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.

___

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

Poll: Immigration concerns rise with tide of kids

McALLEN, Texas (AP) — For nearly two months, images of immigrant children who have crossed the border without a parent, only to wind up in concrete holding cells once in United States, have tugged at heartstrings. Yet most Americans now say U.S. law should be changed so they can be sent home quickly, without a deportation hearing.

A new Associated Press-GfK poll finds two-thirds of Americans now say illegal immigration is a serious problem for the country, up 14 points since May and on par with concern about the issue in May 2010, when Arizona’s passage of a strict anti-immigration measure brought the issue to national prominence.

Nearly two-thirds, 62 percent, say immigration is an important issue for them personally, a figure that’s up 10 points since March. President Barack Obama’s approval rating for his handling of immigration dropped in the poll, with just 31 percent approving of his performance on the issue, down from 38 percent in May.

More than 57,000 unaccompanied immigrant children have illegally entered the country since October. Most of the children hail from Honduras, Guatemala and El Salvador, where gang violence is pervasive. Many are seeking to reunite with a parent already living in the United States.

Since initially calling the surge an “urgent humanitarian situation” in early June, Obama has pressed Central American leaders to stem the flow and has asked Congress for $3.7 billion in new money to hire more immigration judges, build more detention space and process children faster.

House Republicans on Tuesday put forward a bill costing $659 million through the final two months of the fiscal year that would send National Guard troops to the U.S.-Mexico border and allow authorities to deport children more quickly.

By a 2-to-1 margin, Americans oppose the current process for handling unaccompanied minors crossing the border, which requires that those who are not from Mexico or Canada stay in the U.S. and receive a hearing before a judge before they can be deported. Changing the law to allow all children crossing illegally to be sent back without such a hearing drew support from 51 percent of those polled.

Obama’s proposal for emergency funding, in comparison, was favored by 32 percent and opposed by 38 percent.

Santiago Moncada, a 65-year-old Austin resident who is retired from a state human resources job, said he had considered both proposals and ultimately believes the children need to be deported.

“My heart goes out to them,” said Moncada, a political independent originally from the border city of Eagle Pass. “It needs to be done only because we need to send a message saying our borders are closed. You need to apply for citizenship. You need to apply to come to the United States. You can’t just cross the border illegally.

“My problem is, ‘Who’s going to take care of them?’” Moncada said. “There comes a time when we have to say enough is enough.”

Moncada, however, does support creating a pathway to citizenship for many of the 11 million immigrants who already entered the country illegally. He said many are contributing and should be given a way to become citizens.

A majority of Americans still support such a path to citizenship, though that has slipped to 51 percent from 55 percent in May. Strong opposition to that proposal grew to 25 percent in the new poll from 19 percent in May.

Patricia Thompson’s life has intersected in myriad ways with immigration over the years. She was living in South Florida when thousands of Cubans crossed the Florida Straits fleeing communism. Her son helped build part of the border fence near San Diego with the National Guard. And as an assistant professor of nursing and a college student adviser for four decades, she counseled many immigrant students.

In some cases, those students had been brought to the U.S. illegally as children by their parents, said Thompson, 76, who recently relocated to Florence, Alabama, from Little Rock, Arkansas.

“Those kids certainly deserve an immigration chance,” Thompson said, adding that that issue needs to be resolved before the country moves on to another. For the unaccompanied children crossing the border more recently, Thompson said they should be sent back.

“We’ve got to stop this,” said Thompson, who identified herself as a Republican, but said she thought highly of some of Democratic governors in Arkansas. “We can’t take care of the whole world.”

The poll found that most people — 53 percent — believe the U.S. does not have a moral obligation to offer asylum to people fleeing violence or political persecution. And 52 percent say the children entering the U.S. illegally who say they are fleeing gang violence in Central America should not be treated as refugees.

Eric Svien, 57, a political independent who said he leans conservative, works on the investment side of a bank near Minneapolis, Minnesota. Immigration is not his biggest concern. It ranks somewhere behind reform of the tax code, which he said should be the priority. He said the idea of a moral obligation is a “slippery slope.”

“I think we’ve probably been too open in that regard. I think at this point in time when your country’s resources get strained to the point or you just can’t be the caretaker of the world and you’ve got to draw the line somewhere,” he said. “Where that line gets drawn I hesitate to say … That might be one spot where we have to say enough is enough.”

The AP-GfK Poll was conducted July 24-28, 2014 using KnowledgePanel, GfK’s probability-based online panel designed to be representative of the U.S. population. It involved online interviews with 1,044 adults, and has a margin of sampling error of plus or minus 3.4 percentage points for all respondents.

Respondents 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.

___

Online:

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


AP-GfK Poll: In a polarized nation, how Democrats, Republicans see themselves and each other

By JENNIFER AGIESTA, Associated Press

 WASHINGTON (AP) — Whether it’s the Republicans or the Democrats, America’s political parties are far from beloved. Yet most people continue to align with one or the other.

 Those who claim allegiance to the parties say they are driven by a mix of inertia, preference for one side’s policies over the other and feeling that one can depart from the party line when necessary, according to an Associated Press-GfK poll. Despite heated politics, few say they prefer one party out of dislike for the other.

 But affiliation doesn’t always equal admiration: One-quarter of Republicans and 13 percent of Democrats say they dislike their own party.

Asked what it means when a person says he or she is a Democrat or a Republican, few mention longtime affinity. More people focus on the beliefs or attitudes held by the most visible members of the party.

Around 6 in 10 Americans say they identify with one of the nation’s two major parties. That figure rises to nearly 8 in 10 when those who say they lean toward either party are included. Yet both Democrats and Republicans inspire unfavorable views by a majority of Americans, including one-quarter who say they dislike both of them.

About a third go so far as to say they distrust both parties to handle some of the most basic functions of government: 35 percent trust neither party to handle the federal budget, and 34 percent trust neither Democrats nor Republicans to manage the federal government or address the concerns of “people like me.”

For a sizable minority, that distrust extends to many issues central to the nation’s politics, including the economy, immigration, health care and America’s image overseas. Across all 11 issues asked about in the survey, more than 1 in 5 said they lack faith in either party to handle each issue well.

So why choose a party at all?

Two reasons are cited as strong factors by about 4 in 10 in each party: They generally like the party’s policies, and they have been Republicans or Democrats for as long as they can remember. About a third of Republicans and a quarter of Democrats say that despite their association with a party, they don’t completely agree with what the party stands for. A small share in each party say their affiliation stems from a dislike of the other side.

Thirty percent of Democrats say that liking the party’s candidates is a strong part of their Democratic identity; that slips slightly to 23 percent among Republicans.

The survey also assessed views of partisans from the outside looking in, asking what it means when someone describes himself or herself as a Republican, a Democrat or an independent.

As the nation’s two major parties have become increasingly polarized, perceptions of those who affiliate with them reflect that trend. To 22 percent of Americans, when people call themselves Republicans, it means they’re conservative, and 24 percent say that when people describe themselves as Democrats, it means they’re liberal. In 2003, a Pew Research Center survey asking the same question found that 17 percent associated Republicans with conservatism, and 16 percent connected Democrats and liberalism.

Beyond ideology, Americans react to self-professed Republicans by thinking they support the wealthy or businesses (21 percent), vote for Republican candidates or agree with the party’s issue positions (9 percent), or support a smaller government (7 percent). Views on Democrats are more varied, but 7 percent each say Democrats are for working people, support bigger government or more spending, or depend too heavily on government.

Few choose to describe either party using personal attacks; about 5 percent did when asked about Republicans and 9 percent did when asked about Democrats. But cross-party descriptions skew more negative and coalesce around certain traits. Nine percent of Democrats use terms including “closed-minded,” ”racist” or “self-centered” to describe Republicans, and 16 percent of Republicans choose words such as “dumb,” ”lazy” or “immoral” when asked about Democrats.

Highlighting the variation between parties, the poll even found differences in what Republicans and Democrats hear when someone tells them his or her party affiliation. Republicans seize on issues and ideology, while Democrats tend to focus on attitudes or attributes.

A Republican in the survey described the GOP by highlighting issues central to the party’s identity: “Small government, strong national defense, conservative social policies, more self-reliant people rather than people looking for Uncle Sam to support them financially.”

A typical Democrat, on the other hand, described her party’s approach to policy: “They have a social conscience and care about the underdog more than those in the upper socio-economic classes.”

The AP-GfK Poll was conducted May 16-19 using KnowledgePanel, GfK’s probability-based online panel designed to be representative of the U.S. population. It involved online interviews with 1,354 adults and has a margin of sampling error of plus or minus 3 percentage points for all respondents.

Respondents 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.

___

Online:

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

___

Follow Jennifer Agiesta on Twitter: http://www.twitter.com/JennAgiesta