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: Most say the US is heading the wrong way, hope for new direction come November

By JENNIFER AGIESTA, Associated Press

WASHINGTON (AP) — Congress has checked out, and the American people have noticed.

Three-quarters of Americans doubt the federal government will address the important problems facing the country this year, according to a new Associated Press-GfK poll.

All told, only 28 percent of Americans think the nation is heading in the right direction, the lowest level in August of an election year since 2008. It’s about on par with 2006, when Democrats took control of the U.S. House amid a backlash to the Iraq war.

This time around, it’s not clear whether either party will benefit from the disaffection.

One-third say they hope the Republicans take control of Congress outright this fall — which the GOP can accomplish with a net gain of six seats in the U.S. Senate while holding the U.S. House. The same share want to see Democrats lead Congress — a far less likely possibility.

The final third? They say it just doesn’t matter who takes control of Congress.

Overall, just 13 percent of Americans approve of the way Congress overall is handling its job.

There are some signs in the new poll that Republicans have gained ground as the height of the campaign approaches. In May, they trailed Democrats a bit on who ought to control Congress. Partisans are about equally likely to say they’d like to see their own in charge of Congress after November 4, with about three-quarters in each party saying they hope their side winds up in control. Democrats are a bit less apt to say they want their own party to win than they were in May, 74 percent in the new poll compared with 80 percent then.

And the GOP now holds narrow advantages over Democrats on handling an array of top issues, including the economy, immigration and the federal budget.

But neither party is trusted much to manage the federal government, with 27 percent having faith in the GOP to 24 percent in Democrats. More people, 31 percent, say they trust neither party to run the federal government.

Fewer people have confidence in the federal government’s ability to make progress on the important problems and issues facing the country in 2014 than at the start of the year, with 74 percent saying they have little or no confidence. That’s a slight change from the 70 percent who said so in a December AP-NORC Center for Public Affairs Research survey. That shift in confidence stems from a small drop-off among Democrats. While 56 percent lacked confidence in December, 62 percent say the same now.

Overall, few express faith in those currently on Capitol Hill. Just 36 percent say they’d like to see their own member of Congress re-elected, 62 percent say they want someone else to win this November. So far, just three House incumbents have been ousted in primaries this year, and none in the Senate. The Congressional approval rating, 13 percent in the new poll, lags behind President Barack Obama’s 40 percent.

Though the economy pushed the nation’s “right direction” figures to historic lows in the fall of 2008, that does not seem to be the culprit in the new poll. About a third (35 percent) say the economy is in good shape, about the same as in May, and 58 percent say the economy has stayed about the same in the past month.

The decline in optimism about the country’s path in the new poll seems to mirror those in October 2013 and August 2011, when congressional inaction led to the threat of a government shutdown in 2011 and a partial one in 2013. Among Democrats, the share saying the nation is heading in the right direction dipped 11 points since May, to 49 percent, while among independents, it’s down slightly to 23 percent. Among Republicans, the 9 percent saying the country is heading the right way is similar to May. The October 2013 and August 2011 declines in right direction were also driven by sharp drops among Democrats and independents.

Among those who say they are highly likely to vote this fall, just 8 percent say they approve of the way Congress is handling its job, though 43 percent would like to see their member of Congress re-elected, a bit higher than among all adults. Republicans have an edge among this group as the party more preferred to control Congress, 43 percent to 34 percent, with 23 percent saying it doesn’t matter.

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. It is larger for subgroups.

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.

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

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Online:

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

 


AP-GfK Poll: No agreement on how to pay for highways

By JOAN LOWY and JENNIFER AGIESTA, Associated Press

WASHINGTON (AP) — Small wonder Congress has kept federal highway and transit programs teetering on the edge of insolvency for years, unable to find a politically acceptable long-term source of funds. The public can’t make up its mind on how to pay for them either.

Six in 10 Americans think the economic benefits of good highways, railroads and airports outweigh the cost to taxpayers. Yet there is scant support for some of the most frequently discussed options for paying for construction of new roads or the upkeep of existing ones, according to a new Associated Press-GfK poll.

Among those who drive places multiple times per week, 62 percent say the benefits outweigh the costs. Among those who drive less than once a week or not at all, 55 percent say the costs of road improvement are worthwhile.

Yet a majority of all Americans — 58 percent — oppose raising federal gasoline taxes to fund transportation projects such as the repair, replacement or expansion of roads and bridges. Only 14 percent support an increase. And by a better than 2-to-1 margin, Americans oppose having private companies pay for construction of new roads and bridges in exchange for the right to charge tolls. Moving to a usage tax based on how many miles a vehicle drives also draws more opposition than support — 40 percent oppose it, while 20 percent support it.

Support for shifting more responsibility for paying for such projects to state and local government is a tepid 30 percent.

“Congress is actually reflecting what people want,” said Joshua Schank, president and CEO of the Eno Center for Transportation, a transportation think tank. “People want to have a federal (transportation) program and they don’t want to pay for it.”

Last week, Congress cobbled together $10.8 billion to keep transportation aid flowing to states by changing how employers fund worker pension programs, extending customs user fees and transferring money from a fund to repair leaking underground fuel storage tanks. The money was needed to make up a shortfall between aid promised to states and revenue raised by the federal 18.4 cents-per-gallon gas tax and the 24.4 cents-per-gallon diesel tax, which haven’t been increased in more than 20 years.

It’s the fifth time in the last six years that Congress has patched a hole in the federal Highway Trust Fund that pays for highway and transit aid. Each time it gets more difficult for lawmakers to find the money without increasing the federal budget deficit. Critics described the pension funding changes used this time as budget gimmicks that would cost the government more in the long run and undermine employee pension programs.

The latest patch cleared Congress about three hours before midnight last Thursday, the day before the Transportation Department said it would begin cutting back aid payments to states. The current fix is only expected to cover the revenue gap through next May, when Congress will be back where it started unless lawmakers act sooner.

The most direct solution would be to raise fuel taxes. That’s what three blue-ribbon federal commissions have recommended. But opposition to a gas tax increase cuts across party lines, although Republicans are more apt to oppose an increase, 70 percent, than Democrats, 52 percent.

“Every time we turn around there’s another tax, and our gas taxes are so high now,” said James Lane, 52, of Henry County in rural south-central Virginia, who described himself as leaning toward the GOP.

Lane favors allowing companies to pay for the construction of new or expanded roads and bridges in exchange for the right impose tolls on motorists, often for many decades. There have been projects like that in Virginia, but since those roads are in more populated areas of the state where he doesn’t drive it makes sense to have the people who use them pay for them, he said.

But Michael Murphy, 63, a data services contractor who lives near San Antonio, Texas, where a high-speed public-private toll road is scheduled to open this fall, said he’d rather see gas taxes increased than tolls imposed on drivers. Roads benefit everyone, even if indirectly, so it’s only fair that everyone who drives pays something toward their cost, he said.

A majority of those surveyed, 56 percent, say traffic in the area where they live has gotten worse in the last five years. Only 6 percent say traffic has improved in their area, and 33 percent that it’s stayed about the same.

The AP-GfK Poll was conducted July 24-28 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. It has a margin of sampling error of plus or minus 3.4 percentage points for all respondents, larger for subgroups.

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.

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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