Reason-Rupe Poll: Health Care Reforms Americans Want
Shikha Dalmia reports at reason on the Reason-Rupe poll released last week:
The Obama administration completely misread the public mood when it based its decision to craft a 2,700-page, Rube Goldberg-style makeover of literally one-sixth of our economy on polls suggesting that Americans would be willing to pay higher taxes for universal coverage. Worse, a joint Reason-Rupe poll released last week found that the misnamed Affordable Care Act--a.k.a. ObamaCare--imposed trade-offs that Americans were simply unwilling to accept. The act's supporters insist that even though a majority of Americans view the overall law unfavorably, many of its specific provisions are quite popular. But the problem is that most polls pose questions in a vacuum, without actually confronting Americans with the consequences of their choices. The Reason-Rupe poll was among the few to do so systematically, and it found that although Americans do want equity and coverage for all, they want control, choice and quality for themselves even more.Like other polls, it found that Americans don't want the government forcing them to buy coverage, although they were more amenable to employers being forced to provide coverage to employees, even if that means job losses and pay cuts. Indeed, 56 percent of respondents said they were fine with an employer mandate, compared to the 39 percent who said they were not.
Dumb -- as I keep saying -- because this is largely a freelancer economy, or at least one in which people do not stay in jobs for a lifetime. Lose your job, leave your job? Lose your healthcare and start anew.
Again, health care must be untied from the workplace.
Americans like the idea of giving everyone the same access to health care, regardless of medical status--except if it means sacrificing affordability or quality. Fifty-two percent approved of the community rating provision in the law, which would ban insurance companies from charging higher premiums based on medical history, compared to 39 percent who opposed it. But this support drops precipitously if the provision's side effects include longer wait times for doctors (41 percent) or higher premiums (38 percent) or higher taxes (37 percent) or lower-quality care (15 percent).But what was truly revealing was how eager Americans are to control their own health care dollars. Forty-eight percent said they'd prefer it if their employers gave them the money to purchase their own coverage, compared to 41 percent who would not. Even more remarkably, 65 percent of Americans want Medicare payouts in the form of a credit for use toward a private health plan, compared to 24 percent who don't. This is good news for Rep. Paul Ryan's "premium support" proposal for Medicare reform.
"Gave them the money"? This used to be called "salary."
What's more, Americans want to make their own coverage decisions. Almost 70 percent said they want the same ability to shop around for "a less expensive or better [health] insurance policy" as they have for their auto insurance.
Then allow health insurance companies to compete across state lines.
So what are the implications of all this for health care reform? Americans are not dogmatically opposed to government intervention in health care markets. But their intuitions are more in line with advocates of consumer-based medicine who believe that the best way to control spiraling costs--the key to improving access--is to give patients more control over their medical dollars and inject a modicum of price sensitivity into our health care system.







"Then allow health insurance companies to compete across state lines."
While this idea makes sense, there are a couple things (at least) I wonder about regarding implementation:
First, will simply "allowing" competition be sufficient to ensure that we have some, along with the expected lowering of insurance costs? Will insurance companies, used to operating in the environments they're currently in, necessarily jump at the requirement to compete in the market place?
Second, to what extent is competition in the health insurance market regulated or distorted by individual state governments? How can this distortion be alleviated in such a way as to avoid interfering with state-level affairs?
Please don't take any of this as snarkiness; it's just that I suspect that while plenty of insurers would love to market their products nation-wide, there are others who are perfectly happy with things the way they are. All of them have friends in the legislatures and the Congress.
Old RPM Daddy at April 4, 2012 7:40 AM
Amy, repeating misleading information hurts your credibility. Yes, the bill was 2,700 pages long due to the standard markup used for congressional bills. A much more accurate metric for the length of the bill is the word count. The ACA contained fewer words than Sarah Palin's memoir. That's still a long piece of legislation, but it's analagous in length to a short novel, not a telephone directory.
Factual Interjection at April 4, 2012 11:02 AM
Amy Alkon
https://www.advicegoddess.com/archives/2012/04/reason-rupe-pol.html#comment-3120876">comment from Factual Interjection"Factual Interjection" --written as if by somebody pretending not to have an agenda but while bending under the weight of it.
Here:
http://www.huffingtonpost.com/2009/11/09/house-health-care-bill-ac_n_350810.html
Amy Alkon
at April 4, 2012 11:39 AM
repeating misleading information hurts your credibility.
But it was true, correct?
Yes, the bill was 2,700 pages long
OK, so Amy's right. How many people read it cover to cover, then?
due to the standard markup used for congressional bills.
So to read it and know what it says it's... how many pages?
A much more accurate metric for the length of the bill is the word count.
Why is that better than length?
The ACA contained fewer words than Sarah Palin's memoir.
Does Sarah Palin's book have any binding legal authority over me or anyone else?
That's still a long piece of legislation, but it's analagous in length to a short novel, not a telephone directory.
So if you've read Sarah's book - what did she have to say about Moose in town?
I'm sorry, but that's incorrect, I'm going to have to fine you.
But, if you want to talk about misleading, the real misleading is that the ACA is only "2700 pages".
It defines over 30 sub-groups to, and assigns work and definitions and requirements and fees and penalties to be developed by them - later - which means that each one of THOSE is going to produce how many legally-binding requirements?
2700 is just the start, and soon, just like the tax law, there will be no single person who can tell you what the law is.
That's the real deception here.
Unix-Jedi at April 4, 2012 11:59 AM
Amy Alkon
https://www.advicegoddess.com/archives/2012/04/reason-rupe-pol.html#comment-3120911">comment from Unix-JediThanks, Unix-Jedi, for once again batting cleanup!
Amy Alkon
at April 4, 2012 12:07 PM
Amy,
At the risk of sounding paranoid, the nature of Factual Interjections response strongly suggests that he or she is more than just a casual reader commenting. The juxtapositioning of the length of the legislation to the putative length of Sarah Palin's book strikes me as the sort of thing a professional with the DNC might do. A very subtle tactic in trying to associate you in peoples minds with Sarah Palin, and therefore to be summarily dismissed as a crank.
I vaguely recall the Obama campaign starting a web site where people can report "erroneous" facts that have been posted or reported about Obama. I kind of wonder if you didn't get reported and received a visit, so to speak, from one the professionals from the Obama campaign.
Bill O Rights at April 4, 2012 12:42 PM
"the bill was 2,700 pages long due to the standard markup used for congressional bills. A much more accurate metric for the length of the bill is the word count. The ACA contained fewer words than Sarah Palin's memoir. "
WHo cares? What does comparing it to ANY book have to do with anything? It being shorter or longer than Game of Thrones effects it's viability as a law how? Talk about the most stupid and inane comment I've ever read!
momof4 at April 4, 2012 3:00 PM
Amy Alkon
https://www.advicegoddess.com/archives/2012/04/reason-rupe-pol.html#comment-3121112">comment from momof4Right on, momof4!
Amy Alkon
at April 4, 2012 3:06 PM
Amy Alkon
https://www.advicegoddess.com/archives/2012/04/reason-rupe-pol.html#comment-3121113">comment from Bill O RightsBill O Rights, that was my point -- that there's an agenda there.
Amy Alkon
at April 4, 2012 3:07 PM
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