WASHINGTON (AP) — At first blush, many Americans like the idea of “Medicare for all,” the government-run health system that’s a rallying cry for Democratic presidential candidate Bernie Sanders.

But mention some of the trade-offs — from higher taxes to giving up employer coverage — and support starts to shrivel.

That’s the key insight from an Associated Press-GfK poll released Thursday. The survey also found that people’s initial impressions of Sanders’ single-payer plan are more favorable than their views of President Barack Obama’s health care overhaul.

A slim plurality of 39 percent supports replacing the private health insurance system with a single government-run, taxpayer-funded plan that would cover medical, dental, vision and long-term care, with 33 percent opposed. Only 26 percent say they support Obama’s hard-won health care law.

Yet it’s only like an air kiss for “Berniecare.”

Asked whether they would continue to support Sanders’ plan if their own taxes went up, under a third of initial supporters of the plan would keep backing it. About 4 out of 10 flipped to opposition.

About the same share of initial backers would ditch single-payer if it meant that people had to give up employer coverage. Twenty-eight percent would continue to support it.

Higher taxes and an end to employer coverage are both a given under the Sanders plan, which would replace private coverage with a taxpayer-funded program, while also offering more generous benefits such as no deductibles and no copayments, as well as coverage for long-term care.

“That’s pie in the sky,” said Patricia Combs, a retired junior-high math teacher from Springboro, Ohio. “It sounds really good, but I don’t think it’s attainable … people would complain about their taxes being raised.”

Elizabeth Medina of Chicago, an office manager not currently working, said she worries that quality would slip.

“Overall it sounds terrific,” she said. “Yeah! Let’s go for it! But Europe and Canada have their problems with the single-payer system … it’s subpar.”

Such second thoughts over far-reaching policy proposals are common, said Robert Blendon of the Harvard T.H. Chan School of Public Health, who tracks public opinion on health care.

For example, a “flat tax” may sound appealingly simple as millions of people assemble their W-2 forms, 1099s, and lately those new health insurance forms for the annual tax-filing ritual. But it gets tricky for flat-tax advocates when they have to decide which popular tax deductions to eliminate and which to keep.

“People say they believe in a principle, but when you describe the policy, it often loses support because they don’t like that there are side effects,” said Blendon.

The poll found increasing doubts about single-payer health care when other potential consequences are considered, such as slower availability of new drugs and treatments, and longer waits for non-emergency services.

Unlike higher taxes and having to give up employer coverage, those are not automatic consequences of converting to a government-run system. But such concerns would surely be raised as a President Sanders tried to lead the “political revolution” he promises.

The poll found that 51 percent of initial single-payer backers would switch to opposition if it took longer for new drugs and treatments to become available. Only 14 percent would continue to support the plan. Such an outcome could happen if drugmakers were required to prove that new medications are therapeutically superior to existing ones. The current standard is that new drugs be safe and effective.

Additionally, 47 percent of initial supporters would reconsider if “Medicare for all” meant longer wait times for non-emergency medical services. That could happen if budget-conscious administrators encouraged doctors and hospitals to be parsimonious in using high-tech imaging. Only 18 percent of poll respondents would continue to support the plan in that case.

Overall, the poll found that health care remains a top issue for Americans, with three-fourths calling it extremely crucial or very important. Health care ranked behind the economy but ahead of foreign policy concerns as well as domestic issues like income inequality.

Memo to those following the Republican presidential primary: Most people doubt that “Obamacare” will be repealed even if the GOP wins the White House.

Forty-nine percent say the Affordable Care Act will be kept in place with changes, whether major or minor. Another 6 percent say a Republican president will not be able to make any changes to Obama’s law.

“A lot of people who couldn’t have health care before now have health care, so I don’t think you are going to be able to just turn around and strip all those people of their health care,” said Lillian Duren, a recently retired psychiatric emergency nurse from Brooklyn, New York. “You need to fix what doesn’t work and keep moving.”

The Republican presidential candidates have promised to repeal the health law, but they haven’t detailed how they would replace it.

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The AP-GfK Poll of 1,033 adults was conducted online Feb. 11-15, 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 telephone 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:

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


AP-GfK Poll: Majority of Americans fear Trump presidency

By JONATHAN LEMIRE and EMILY SWANSON

NEW YORK (AP) — More than half the country fears a Trump presidency. And only about a third of Americans believe he is at least somewhat qualified to serve in the White House.

In the final sprint to Election Day, a new Associated Press-GfK poll underscores those daunting roadblocks for Donald Trump as he tries to overtake Hillary Clinton.

Moreover, most voters oppose the hard-line approach to immigration that is a centerpiece of the billionaire businessman’s campaign. They are more likely to trust Clinton to handle a variety of issues facing the country, and Trump has no advantage on the national security topics also at the forefront of his bid.

Trump undoubtedly has a passionate base of support, seen clearly among the thousands of backers who fill the stands at his signature rallies. But most people don’t share that fervor. Only 29 percent of registered voters would be excited and just 24 percent would be proud should Trump prevail in November.

Only one in four voters find him even somewhat civil or compassionate, and just a third say he’s not at all racist.

“We as Americans should be embarrassed about Donald Trump,” said Michael DeLuise, 66, a retired university vice president and registered Republican who lives in Eugene, Oregon. “We as Americans have always been able to look at the wacky leaders of other countries and say ‘Phew, that’s not us.’ We couldn’t if Trump wins. It’s like putting P.T. Barnum in charge. And it’s getting dangerous.”

To be sure, the nation is sour on Clinton, too. Only 39 percent of voters have a favorable view of the Democratic nominee, compared to the 56 percent who view her unfavorably. Less than a third say they would be excited or proud should she move into the White House.

“I think she’s an extremely dishonest person and have extreme disdain for her and her husband,” said one registered Republican, Denise Pettitte, 36, from Watertown, Wisconsin. “I think it would be wonderful to elect a woman, but a different woman.”

But as poorly as voters may view Clinton, they think even less of Trump.

Forty-four percent say they would be afraid if Clinton, the former secretary of state, is elected, far less than say the same of Trump. He’s viewed more unfavorably than favorably by a 61 percent to 34 percent margin, and more say their unfavorable opinion of the New Yorker is a strong one than say the same of Clinton, 50 percent to 44 percent.

That deep distain for both candidates prompts three-quarters of voters to say that a big reason they’ll be casting their ballot is to stop someone, rather than elect someone.

“It’s not really a vote for her as it’s a vote against Trump,” said Mark Corbin, 59, a business administrator and registered Democrat from Media, Pennsylvania.

Roughly half of voters see Clinton at least somewhat qualified, while just 30 percent say Trump is.

Even when it comes to what may be Clinton’s greatest weakness, the perception that she is dishonest, Trump fails to perform much better: 71 percent say she’s only slightly or not at all honest, while 66 percent say the same of Trump. Forty-nine percent say Clinton is at least somewhat corrupt, but 43 percent say that of Trump.

“Whatever her problems are, they don’t even come close to him,” said JoAnn Dinkelman, 66, a Republican from Rancho Cucamonga, California, who will cross party lines and vote for Clinton. “Everything that comes out of his mouth that is fact-checked turns out to be a lie.”

Trump finds no respite with voters when it comes to what he vows to do as president, either.

Nearly 6 in 10 oppose his promise to build a wall along the U.S. border with Mexico, and only 21 percent of his supporters and 9 percent of registered voters overall are very confident he would succeed at fulfilling his promise that Mexico would pay for the construction.

Six in 10 believe there should be a way for immigrants living in the country illegally to become U.S. citizens — a view that Trump opposes.

“The wall isn’t the answer. It’s not feasible and Mexico won’t pay for it,” said Timothy Seitz, 26, a graduate student at the Ohio State University and a Republican. “We should be leaders. We shouldn’t cower from others and cut ourselves off in the world.”

Beyond immigration, voters say they trust Clinton over Trump by wide margins when it comes to health care, race relations and negotiations with Russia. She also narrowly tops Trump when it comes to filling Supreme Court vacancies, as well as another of the billionaire’s signature issues: handling international trade.

Trump is narrowly favored on creating jobs, 39 percent to 35 percent, while in general, voters are about equally split on which candidate would better handle the economy. Voters are slightly more likely to trust Trump than Clinton on handling gun laws, 39 percent to 35 percent.

Voters are closely split on which candidate would better handle protecting the country and evenly divided on which would better handle the threat posed by the Islamic State group. And Americans are much more likely to say they trust Clinton than Trump to do a better job handling the U.S. image abroad.

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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 plus or minus 2.7 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