By RICARDO ALONSO-ZALDIVAR and JENNIFER AGIESTA Associated Press
 

WASHINGTON (AP) — Americans who already have health insurance are blaming President Barack Obama’s health care overhaul for their rising premiums and deductibles, and overall 3 in 4 say the rollout of coverage for the uninsured has gone poorly.

 

An Associated Press-GfK poll finds that health care remains politically charged going into next year’s congressional elections. Keeping the refurbished HealthCare.gov website running smoothly is just one of Obama’s challenges, maybe not the biggest.

The poll found a striking level of unease about the law among people who have health insurance and aren’t looking for government help. Those are the 85 percent of Americans who the White House says don’t have to be worried about the president’s historic push to expand coverage for the uninsured.

In the survey, nearly half of those with job-based or other private coverage say their policies will be changing next year — mostly for the worse. Nearly 4 in 5 (77 percent) blame the changes on the Affordable Care Act, even though the trend toward leaner coverage predates the law’s passage.

Sixty-nine percent say their premiums will be going up, while 59 percent say annual deductibles or copayments are increasing.

Only 21 percent of those with private coverage said their plan is expanding to cover more types of medical care, though coverage of preventive care at no charge to the patient has been required by the law for the past couple of years.

Fourteen percent said coverage for spouses is being restricted or eliminated, and 11 percent said their plan is being discontinued.

“Rightly or wrongly, people with private insurance looking at next year are really worried about what is going to happen,” said Robert Blendon, a professor at the Harvard School of Public Health, who tracks public opinion on health care issues. “The website is not the whole story.”

Employers trying to control their health insurance bills have been shifting costs to workers for years, but now those changes are blamed increasingly on “Obamacare” instead of the economy or insurance companies.

Political leanings seemed to affect perceptions of eroding coverage, with larger majorities of Republicans and independents saying their coverage will be affected.

The White House had hoped that the Oct. 1 launch of open enrollment season for the uninsured would become a teaching moment, a showcase of the president’s philosophy that government can help smooth out the rough edges of life in the modern economy for working people.

Instead the dysfunctional website became a parable for Republicans and others skeptical of government.

At the same time, a cresting wave of cancellation notices hit millions who buy their policy directly from an insurer. That undercut one of Obama’s central promises — that you can keep the coverage you have if you like it. The White House never clearly communicated the many caveats to that promise.

Disapproval of Obama’s handling of health care topped 60 percent in the poll.

With the website working better and enrollments picking up, Democrats are hoping negative impressions will quickly fade in the rearview mirror. The poll found that Democrats still have an edge over Republicans, by 32 percent to 22 percent, when it comes to whom the public trusts to handle health care.

But other potential bumps are just ahead for Obama’s law.

It’s unclear whether everyone who wants and needs coverage by Jan. 1 will be able to get it through the new online insurance markets. Some people who have to switch plans because their policies were cancelled may find that their new insurance covers different drugs, or that they have to look for other doctors.

In the poll, taken just after the revamped federal website was unveiled, 11 percent of Americans said they or someone in their household had tried to sign up for health insurance in the new marketplaces.

Sixty-two percent of those said they or the person in their household ran into problems. About one-fourth of all who tried managed to enroll. Half said they were not able to buy insurance, and the remaining quarter said they weren’t sure.

Phyllis Dessel, 63, of Reading, Pa., believes she is finally enrolled after 50 attempts online. The retired social worker, a political independent, currently has her own private insurance.

When Dessel described her experience, she jokingly asked, “Do you mind if I cry?”

Thanks to tax credits available under the law, she was able to save about $100 a month on her coverage. But she had to switch carriers because a plan with her current insurer cost more than she was willing to pay. She hasn’t gotten an invoice yet from her new insurance company.

The premiums were “not at all” what she expected, said Dessel. “They were much, much higher.”

A supporter of Obama’s overhaul, she believes changes are needed to make the coverage more affordable.

“I think with a lot of amendments or updates, it could be very, very helpful and beneficial,” said Dessel. “I know a lot of people who don’t have insurance. My hairdresser, my plumber don’t have insurance and they’re not going to get it if it’s not affordable.”

The AP-GfK Poll was conducted Dec. 5-9 and involved online interviews with 1,367 adults. The survey has a margin of sampling error of plus or minus 3.5 percentage points for all respondents.

The survey was conducted using KnowledgePanel, a probability-based Internet panel designed to be representative of the U.S. population. Respondents to the survey were first selected randomly using phone or mail survey methods, and were later interviewed online. People selected for KnowledgePanel who didn’t otherwise have access to the Internet were provided with the ability to access the Internet at no cost to them.

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AP News Survey Specialist Dennis Junius and Associated Press writer Stacy A. Anderson contributed to this report.

AP-GfK Poll: Sharp divisions after high court backs gay marriage

NEW YORK (AP) — The Supreme Court’s ruling last month legalizing same-sex marriage nationwide has left Americans sharply divided, according to an Associated Press-GfK poll that suggests support for gay unions may be down slightly from earlier this year.

The poll also found a near-even split over whether local officials with religious objections should be required to issue marriage licenses to same-sex couples, with 47 percent saying that should be the case and 49 percent say they should be exempt.

Overall, if there’s a conflict, a majority of those questioned think religious liberties should win out over gay rights, according to the poll. While 39 percent said it’s more important for the government to protect gay rights, 56 percent said protection of religious liberties should take precedence.

The poll was conducted July 9 to July 13, less than three weeks after the Supreme Court ruled states cannot ban same-sex marriage.

According to the poll, 42 percent support same-sex marriage and 40 percent oppose it. The percentage saying they favor legal same-sex marriage in their state was down slightly from the 48 percent who said so in an April poll. In January, 44 percent were in favor.

Asked specifically about the Supreme Court ruling, 39 percent said they approve and 41 percent said they disapprove.

“What the Supreme Court did is jeopardize our religious freedoms,” said Michael Boehm, 61, an industrial controls engineer from the Detroit area who describes himself as a conservative-leaning independent.

“You’re going to see a conflict between civil law and people who want to live their lives according to their faiths,” Boehm said.

Boehm was among 59 percent of the poll respondents who said wedding-related businesses with religious objections should be allowed to refuse service to gay and lesbian couples. That compares with 52 percent in April.

Also, 46 percent said businesses more generally should be allowed to refuse service to same-sex couples, while 51 percent said that should not be allowed.

Claudette Girouard, 69, a retiree from Chesterfield Township, Michigan, said she is a moderate independent voter who has gradually become supportive of letting same-sex couples marry.

“I don’t see what the big hoopla is,” she said. “If they’re happy, why not?”

Girouard said local officials should be required to perform same-sex marriages, but does not think that wedding-related businesses should be forced to serve same-sex couples.

“If the official doesn’t like what he’s being asked to do, then quit,” she said. “But businesses are kind of independent, so if they have a strong belief against it, there are enough other businesses out there for someone to use.”

The poll found pronounced differences in viewpoints depending on political affiliation.

For example, 65 percent of Democrats, but only 22 percent of Republicans favored allowing same-sex couples to legally marry in their state. And 72 percent of Republicans but just 31 percent of Democrats said local officials with religious objections should be exempt from issuing marriage licenses.

By a 64-32 margin, most Democrats said it’s more important to protect gay rights than religious liberties when the two are in conflict. Republicans said the opposite, by 82-17.

Clarence Wells, 60, a conservative from Rockwood, Tennessee, said he strongly disapproved of the Supreme Court’s ruling. He anticipates friction as gay couples try to exercise their newfound rights and people with religious objections to same-sex marriage balk at accepting them.

“I don’t believe it’s going to go over smoothly,” said Wells. “I think a lot of them will be shunned in church. … I think there will businesses that are going to close, because some people are stubborn enough to not want to deal with it.”

Andrew Chan, 41, a moderate independent from Seattle, said he has tried to remain neutral on same-sex marriage.

“For me, it’s always been about tolerating,” said Chan, who works for a nonprofit organization. “I’ve got friends on both sides.”

Chan said he was happy for gays and lesbians who have found someone they want to marry, and he expressed some wariness toward politicians who might try to roll back the Supreme Court ruling.

“That just creates more division,” he said. “Are we looking to move the country forward or move it backward?”

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The AP-GfK Poll of 1,004 adults was conducted online July 9 to July 13, using a sample drawn from GfK’s probability-based KnowledgePanel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 3.4 percentage points. Some questions were ask of half samples of respondents and have smaller margins of error. Respondents were first selected randomly using phone or mail survey methods, and later interviewed online. People selected for KnowledgePanel who didn’t otherwise have access to the Internet were provided access at no cost to them.

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Swanson reported from Washington.

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Reach David Crary on Twitter at http://twitter.com/CraryAP and Emily Swanson at http://twitter.com/EL_Swan

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Online:

AP-GfK Poll: http://www.ap-gfkpoll.com


AP-GfK Poll: Minorities, young Americans still backing Obama

WASHINGTON (AP) — Even as the public remains closely divided about his presidency, Barack Obama is holding on to his support from the so-called “Obama coalition” of minorities, liberals and young Americans, an Associated Press-GfK poll shows, creating an incentive for the next Democratic presidential nominee to stick with him and his policies.

Hillary Rodham Clinton, by comparison, is viewed somewhat less favorably by the key voting groups whose record-setting turnout in 2008 propelled Obama to the White House and will be crucial to her own success.

Roughly two-thirds of Hispanics view Obama favorably, compared to just over half of Hispanics who say the same about Clinton. Among self-identified liberals, Obama’s favorability stands at 87 percent, to Clinton’s 72 percent. Half of Americans under the age of 30 view Obama favorably, compared to just 38 percent for his former secretary of state.

The findings offer a window into the factors at play as Clinton decides how closely to embrace Obama, his record and his policies in her campaign for president. Although associating herself with Obama could turn off some independent and Republican-leaning voters, electoral math and changing demographics make it critical for Democrats to turn out high numbers of Hispanics, African Americans and young voters.

Overall, Obama’s job approval rating stands at 43 percent, a leveling off following an AP-GfK poll conducted in early February that put his approval at 47 percent — slightly higher than it had been through most of 2014. The number of Americans who disapprove of Obama’s job performance has stayed relatively steady at 55 percent.

“He just seems to have something in his mind that he wants to accomplish and keeps trying to get it done,” said Christine Klauder, a self-described liberal from southern New Jersey. Klauder said she voted for Obama in 2008 and 2012 and that her support hasn’t dropped off. “He’s more oriented toward the kind of people that I feel that we are, have been all my life.”

Contrast that with Klauder’s views about Clinton, who has yet to win her enthusiastic support. “Being a woman, I think it would be wonderful to see her in — but I’m not sure,” Klauder said. “I think maybe her time has passed.”

Obama, whose troubles in the polls were seen as a drag on Democratic in last year’s midterm elections, has also managed to hold on to recent gains he’s made among core supporters.

When AP-GfK polled in October 2014, Obama’s approval rating among Hispanics had plummeted to 39 percent, as Hispanic advocacy groups demanded that Obama take aggressive action on immigration. One month later, he did just that — and his job approval among Hispanics now stands at 56 percent. Whereas 72 percent of liberals approved of Obama’s performance in October, that number now appears to have climbed, to 82 percent.

The survey reinforces a concern expressed by many Democrats about Clinton’s candidacy: that she just doesn’t inspire the levels of enthusiasm among traditional Democratic constituencies that were so critical to Obama’s success.

In the first weeks of her campaign, Clinton has promoted a number of populist ideas surrounding immigration, voting rights and economics that hew closely to themes that Obama has made central to his presidency. Although she distanced herself from Obama by suggesting she would have voted against giving him expedited authority to negotiate trade deals, she offered explicit support for the controversial nuclear deal with Iran that Obama announced this week.

Esther Danner, a 61-year-old from Hanover, Maryland, said she’s continued to support Obama because she feels he’s made progress on overhauling health care, promoting same-sex marriage and lifting the ban on gays in the military. Danner, who works part time at an African American heritage museum, said she thought Obama’s full-throated support would go a long way to persuade minorities and young Americans to show up to vote for the next Democratic nominee.

“The last eight years have been preparing for the 2016 election,” Danner said. “The current generation that voted for Obama, like myself, will probably continue the journey with the next Democratic candidate.”

In an AP-GfK poll conducted in January and February, nearly half of Americans — 47 percent — described the economy as “good,” almost as many as the 51 percent who called it “poor.” Since then, views of the economy have grown slightly more negative, with 41 percent now saying the economy is “good” and 57 percent saying it’s “poor.”

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The AP-GfK Poll of 1,004 adults was conducted online from Thursday to Monday, using a sample drawn from GfK’s probability-based KnowledgePanel, which is designed to be representative of the U.S. population. The margin of sampling error for all respondents is plus or minus 3.4 percentage points, but higher for subgroups such as Hispanics and African Americans.

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Associated Press writer Stacy A. Anderson contributed to this report.

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Reach Josh Lederman on Twitter at http://twitter.com/joshledermanAP and Emily Swanson at http://twitter.com/EL_Swan