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 shows divide over increasing money for transit

WASHINGTON (AP) — A slight majority of Americans prefer living in a single-family house in the suburbs or a rural area with more land, even if it means driving long distances to get to work or run errands, according to a poll by The Associated Press-GfK.

However, a significant minority, 44 percent, would choose an apartment or smaller house in an urban area that comes with a short drive to work or the opportunity to use public transportation, bike or walk. The split also has a political aspect: Sixty-seven percent of Republicans and 53 percent of independents prefer suburban or rural living, while 55 percent of Democrats prefer urban areas.

The share of Americans who prefer suburban or rural living — 53 percent — is identical to the share who say the government should increase spending to build and improve roads, bridges and interstate highways. About 1 in 3 think current spending levels are about right, while just over 1 in 10 would like to see less money spent on roads.

Many states are struggling just to maintain current spending levels, and Congress has been unable to come up with a long-term plan to pay for highway aid that closes the gap between current spending and federal gas tax revenue.

Americans are more divided over building and improving public transportation such as rail and bus systems. Four in 10 say spending on public transportation should be increased, but just as many say current spending is about right. Only 18 percent say transit spending should be cut.

Contrary to the widely held notion that the millennial generation is flocking to cities and giving up their cars, younger people are not significantly more or less likely than older people to prefer urban living with a shorter commute and access to public transit, the poll found.

Matthew Wild, 33, an airline pilot living in the Los Angeles suburb of Hawthorne, said he favors increasing spending on both public transit and highways. The region’s freeways “take a real beating” from the traffic and need to be maintained, he said, but no new lanes should be added.

“We definitely don’t need to be expanding freeways anymore,” Wild said. “We’ve maxed out.”

He cited a highway near his home that was recently widened and now is as full as ever. He does, however, strongly support building more light rail transit locally and high-speed rail between California cities.

Wild said he’d much rather take a convenient local train than fight traffic in his car. He currently takes trains only a few times a year because there are no direct routes from where he lives to the places he wants to go, and indirect routes take too long, he said.

“The big problem with L.A. is that, given the lack of public transportation, sitting in traffic in your own car is still faster than taking public transit,” Wild said.

Jane McEntire, 62, who lives in Cartersville, Georgia, on the northwest fringe of the Atlanta metropolitan area, says traffic is horrible and getting worse.

Even so, she’d rather keep spending on roads and cut spending on public transportation. She says she’s lost confidence in the ability of state and local transportation officials to make improvements and not fritter money away on wasteful projects.

She is particularly incensed that officials used federal transit aid to build a slow-moving streetcar line in downtown Atlanta that is used primarily by tourists.

“I think they look really cute, but as far as usefulness — no,” she said. “When you have federal dollars that are coming into a state that are available and you spend it on these cars in Atlanta that go six or eight blocks back and forth … Why didn’t they take that money and spend it on something to help commuters?”

The AP-GfK Poll of 1,077 adults was conducted online from April 23 to 27 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.

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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Online:

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

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Follow Joan Lowy on Twitter at http://www.twitter.com/AP_Joan_Lowy


AP-GfK Poll: Many approve Iran deal; Most don’t trust Tehran
WASHINGTON (AP) — Many Americans like the idea of the preliminary deal that would limit Iran’s nuclear program but very few people really believe Tehran will follow through with the agreement.

An Associated Press-GfK poll finds that just 3 percent said they were very confident that Iran would allow inspections of its nuclear facilities, remove plutonium from the country and shut down close to half of its uranium-enriching centrifuges as the preliminary deal says would be required. Nearly seven in 10 people said they were not confident, while 25 percent said they were only moderately confident.

The U.S., Germany, Britain, France, Russia and China are aiming to finalize a deal with Iran by June 30 that puts limits on Iranian programs that could be used to make nuclear arms. In exchange, economic sanctions on Iran would be lifted over time. Tehran denies any interest in such weapons but is negotiating in hopes of relief from billions of dollars in economic sanctions.

The next round of nuclear talks between Iran and six world powers will start Tuesday in Vienna.

Although more than half of Americans polled say they approve of making the deal, few people — 16 percent — are actually paying close attention to the complex Iran negotiations that have angered Israel and unnerved Gulf nations who are concerned about Tehran’s rising influence and aggressive behavior in the region.

The Senate last week passed legislation that would give Congress time to vote to reject any deal before sanctions are lifted. President Barack Obama would retain the right to veto lawmakers’ disapproval.

Israel’s strong objections to the deal could make a difference to many Americans. If forced to choose, a majority say it’s more important to maintain the U.S. relationship with Israel than to strike a deal with Iran. But respondents are divided along party lines, with nearly six in 10 Democrats saying the Iran deal is more important while seven in 10 Republicans believe ties with Israel are more critical.

Israeli Prime Minister Benjamin Netanyahu has been one of the harshest critics of the deal with Iran. Israel considers a nuclear-armed Iran an existential threat, citing hostile Iranian rhetoric toward the Jewish state, Iran’s missile capabilities and its support for violent militant groups.

More broadly, the poll found that Americans are increasingly interested in the U.S. role in world affairs, with 60 percent saying it’s an extremely important issue, up from 52 percent less than five months ago. Slightly more people also approve of Obama’s handling of the issue, increasing from 38 percent in December to 42 percent in the latest poll. Fifty-seven percent disapprove of Obama’s handling of the issue.

But overall, Americans are more likely to trust Republicans than Democrats to handle protecting the country.

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The AP-GfK Poll of 1,077 adults was conducted online April 23-27, 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. 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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Online:

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