Voters’ Priorities for the New Administration and Congress Survey Developed by the Henry J. Kaiser Foundation and the Harvard School of Public Health/ Kennedy School of Government Robert J. Blendon Drew E. Altman John M. Benson Mollyann Brodie Larry Hugick February 1, 2001 Methods Sample Size: National random sample of 1052 selfreported voters in the 2000 election Survey Firm: Telephone interviews conducted by Princeton Survey Research Associates Field Period: November 13-December 13, 2000 Margin of Error: plus or minus 3 percentage points Voters’ Top Health Care Priorities % saying first choice 35% Total Medicare- related priorities Provide prescription drug coverage to seniors Make Medicare more financially sound in the future 18% 17% Provide insurance for people without health insurance Protect patient rights in HMO's and managed care plans Help families with the cost of caring for elderly or disabled family members who need long-term help Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 30% 16% 14% Voters’ Preferences for the Future of Medicare % saying Keep Medicare as it is today, with most seniors getting the same benefits and paying the same premiums 31% Change Medicare to give retirees a choice of either staying in the traditional Medicare program or choosing from a list of private plans and HMOs having different benefits and premiums, with the government paying a fixed amount toward the cost of the plan Neither (Vol.) Don’t know Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 61% 2% 6% Voters’ Views on Changing Medicare Change Medicare to give retirees a choice of either staying in the traditional Medicare program or choosing from a list of private plans and HMOs having different benefits and premiums, with the government paying a fixed amount toward the cost of the plan Change Medicare in this way even if the traditional coverage would cost more for those who choose it than it does today Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 61% 40% Voters’ Views on Changing Medicare to Make It Financially Solvent (1) % favoring Using part of the federal budget surplus to fund Medicare 72% Encouraging people on Medicare to choose from a list of private plans and HMOs having different benefits and premiums, with the government paying a fixed amount toward the cost of the plan If traditional Medicare plan cost increases Creating a sliding scale for Medicare, so that the more income seniors have, the more they pay in Medicare premiums Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 64% 40% 58% Voters’ Views on Changing Medicare to Make It Financially Solvent (2) % favoring Reducing the amount Medicare pays to doctors, hospitals, and HMOs for treating people covered by Medicare 33% Gradually raising the age of eligibility for Medicare from 65 to 67 for future retirees 33% Increasing the payroll taxes workers now pay to fund the Medicare program 29% Charging seniors who want to stay in traditional Medicare program higher co-payments and deductibles Requiring seniors to pay a larger share of Medicare costs out of their own pockets Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 19% 10% Voters’ Views on Federal Government’s Role in Paying for Seniors’ Prescription Drugs % saying Expand Medicare 56% Help buy private insurance plans Keep things as now 33% 6% None 3% Don't know 3% Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) Voters’ Views on What Government Should Do for the Uninsured (involving the surplus) % saying 17% Keep things as they are Make a limited effort to provide health insurance for some of the uninsured, which would use part of the government surplus 41% Make a major effort to provide insurance for nearly all uninsured Americans, which would use a substantial part of the federal surplus Don't know/Other Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 36% 6% Voters’ Views on What Government Should Do for the Uninsured (involving taxes) % saying Keep things as they are 8% Make a limited effort to provide health insurance for some of the uninsured, which would not require a tax increase 52% Make a major effort to provide insurance for nearly all uninsured Americans, which would require a tax increase Don't know/Other Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 35% 5% Voters’ Views on Top Priority for Government Providing Health Insurance % saying Parents of poor children who can now get government health insurance 37% People 55 to 64 who are uninsured and not yet eligible for Medicare Neither (vol.) Don't know Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 52% 3% 8% Voters’ Support for Various Proposals to Aid the Uninsured % saying favor Increasing government funding to expand community health clinics that serve the poor 80% Expanding state government programs, such as Medicaid and the Children’s Health Insurance Program, to provide coverage for low-income people without health insurance 79% Offering uninsured Americans income tax deductions, tax credits or other finanical assistance to help them purchase private health insurance on their own 75% Expanding Medicare to cover people between the ages of 55 and 64 who have no health insurance A national health plan, financed by taxpayers, in which all Americans would get their insurance from a single government plan Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 72% 32% Voters’ Choice between Two Ways to Aid the Uninsured % saying they prefer Offering uninsured Americans income tax deductions, tax credits, or other financial assistance to help them purchase private health insurance on their own 45% Expanding state government programs, such as Medicaid and the Children's Health Insurance Program, to provide coverage for low-income people without health insurance 45% Don't know Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 10% Voters’ Support for a Patient Rights Law % favoring A law that would require HMOs and managed care plans to make it easier to see medical specialists, allow appeals to independent reviewers when denied coverage and give people the right to sue their health plan If it would raise the cost of health plans and lead some companies to drop coverage Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) 76% 30% Employed/Insured Voters’* Preference for Their Future Health Insurance Coverage % preferring if costs the same Have your employer contribute directly to the cost of your health insurance policy at work 73% Buy a health insurance policy yourself, with your employer giving you the cash amount they would have contributed to buying your policy through the company Don't know 23% 3% * Health insurance currently provided by the employer Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000) Voters’ Views on the Need for More Government Regulation % saying not enough Quality of care in nursing homes 62% Cost of prescription drugs 46% HMOs and managed care 43% Cost of health insurance policies Business and industry in general 37% 16% Kaiser/Harvard School of Public Health/PSRA (Nov-Dec, 2000)