By MARK SHERMAN, Associated Press

WASHINGTON (AP) — Americans overwhelmingly want the president and Congress to get to work on a new bill to change the health care system if the Supreme Court strikes down President Barack Obama’s 2010 overhaul as unconstitutional, a new poll finds.

A new health care bill doesn’t seem to be in either party’s plans on the verge of the high court’s verdict on the law aimed at extending health insurance to more than 30 million Americans who now lack coverage. Republicans say they will try to repeal whatever’s left of the law after the high court rules and then wait at least until after the November elections to push replacement measures. Democrats say Obama will push to put in place whatever survives.

But an Associated Press-GfK poll shows that more than three-fourths of Americans do not want their political leaders to leave the health care system alone in the event the court throws out the health care law.

Large majorities of both opponents and backers of the law share the view that Congress and the president should undertake a new effort. The lowest level of support for new health care legislation comes from people who identify themselves as strong supporters of the tea party. Even in that group, though, nearly 60 percent favor work on a new bill.

Gary Hess, a Republican from Discovery Bay, Calif., wants the high court to throw out the entire law.

But Hess, 77, said he favors the provision requiring insurance companies to cover people regardless of their medical condition. “There needs to be compromise on both sides,” the retired school administrator said.

Garrett Chase, 51, said he hopes the court leaves the law in place but agreed with Hess that the politicians should get back to work if this law is struck down. “I live in the ghetto, and I see people dying every day,” said Chase, an unemployed car salesman from Baltimore. “They can’t get help because they can’t afford it.”

The call for new legislation comes even as just a third of Americans support the landmark health care law. The overall level of support for the law is relatively unchanged in recent months, with 47 percent opposing it. But among independents, only 21 percent approve of the law, a new low in AP-GfK polling.

Most of the law’s major changes have yet to take effect, including the requirement that most people have health insurance or pay a penalty. The insurance mandate has been among the least popular aspects of the law. Provisions that have gone into effect include extended coverage for young adults on their parents’ insurance and relief for seniors with high prescription drug costs.

A narrow majority say the outcome of this year’s presidential contest between Obama and his presumed challenger, Republican Mitt Romney, will have a big effect on the nation’s health care system. Republicans, at 58 percent, are most likely to see a link between the election and health care. Forty-eight percent of Democrats and 42 percent of independents believe the election will have a great deal of impact on the health care system.

Obama’s approval rating on handling health care was unchanged compared with polls in May and February. Forty-eight percent approve and 50 percent disapprove of his handling of the issue. Independents’ disapproval of Obama on health care topped 50 percent for the first time since October.

The Associated Press-GfK Poll was conducted June 14-18 by GfK Roper Public Affairs and Corporate Communications. It involved landline and cellphone interviews with 1,007 adults nationwide and has a margin of sampling error of plus or minus 4 percentage points.

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Associated Press writer Stacy A. Anderson, Deputy Director of Polling Jennifer Agiesta and News Survey Specialist Dennis Junius contributed to this report.

 

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Online:

http://www.ap-gfkpoll.com

 

 

How the AP-GfK poll was conducted

 

By THE ASSOCIATED PRESS

 

The Associated Press-GfK Poll on the health care law was conducted by GfK Roper Public Affairs & Corporate Communications from June 14-18. It is based on landline and cellphone telephone interviews with a nationally representative random sample of 1,007 adults. Interviews were conducted with 707 respondents on landline telephones and 300 on cellular phones.

 

Digits in the phone numbers dialed were generated randomly to reach households with unlisted and listed landline and cellphone numbers.

 

Interviews were conducted in both English and Spanish.

 

As is done routinely in surveys, results were weighted, or adjusted, to ensure that responses accurately reflect the population’s makeup by factors such as age, sex, education and race. In addition, the weighting took into account patterns of phone use — landline only, cell only and both types — by region.

 

No more than 1 time in 20 should chance variations in the sample cause the results to vary by more than plus or minus 4 percentage points from the answers that would be obtained if all adults in the U.S. were polled.

 

There are other sources of potential error in polls, including the wording and order of questions.

 

The questions and results are available at http://www.ap-gfkpoll.com

Topline results are available at http://www.ap-gfkpoll.com and http://surveys.ap.org

AP-GfK Poll: Disapproval, doubt dominate on Ebola

By LAURAN NEERGAARD and EMILY SWANSON

WASHINGTON (AP) — Americans have at least some confidence that the U.S. health care system will prevent Ebola from spreading in this country but generally disapprove of the way President Barack Obama and the Centers for Disease Control and Prevention have handled the crisis so far.

Most disapprove of Obama’s handling of the Ebola outbreak, according to an Associated Press-GfK Poll. Just 1 in 5 approve of the CDC’s work on Ebola so far, and only 3 in 10 say they trust that public health officials are sharing complete and accurate information about the virus. And only 18 percent have deep confidence that local hospitals could safely treat a patient with Ebola.

Amid worry here, most Americans say the U.S. also should be doing more to stop Ebola in West Africa. Health authorities have been clear: Until that epidemic ends, travelers could unknowingly carry the virus anywhere.

“It seems to me we have a crisis of two things. We have a crisis of science, and either people don’t understand it or … they don’t believe it,” said Dr. Joseph McCormick, an Ebola expert at the University of Texas School of Public Health. And, “we have a crisis in confidence in government.”

Some findings from the AP-GfK poll:

HEALTH CARE GETS MIXED REVIEWS

Nearly a quarter of Americans are very confident the U.S. health care system could prevent Ebola from spreading widely, and 40 percent are moderately confident.

But nearly half don’t think their local hospital could safely treat an Ebola case, and 31 percent are only moderately confident that it could.

After all, Thomas Eric Duncan, the first Ebola patient diagnosed in the U.S., at first was mistakenly sent home by a Dallas emergency room, only to return far sicker a few days later. Then, two nurses caring for him somehow became infected. The family of one of the nurses, Amber Vinson, said Wednesday doctors no longer could detect Ebola in her as of Tuesday evening.

Asked how the Centers for Disease Control and Prevention handled those cases, 42 percent of people disapprove and 22 percent approve.

FEAR VS. KNOWLEDGE

Despite months of headlines about Ebola, nearly a quarter of Americans acknowledge they don’t really understand how it spreads. Another 36 percent say they understand it only moderately well.

Ebola doesn’t spread through the air or by casual contact, and patients aren’t contagious until symptoms begin. Ebola spreads through close contact with a symptomatic person’s bodily fluids, such as blood, vomit, feces, urine, saliva, semen or sweat.

People who say they do understand are less concerned about Ebola spreading widely in this country. Among those who feel they have a good grasp on how it spreads, 46 percent are deeply concerned; that rises to 58 percent among those who don’t understand it as well.

Likewise, a third of those with more knowledge of Ebola are confident in the health system’s ability to stem an outbreak, and 27 percent think their local hospital could safely treat it. Among those who don’t understand Ebola, fewer than 1 in 5 shares either confidence.

WHAT SHOULD BE DONE

A whopping 93 percent of people think training of doctors and nurses at local hospitals is necessary to deal with Ebola, with nearly all of them, 78 percent, deeming it a definite need.

Nine out of 10 also think it’s necessary to tighten screening of people entering the U.S. from the outbreak zone, including 69 percent who say that’s definitely needed.

Some would go even further: Almost half say it’s definitely necessary to prevent everyone traveling from places affected by Ebola from entering the U.S. Another 29 percent say it’s probably necessary to do so.

More than 8 in 10 favor sending medical aid to Ebola-stricken countries and increasing government funding to develop vaccines and treatments.

SOME NEW STEPS

The CDC had issued safe-care guidelines to hospitals long before Duncan arrived last month, and it made some changes this week after the unexpected nurse infections. Now, the CDC says hospitals should use full-body garb and hoods and follow rigorous rules in removing the equipment to avoid contamination, with a site manager supervising. Possibly more important, workers should repeatedly practice the donning and doffing and prove they can do it correctly before being allowed near any future patients.

While Duncan wasn’t contagious during his flight, his arrival spurred U.S. officials to begin checking passengers arriving from Liberia, Sierra Leone and Guinea for fever, an early Ebola symptom, just like they’re checked before leaving those countries.

Wednesday, the CDC moved to fill a gap in that screening: Starting next week, all of those travelers must be monitored for symptoms for 21 days, the Ebola incubation period. They’ll be told to take their temperature twice a day and must report the readings to state or local health officials.

That’s not just for West African visitors. It includes U.S. government employees, who had been doing their own 21-day fever watches upon return from fighting the epidemic, as well as doctors and other workers for aid organizations and journalists.

The AP-GfK Poll was conducted Oct. 16-20, using KnowledgePanel, GfK’s probability-based panel designed to be representative of the U.S. population. It involved online interviews with 1,608 adults and has a margin of sampling error of plus or minus 2.8 percentage points for all respondents. 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 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


AP-GfK Poll: Americans want tighter Ebola screening, concerned government hasn’t done enough

By LAURAN NEERGAARD and EMILY SWANSON, Associated Press

WASHINGTON (AP) — Americans overwhelmingly want tougher screening for Ebola, according to a poll released as federal health authorities took new steps to do just that.

Many are worried about Ebola spreading here, and two-thirds say the government hasn’t done enough to prevent that from happening, according to an Associated Press-GfK poll.

Some things to know:

THE PUBLIC WANTS MORE TRAVEL SCRUTINY

The AP-GfK poll found 9 out of 10 people — unusually high agreement on any issue — think it’s necessary to tighten screening procedures for people entering the U.S. from the outbreak zone in West Africa, including 69 percent who say it’s definitely needed.

Some would go even further: Almost half say it’s definitely necessary to prevent everyone traveling from places affected by Ebola from entering the U.S. Another 29 percent say it’s probably necessary to do so.

The Centers for Disease Control and Prevention has warned since summer that an infected traveler eventually would arrive in the U.S., and it finally happened last month when Thomas Eric Duncan developed symptoms of Ebola a few days after arriving from Liberia. He died on Oct. 8.

WHAT IS THE GOVERNMENT DOING

While Duncan wasn’t contagious during his flight, his arrival spurred U.S. officials to begin checking passengers arriving from Liberia, Sierra Leone and Guinea for a fever, an early Ebola symptom, just like they’re checked before leaving those countries.

The AP-GfK poll suggested that wasn’t enough.

Wednesday, the CDC moved to fill a gap in that screening: Starting next week, all of those travelers must be monitored for symptoms for 21 days, the Ebola incubation period. They’ll be told to take their temperature twice a day and must report the readings to state or local health officials.

That’s not just for West African visitors. It includes U.S. government employees, who had been doing their own 21-day fever watches upon return from fighting the epidemic, as well as doctors and other workers for aid organizations, and journalists.

WHY NOT A TRAVEL BAN

The Obama administration says that’s not on the table. Already, there are no direct flights to the U.S. from the outbreak zone, and the airport with the most travelers from West Africa — New York’s Kennedy airport — has averaged 34 travelers a day since entry screening began. Health experts say a travel ban would prevent medical supplies and health workers from reaching West Africa, and could drive travelers underground and hinder screening of potential Ebola carriers.

AMERICANS FEAR EBOLA’S SPREAD HERE

Nearly half of Americans are very or extremely concerned that Ebola will spread widely in the U.S. After all, two nurses caught it while caring for Duncan.

Health experts had hoped that fear would start to dwindle, considering that people who shared an apartment with Duncan while he was sick emerged healthy from quarantine this week — showing the virus isn’t all that easy to catch.

FEAR VS. KNOWLEDGE

But despite months of headlines about Ebola, nearly a quarter of Americans acknowledge they don’t really understand how Ebola spreads. Another 36 percent say they understand it only moderately well.

People who say they do are less concerned about Ebola spreading widely in this country. Among those who feel they have a good grasp on how it spreads, 46 percent are deeply concerned; that rises to 58 percent among those who don’t understand it as well.

Ebola doesn’t spread through the air or by casual contact, and patients aren’t contagious until symptoms begin. Ebola spreads through close contact with a symptomatic person’s bodily fluids, such as blood, vomit, feces, urine, saliva, semen or sweat.

The AP-GfK Poll was conducted Oct. 16-20, using KnowledgePanel, GfK’s probability-based panel designed to be representative of the U.S. population. It involved online interviews with 1,608 adults, and has a margin of sampling error of plus or minus 2.8 percentage points for all respondents. 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 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