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AHA National and Selected Statewide Surveys January, 2004 GREENBERG QUINLAN ROSNER RESEARCH INC Bill McInturff, Partner Public Opinion Strategies Stan.

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Presentation on theme: "AHA National and Selected Statewide Surveys January, 2004 GREENBERG QUINLAN ROSNER RESEARCH INC Bill McInturff, Partner Public Opinion Strategies Stan."— Presentation transcript:

1 AHA National and Selected Statewide Surveys January, 2004 GREENBERG QUINLAN ROSNER RESEARCH INC Bill McInturff, Partner Public Opinion Strategies Stan Greenberg, Chairman and CEO Greenberg Quinlan Roser Research

2 2 GREENBERG QUINLAN ROSNER RESEARCH INC METHODOLOGY Public Opinion Strategies, in conjunction with Greenberg Quinlan Rosner Research, conducted a national survey and four statewide surveys on behalf of the American Hospital Association. The national survey was conducted among 800 registered voters from January 5 - 7, 2004. The four statewide surveys were conducted in the early presidential primary states (AZ, IA, NH, and SC) among 1200 registered voters, with 300 interviews completed in each state, from January 6 - 8, 2004. The margin of error on the 800 national sample is +3.46%. The margin of error on the individual statewide samples of 300 is +5.66%.

3 3 3 Health Care is Emerging as a Top Issue

4 4 GREENBERG QUINLAN ROSNER RESEARCH INC Affordable health care has emerged as the countrys leading concern after the economy and jobs. Combined Choice The economy and jobs 45% Affordable health care 27% Terrorism and national security 27% Social Security and Medicare 23% Education 22% The situation in Iraq 20% Moral values 10% The federal deficit 9% Taxes 8% And, which ONE of the following issues do you believe should be the highest priority for Congress and the President. And which of the following would be the NEXT issue most personally important to you?

5 5 GREENBERG QUINLAN ROSNER RESEARCH INC While affordable health care continues to be an important concern among core Democratic leaning sub- groups, its also increasingly important to key swing sub-groups as well. Swing Voter Sub-groups Affordable Health care27% Women 55-6444% Hourly Wage Women41% Working Women38% Small Business Owners36% Age 55-6435% Moms34% Women 35-5434% Independent Women34% Women33% Rural33% $20K-$40K HH Income33% Women less than College33% Democrat Leaning Voter Sub-groups Affordable Health care27% Democrat Women38% Strong Democrats35% Salaried Women34% Women College+34% Gore 2000 Voter33% Total Democrats32% New England32% African American31% Moderate/Liberal Democrats31%

6 6 GREENBERG QUINLAN ROSNER RESEARCH INC Driving this, weve reached the lowest point in twelve years with voters saying the health care system is meeting their needs as this figure has dropped to 60%.

7 7 GREENBERG QUINLAN ROSNER RESEARCH INC And interestingly, Baby Boomers are the least likely to say the health care system is meeting their needs and most likely to report higher increases in their out-of-pocket health care costs.

8 8 GREENBERG QUINLAN ROSNER RESEARCH INC There is a substantial difference by a respondents health coverage status.

9 9 GREENBERG QUINLAN ROSNER RESEARCH INC There is also a sharp difference among respondents by employment status, with respondents in larger companies the most satisfied and respondents who are self-employed the least satisfied.

10 10 GREENBERG QUINLAN ROSNER RESEARCH INC It is important to note there is a significant disconnect between how voters perceive whether the current health care system is working for themselves compared to how they perceive it for most Americans.

11 11 GREENBERG QUINLAN ROSNER RESEARCH INC For those respondents who believe that the current health system is meeting the needs of their family, but who think it is not meeting the needs of most Americans we asked them to give us some reasons why they felt this way. In virtually all cases, people said they felt they were fortunate enough to afford it, to have it through an employer, or to be in good health, while others were not so privileged. Because we have the means to get health care, and a lot of people cannot pay for it. There needs to be something for the underprivileged. I happen to have good insurance provided by my employer. I am very lucky….I dont know how anyone would pay for it without assistance. I dont have a lot of health problems, so I dont need it. But for those who have problems, the high price of medication. That is definitely the problem for those on limited incomes. There are Americans who don't have health insurance, children, the elderly. We need to be concerned about them. The individuals on Medicare. Prescriptions need to be affordable for all Americans. Because we're fortunately employed by an employer who has a good benefits package. That's it. Because there are many working poor who cannot afford health care.

12 12 Seven Steps to a Healthier America

13 13 GREENBERG QUINLAN ROSNER RESEARCH INC The American Hospital Association has outlined seven steps to improve the health care system. We tested voters support as well as the vote impact of AHAs seven principles. In addition, we tested six other health care priorities identified through our health care research as important to Americans. The following slide shows AHAs seven principles. In order to test the importance and impact of Medicaid versus Medicare, we split one of AHAs principles in two, one focused on Medicaid and one focused on Medicare. We half sampled these two principles with 400 voters hearing AHAs principle on Medicaid and 400 hearing the principle on Medicare.

14 14 GREENBERG QUINLAN ROSNER RESEARCH INC Guarantee health insurance coverage to every American child under 18 Help provide special health insurance for catastrophic coverage for all Americans to protect them from any unusually high expenses related to facing a significant health crisis Protect every Americans continued access to emergency room medical services whether or not they can afford to pay by increasing the level of federal funding to hospital emergency departments Maintain the funding for the federal government health care program that covers the working poor, children in low-income homes and very low-income seniors to make sure they have continued access to quality hospital care Maintain the funding for the federal government health care program that covers Americas seniors to make sure they have continued access to quality hospital care Make sure all Americans have access to preventative care services, such as immunizations, cancer screening, and tests for diabetes and high cholesterol. Provide federal funds to help encourage spending by healthcare providers on information technology that would reduce medical errors and provide meaningful information on the quality of care delivered by different physicians and hospitals. Require Medicare and other insurers to cover the costs of coordinating the complicated medical care of people with chronic health conditions such as heart disease and diabetes and to improve health education to help these patients. American Hospital Associations Seven Steps to a Healthier America:

15 15 GREENBERG QUINLAN ROSNER RESEARCH INC Strongly Favor Total Favorable Oppose Make sure all Americans have access to preventative care services, such as immunizations, cancer screening, and tests for diabetes and high cholesterol. 79%94%5% Maintain the funding for the federal government health care program that covers Americas seniors to make sure they have continued access to quality hospital care 78%94%4% Maintain the funding for the federal government health care program that covers the working poor, children in low-income homes and very low-income seniors to make sure they have continued access to quality hospital care 77%94%5% Guarantee health insurance coverage to every American child under 18 74%90%8% Require Medicare and other insurers to cover the costs of coordinating the complicated medical care of people with chronic health conditions such as heart disease and diabetes and to improve health education to help these patients. 65%89%8% Help provide special health insurance for catastrophic coverage for all Americans to protect them from any unusually high expenses related to facing a significant health crisis 62%89%9% Protect every Americans continued access to emergency room medical services whether or not they can afford to pay by increasing the level of federal funding to hospital emergency departments 62%88%9% Provide federal funds to help encourage spending by healthcare providers on information technology that would reduce medical errors and provide meaningful information on the quality of care delivered by different physicians and hospitals. 47%80%16% AHAs principles are well received by American voters.

16 16 GREENBERG QUINLAN ROSNER RESEARCH INC Many of AHAs principles are competitive with other health care proposals which could be considered by Congress. Strongly Favor Make sure seniors receive prescription drug coverage 81% Make sure patients can choose their own doctors 81% Make sure all Americans have access to preventative care services, such as immunizations, cancer screening, and tests for diabetes and high cholesterol. 79% Maintain the funding for the federal government health care program that covers the working poor, children in low-income homes and very low- income seniors to make sure they have continued access to quality hospital care 77% Maintain the funding for the federal government health care program covering Americas seniors to make sure they have continued access to quality hospital care 77% Guarantee health insurance coverage to every American child under 18 74% Guarantee every American citizen receives health care 70% Limit lawyers fees from medical malpractice lawsuits to help reduce health care costs 66% Require Medicare and other insurers to cover the costs of coordinating the complicated medical care of people with chronic health conditions such as heart disease and diabetes and to improve health education to help these patients. 65% Regulate the prices health insurance companies can charge for medical malpractice insurance to help reduce healthcare costs 65% Help control the out-of-pocket costs that patients pay for premiums, deductibles and co-pays. 64% Protect every Americans continued access to emergency room medical services whether or not they can afford to pay by increasing the level of federal funding to hospital emergency departments 62% Help provide special health insurance for catastrophic coverage for all Americans to protect them from any unusually high expenses related to facing a significant health crisis 62% Provide federal funds to help encourage spending by healthcare providers on information technology that would reduce medical errors and provide meaningful information on the quality of care delivered by different physicians and hospitals. 47%

17 17 GREENBERG QUINLAN ROSNER RESEARCH INC 9-10% Maintaining the funding for the federal government health care program covering Americas seniors to make sure they have continued access to quality hospital care 59% Guarantee health insurance coverage to every American child under 18 57% Maintaining the funding for the federal government health care program that covers the working poor, children in low-income homes and very low-income seniors to make sure they have continued access to quality hospital care 55% Make sure all Americans have access to preventative care services, such as immunizations, cancer screening, and tests for diabetes and high cholesterol. 54% Protecting every Americans continued access to emergency room medical services whether or not they can afford to pay by increasing the level of federal funding to hospital emergency departments 51% Helping provide special health insurance for catastrophic coverage for all Americans to protect them from any unusually high expenses related to facing a significant health crisis 43% Require Medicare and other insurers to cover the costs of coordinating the complicated medical care of people with chronic health conditions such as heart disease and diabetes and to improve health education to help these patients. 41% Providing federal funds to help encourage spending by healthcare providers on information technology that would reduce medical errors and provide meaningful information on the quality of care delivered by different physicians and hospitals. 28% A majority of voters rank four of AHAs seven principles as a 9 or 10 on a scale where ten means very important…when deciding how to vote for a candidate for U.S. Congress.

18 18 GREENBERG QUINLAN ROSNER RESEARCH INC 9-10% Guaranteeing every American citizen receives health care 59% Maintaining the funding for the federal government health care program covering Americas seniors to make sure they have continued access to quality hospital care 59% Making sure seniors receive prescription drug coverage 59% Making sure patients can choose their own doctors 58% Guarantee health insurance coverage to every American child under 18 57% Maintaining the funding for the federal government health care program that covers the working poor, children in low-income homes and very low- income seniors to make sure they have continued access to quality hospital care 55% Make sure all Americans have access to preventative care services, such as immunizations, cancer screening, and tests for diabetes and high cholesterol. 54% Protecting every Americans continued access to emergency room medical services whether or not they can afford to pay by increasing the level of federal funding to hospital emergency departments 51% Limiting lawyers fees from medical malpractice lawsuits to help reduce health care costs 49% Helping control the out-of-pocket costs that patients pay for premiums, deductibles and co-pays. 46% Helping provide special health insurance for catastrophic coverage for all Americans to protect them from any unusually high expenses related to facing a significant health crisis 43% Require Medicare and other insurers to cover the costs of coordinating the complicated medical care of people with chronic health conditions such as heart disease and diabetes and to improve health education to help these patients. 41% Regulating the prices health insurance companies can charge for medical malpractice insurance to help reduce healthcare costs 40% Providing federal funds to help encourage spending by healthcare providers on information technology that would reduce medical errors and provide meaningful information on the quality of care delivered by different physicians and hospitals. 28% AHAs most strongly supported principles score well compared to other very popular health care proposals.

19 19 GREENBERG QUINLAN ROSNER RESEARCH INC 9-10% Improving the economy and create more jobs 73% Protecting Social Security 70% Improving the quality of public education 58% Combating terrorism at home in the United States and overseas 53% The situation in Iraq 46% We tested a variety of other issues which voters tell us are among their top priorities to provide a perspective for how high these 13 different health care proposals fare, including AHAs seven principles.

20 20 GREENBERG QUINLAN ROSNER RESEARCH INC 9-10% Guaranteeing every American citizen receives health care59% Maintaining the funding for the federal government health care program covering Americas seniors to make sure they have continued access to quality hospital care 59% Making sure seniors receive prescription drug coverage59% Guarantee health insurance coverage to every American child under 1857% Maintaining the funding for the federal government health care program that covers the working poor, children in low-income homes and very low-income seniors to make sure they have continued access to quality hospital care 55% Making sure all Americans have access to preventative care services, such as immunizations, cancer screening, and tests for diabetes and high cholesterol. 54% Combating terrorism at home in the United States and overseas53% The situation in Iraq46% But its worth noting that some of AHAs as well as other health care goals exceeded Iraq and combating terrorism and were competitive with the issue of education in what people told us would decide how they vote.

21 21 Attitudes Towards Raising Taxes to Cover the Uninsured

22 22 GREENBERG QUINLAN ROSNER RESEARCH INC People say they would be willing to pay more per year in federal taxes to assure every American citizen receives health care coverage.

23 23 GREENBERG QUINLAN ROSNER RESEARCH INC While theres a substantial difference by party identification, its worth noting even a majority of Republicans say they would be willing to pay more in taxes to assure every American citizen receives health care coverage.

24 24 GREENBERG QUINLAN ROSNER RESEARCH INC But when asked specifically, 4 out of 10 refused to give a dollar figure for how much they would be willing to pay. Less the $10016% $100-$29917% $300-$99911% $1000 or more14% Dont Know40% How much MORE per year in federal taxes would you be willing to pay to help provide the funding to assure every American citizen receives health care coverage? Mean$632 Median$200 Although among those who do provide a figure the amount is very high.

25 25 Statements About the Uninsured

26 26 GREENBERG QUINLAN ROSNER RESEARCH INC Americans clearly understand being uninsured means you lack access to preventative care or early intervention and this has real consequences on peoples health.

27 27 GREENBERG QUINLAN ROSNER RESEARCH INC However, this data reinforces our observation from focus groups that one barrier for action is people believe the uninsured already have access to the medical care they need.

28 28 Key Highlights from the Four Selected States

29 29 GREENBERG QUINLAN ROSNER RESEARCH INC LOOKING AT HOW THE FOUR EARLY PRIMARY STATES COMPARE TO THE NATIONAL ENVIRONMENT New Hampshire voters are more focused on the issue of affordable health care and the uninsured compared to the three other early primary states and voters nationally. Affordable health care follows very closely behind the economy and jobs and terrorism and national security in New Hampshire, with 33% choosing it as their first or second choice as the highest priority for Congress and the President compared to 27% nationally. Iowa and South Carolina voters however are more positive about the health care system and more likely to say it is currently meeting their needs. AZIANHSCNAT 62%71%64%69%60%YES/IS 35%26%36%30%38%NO/IS NOT

30 wdm@pos.org (703) 836-7655 BILL McINTURFF 30 GREENBERG QUINLAN ROSNER RESEARCH INC STAN GREENBERG sgreenberg@greenbergresearch.com (202) 478-8330


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