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: Voters more confident in Trump’s health
WASHINGTON (AP) — The “stamina,” the “look”: A new poll suggests voters are buying in to Donald Trump’s insinuations about Hillary Clinton’s health. They’re ignoring the medical reports.

Voters — especially men — have more confidence that Trump is healthy enough for the presidency than Clinton, according to the Associated Press-GfK poll.

It’s a disconnect considering Clinton has released more medical information than Trump, and that outside doctors who’ve looked at the available data say both candidates seem fine. But it shows the political points Trump scored after the Democratic nominee’s much-publicized mild case of pneumonia.

 Another gender divide: Nearly half of women but just 4 in 10 men think Clinton’s health is getting too much attention, found the poll, which was taken before the presidential candidates’ debate on Monday.

“Everybody gets sick,” said Sherri Smart, 56, of New York. She said she hasn’t decided who to vote for but wishes the candidates would discuss issues instead of sniping about who’s most vigorous.

“What’s important is, what are you going to do for me?” Smart said.

The AP-GfK poll found 51 percent of voters are very or extremely confident that Trump is healthy enough to be president. In contrast, just over a third of voters — 36 percent — had the same confidence in Clinton’s health.

Men are more likely to question Clinton’s physical fitness for the job, with 45 percent saying they’re only slightly or not at all confident compared to 34 percent of women. Men and women are about equally likely to express confidence in Trump’s health. More Democrats are confident of Trump’s health than Republicans are of Clinton’s.

Health is a legitimate issue as the nation is poised to elect one of its oldest presidents. Trump, 70, for months held off disclosing much about his own fitness while stoking questions about a woman in the White House with his assertion, repeated on national TV Monday, that Clinton lacks the look and stamina for the job. (As for his apparent sniffles during Monday’s debate, he blamed a bad microphone.)

“Stamina is a code word for maybe not physically up to the job,” said New York University bioethicist Arthur Caplan, who has called for an independent panel to certify the health of presidential candidates. “There’s something of a bias about men versus women that subtly Trump has played to, that men are more fit, tough enough to do the job.”

Clinton, 68, last year released more detail about her own health history only to buy trouble earlier this month by refusing to take a sick day until a public stumble forced her to reveal the pneumonia diagnosis. But Monday she rebutted Trump’s talk of stamina by wondering if he could match her grueling schedule as a secretary of state — traveling to 112 countries, negotiating peace deals, spending 11 hours testifying before a congressional committee.

What exactly do we know about their health? Neither has released their actual medical records, just a summary from their personal physicians with no way to know if anything important was left out.

Yet another disconnect: The AP-GfK poll found nearly 4 in 10 voters don’t consider such a release important, and another 2 in 10 say it’s only moderately important.

Trump’s gastroenterologist in December released a four-paragraph letter saying the GOP nominee would be “the healthiest individual ever elected.” Earlier this month, Trump took to “The Dr. Oz Show” to say he felt great, while releasing a bit more detail, such as his cholesterol levels and cancer screenings.

Bottom line: Trump takes a cholesterol-lowering statin medication and a baby aspirin, has some mild plaque in his arteries and is overweight — but was declared generally in good health.

Last summer, Clinton’s internist released a two-page letter detailing her family history, prior exams including lab test results, and some prior ailments that have healed — including a 2012 concussion and blood clot Clinton suffered after becoming dehydrated from a stomach virus and fainting. This month, a second letter outlined the mild pneumonia and revealed some updated check-up results.

Bottom line: Clinton takes a blood thinner as a precaution given a history of blood clots, as well as a thyroid medication and allergy relievers — but also was declared generally in good health.

Some doctors say just watching how the candidates handle a physically demanding campaign trail and the cognitive finesse needed to debate can give voters a good idea of health.

But while the public may not pay attention to cholesterol tests and EKGs, it was hard to miss that image of Clinton stumbling.

“The public is feeding off the impressions they’ve received, but that’s not borne out by the letters of health,” said Dr. Howard Selinger, chair of family medicine at Quinnipiac University.

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The AP-GfK Poll of 1,694 adults, including 1,476 registered voters, was conducted online Sept. 15-19, 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 2.5 percentage points, and for registered voters is plus or minus 2.7 percentage points.

Respondents were first selected randomly using telephone or mail survey methods and later interviewed online. People selected for KnowledgePanel who didn’t have access to the internet were provided access for free.

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Online:

Poll results: http://ap-gfkpoll.com


AP-GfK poll shows voter distaste for Putin-style leadership
WASHINGTON (AP) — Donald Trump has called Russian President Vladimir Putin “a leader — unlike what we have in this country.”

But most Americans don’t agree with Trump’s assessment of Putin’s leadership skills, a new Associated Press-GfK poll shows.

Only 24 percent of registered voters say Putin has leadership qualities that would be good for an American president to share, while 71 percent say he does not. In fact, a majority, 56 percent, said they have an unfavorable view of Putin, while only 10 percent said they view the Russian leader favorably.

 Voters were split on whether Trump would be too close to Putin, with 42 percent saying they think Trump would be too close, and 41 percent saying his approach would be about right. Fourteen percent think he would not be close enough.
By comparison, most voters (53 percent) think Democrat Hillary Clinton’s relationship with Putin would be about right, while 11 percent think she would be too close and 32 percent think she would not be close enough.

The relationship between the Republican nominee and the Russian strongman began taking on new life when Putin praised Trump last December as “bright and talented” and “the absolute leader of the presidential race.”

The billionaire businessman hailed Putin’s regard for him as a “great honor,” brushing off widespread allegations that the Russian president has ordered the killing of political dissidents and journalists.

“Our country does plenty of killing also,” Trump told MSNBC’s “Morning Joe” in December.

Four in 10 Trump supporters and only 1 in 10 Hillary Clinton supporters say Putin has leadership qualities that would be good for an American president to have. Still, even among Trump’s supporters, just 16 percent have a favorable opinion of Putin. Only 5 percent of Clinton’s supporters do.

Marissa Garth, a 28-year-old stay-at-home mom from Smithfield, Utah, said she plans to vote for Trump this November because he exhibits the qualities of a strong leader — not to be compared with Putin.

“I think (Putin) is a strong leader for his country,” she said. “But at the same time I don’t think he necessarily has the qualities that I would want as a president.”

In fact, the poll finds that men are more likely than women to say that Putin has leadership qualities that would be good in an American president, 28 percent to 19 percent.

Among Clinton’s supporters, 69 percent say Trump would be too close to Putin. Forty-nine percent of those supporting another candidate share that view, but only 8 percent of Trump supporters say their candidate would be too close to Putin. Eighty percent of Trump supporters say his approach would be about right. Among conservatives, 20 percent say Trump would be too close to Putin.

There is nothing 54-year old Gary Sellers, of Homewood, Illinois, likes about Putin — or Trump. He called Putin a “dictator,” adding, “there are no qualities of his that I wish that an American president would have.”

A lukewarm Clinton supporter, he’s concerned that Trump shares Putin’s extreme views of governing. “I feel he has a dictatorial approach toward being president of the United States,” Sellers said of Trump.

Forty-seven percent of voters say they approve and 52 percent disapprove of President Barack Obama’s handling of the U.S. relationship with Russia.

Voters are divided over whether the next president should take a tougher approach to Putin (42 percent) or whether the current approach is about right (39 percent). Just 16 percent think the next president should take a friendlier approach.

Just under half of voters (48 percent) say the U.S. relationship with Russia is a very or extremely important issue, ranking it low on Americans’ list of priorities, far below issues like the economy (92 percent), the threat posed by the Islamic State group (70 percent), the U.S. role in world affairs more generally (68 percent) and immigration (60 percent).

There’s a generational divide over Russia. Two-thirds of voters age 65 and over and more than half of those between 50 and 64 call the U.S. relationship with Russia very or extremely important, while only 4 in 10 30-49 year olds and only a third of those under 30 say the same.

Generally speaking, voters are more likely to say they trust Clinton than Trump on negotiating with Russia, 40 percent to 33 percent. Nineteen percent say they trust neither and 7 percent trust both equally.

John Eppenger, 68, a retiree in Fairfield, Ala., said that when it comes to dealing with Russia, Clinton would “do a much better job than Trump. She’s not perfect, she’s not ideal, but she’s better.”

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The AP-GfK Poll of 1,694 adults, including 1,476 registered voters, was conducted online Sept. 15-19, 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 2.5 percentage points, and for registered voters is plus or minus 2.5 percentage points.

Respondents were first selected randomly using telephone or mail survey methods and later interviewed online. People selected for KnowledgePanel who didn’t have access to the internet were provided access for free.

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Online:

Poll results: http://ap-gfkpoll.com