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: Trump supporters unfazed by reversal on self-funding

By JULIE BYKOWICZ and EMILY SWANSON

WESTFIELD, Ind. (AP) — Donald Trump’s voters adored him for mostly paying his own way in the first half of the presidential campaign. Yet those same people are shrugging their shoulders now that he’s raising money just like the rivals he once disparaged as the “puppets” of big donors.

A new Associated Press-GfK poll found that 63 percent of Trump supporters say they’re at least somewhat more likely to back a self-funded candidate, just as he once was. However, just 13 percent consider it a problem that Trump changed his mind — and nearly all those think it’s only a minor one.

How can people care so strongly about a candidate’s original stance and then not care at all when he changes his mind?

At a Trump rally this week near Indianapolis, some of his most ardent supporters explained their thinking. Many said it wouldn’t be fair for Trump, a billionaire businessman, to have to spend his own money against Hillary Clinton. The presumptive Democratic nominee and her allies aim to raise $1 billion for the general election.

“It was inspiring to see someone spend their own money rather than relying on lobbyists,” said 18-year-old Maxwell Nugent, who will be casting his first presidential vote for Trump this November. “It makes it more profound for him to be asking all the people who supported him to be giving money to the campaign now.”

Nugent, who wore a black T-shirt that reads: “Hillary’s Lies Matter,” said he likes that Trump “started from the bottom, with no donors.”

So far, Trump has put about $50 million of his own money into his campaign, mostly through personal loans which he says he will not seek to recoup. But he assembled a fundraising operation two months ago and has raised more than $51 million for his campaign and Republican Party allies.

Others who attended the Indiana rally said they have some concerns about Trump raising money — but also have faith that he won’t bend his policies to appease donors.

“A big thing with me is that since he is a billionaire, he doesn’t need to be bought,” said Diane Martinez, who lives in Westfield, Indiana, and leads a group called Save Our Veterans that supports Trump.

Trump has lamented the influence that super-donors such as Charles and David Koch and Sheldon Adelson hold over Republican politicians, naming those three specifically.

Yet he’s now developing a relationship with Adelson, a billionaire Las Vegas gaming executive, that could unleash streams of money to help him win the election. The Koch brothers have no plans to back Trump.

Americans have a negative view of the amount of money in politics. An AP-NORC poll conducted in November of 2015 found that 8 in 10 Americans, Republicans and Democrats alike, think campaign contributions influence the decisions that elected officials make.

Trump supporters are among those who see an issue with the way campaign funding works. In the AP-GfK poll, 51 percent of Trump supporters call the way presidential candidates raise money for their campaigns very or extremely important to them, similar to the 46 percent of all Americans who say that.

“We need absolute reform,” said Victor Wakley, another Save Our Veterans member at the Indiana rally for Trump. “I loved that he was paying his own way, and I do have some concerns now that he’s not.”

Democrat Bernie Sanders, who solicited only small donations online and held no traditional fundraisers, made campaign finance reform a pillar of his presidential campaign. Clinton also has promised to press for an end to unlimited money that flows into campaigns through super political action committees, although she is making full use of those groups in her 2016 bid.

Trump has called super PACs “corrupt” but offered no policy proposals about campaign finance. He’s also stopped talking about the corrosive effect of donor money since he began raising it.

In an AP interview this spring, Trump said he is raising money only to help the Republican Party, and he has repeatedly said it would be easier for him to just write a big check to his own campaign. He also stresses that his campaign fundraising is coming from small donors, the way Sanders’ fundraising was.

None of those statements is entirely true.

Trump’s fundraising deal with the party includes a provision that the first $2,700 of any donation go to his campaign. The rest of it — up to about $500,000 per donor — is divided among the national party and some state Republican groups.

Online solicitations accounted for less than half of the money Trump raised in late May and June, and it’s not clear how much of it was from small donors. Fundraising reports to federal regulators are due Wednesday night.

On Trump’s self-funding reversal, 16 percent of all Americans polled by AP-GfK considered it a major problem and 21 percent a minor problem.

Among Clinton supporters, 26 percent say they’re at least somewhat more likely to support a candidate who’s funding his or her own campaign, but more than half say they consider Trump’s reversal to be a problem, including 27 percent who say they think it’s a major problem.

The Trump supporters say it’s no surprise Democrats are trying to emphasize Trump’s switch from self-funding to traditional funding.

“There are a couple of ways to look at it,” said Jerry Loza, a Trump supporter at the Indiana rally. “You could say it’s hypocrisy. You could also say it’s a different game now.”

The AP-GfK Poll of 1,009 adults was conducted online July 7-11, 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 3.3 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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Keep track on how much Clinton and Trump are spending on television advertising, and where they’re spending it, via AP’s interactive ad tracker. http://elections.ap.org/content/ad-spending

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Online:

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


AP-GfK Poll: Voters split over how to secure US from illegal immigration
By EMILY SWANSON and VIVIAN SALAMA

WASHINGTON (AP) — Most Americans reject Donald Trump’s proposal to build a wall along the U.S. border with Mexico and his support for deporting those in the country illegally. But they’re divided on the presumptive Republican nominee’s proposed temporary ban on the entry of Muslims from other countries, a new survey finds.

The poll shows Trump’s shifting rhetoric on that ban might win some Americans over.

When it comes to Trump’s proposal to build a wall along the Mexican border, about 6 in 10 Americans oppose the idea while 4 in 10 are for it, the new Associated Press-GfK poll indicated.

Similarly, 6 in 10 Americans favor providing a way for immigrants who are in the country illegally to become U.S. citizens, while about 4 in 10 are opposed.
Seventy-six percent of Democrats, along with 44 percent of Republicans, favor a path to citizenship for immigrants in the country illegally. Among Trump’s supporters, just 38 percent are in favor of a path to citizenship. Sixty-seven percent of Republicans and just 21 percent of Democrats favor a border wall. Three-quarters of Trump’s supporters favor that proposal.

Trump’s likely rival, Democrat Hillary Clinton, has cast his calls for the border wall and temporary foreign Muslims ban as dangerous.

Trump supporter Marile Womack, 79, of Debary, Florida, adamantly favors the border wall. No one else “had the guts to do it,” she said. But the daughter of Austrian immigrants isn’t opposed to immigration from any country so long as it’s done legally.

“I don’t favor banning immigrants, but I am for investigating them before they come,” she said.

In contrast, Mark Wecker, a car salesman from Redding, California, called a border wall stupid, because “it’s a lot of money and it’s not going to keep them out if they want to get in.”

Three-quarters of Latinos, two-thirds of African-Americans and more than half of whites favor providing a path to citizenship. Forty-eight percent of whites, 26 percent of blacks and just 16 percent of Latinos favor a border wall.

Daniella Gil, a stay-at-home-mom from Cornelius, Oregon, who is the daughter of Mexican immigrants, said, “We should be focusing on the violence coming from Syria as opposed to Hispanics jumping the border.”

She said she supports immigration from any country so long as it’s done legally.

Americans are slightly more likely to oppose than favor a temporary ban on Muslims who are not U.S. citizens from entering the United States, by a 52 percent to 45 percent margin that has been strikingly consistent in AP-GfK polls conducted this year.

Sixty-nine percent of Republicans say they favor the temporary ban on Muslim immigration, while 68 percent of Democrats are opposed. Half of whites and just a third of non-whites say they favor the ban. Seventy-six percent of Trump supporters are in favor.

On a trip to Scotland last month, Trump shifted his rhetoric, saying he would instead “want terrorists out” of the U.S., and to do so, he would limit people’s entry from “specific terrorist countries and we know who those terrorist countries are.”

The poll indicates that rhetorical shift could win support. Among those asked more broadly about a temporary ban on immigrants from areas of the world where there is a history of terrorism against the U.S. or its allies, 63 percent are in favor and 34 percent opposed. Ninety-four percent of Trump supporters say they favor this proposal, as do 45 percent of Clinton supporters.

“That’s a necessity for creating stability,” said Ryan Williams, 40, a health care provider from Jacksonville, North Carolina.

Most Americans — 53 percent — think the United States is currently letting in too many refugees from Syria, engulfed in civil war since 2011 and the Islamic State militant group’s de facto center. President Barack Obama has pledged to admit some 10,000 Syrian refugees this year.

Another 33 percent think the current level is about right, while just 11 percent want to let in more. About 4 in 10 think there’s a very or somewhat high risk of refugees committing acts of religious or political violence in the United States, 34 percent think the risk moderate, and 24 percent consider it very or somewhat low.

Seventy-six percent of Republicans think the U.S. should allow fewer refugees. Among Democrats, 43 percent think the current level is about right, 38 percent think the U.S. should allow fewer, and 18 percent want to allow more.

Said Gil, the stay-at-home mom from Oregon, “Some of those people are innocent kids.”

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The AP-GfK Poll of 1,009 adults was conducted online July 7-11, 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 3.3 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

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Follow Vivian Salama and Emily Swanson on Twitter at: http://twitter.com/vmsalama and http://twitter.com/EL_Swan