind of is too much involvement from the government by saying that you have to purchase health care.
KNOX: Moyer likes Senator John McCain. But she also likes Senator Obama's plan to require coverage for children.
Ms. MOYER: My main concern is children that are uninsured. I think it's important for the children to get the vaccines that they need and not to be afraid to take them to the doctor because they can't afford a doctor visit to make them well.
KNOX: Robert Blendon of the Harvard School of Public Health says support for covering children first may have something to do with last year's debate over the State Children's Health Insurance Plan. President Bush vetoed Congress's proposal as too expansive. But the debate brought the problem of uninsured children to the public's attention.
Mr. ROBERT BLENDON (Harvard School of Public Health): The extraordinary support in this poll among all groups — Democrats, Republicans and independents — for the idea of requiring that every child has a health insurance policy and then provide help to parents who can't afford it. And we don't have as wide a consensus for what to do about adults. So it's the children's side of this which offers the possibility of a very quick breakthrough in the next Congress.
KNOX: On the issue of employers' responsibilities, there's sharp difference between the parties. Three-quarters of Americans say employers should offer health insurance or pay into a government pool to provide coverage. But about twice as many Democrats as Republicans are strongly in favor.
Mr. BLENDON: The employer issue is, I think, going to be a very important issue because that's going to be quite popular from the Democratic side — that employers should be asked to contribute. And Senator McCain will say absolutely no requirements for individuals and absolutely no requirements for business.
KNOX: So it appears the nation can look forward to spirited healthcare debate as the general election approaches. But Jeffreyna Harper, the Clinton supporter in Michigan, doubts it will lead to universal coverage in the next president's term.
Ms. HARPER: Give it five to ten years. We may be able to do it. You know, we may be able to have everybody insured. It's just that they've got to work out the bugs.
KNOX: And one thing's for sure, there will be plenty of bugs to work out.
Richard Knox, NPR News.
MONTAGNE: And for more results from that poll go to npr.org.
(Soundbite of music) Transcript provided by NPR, Copyright National Public Radio.
