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.


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






How the AP-GfK poll was conducted




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

Topline results are available at and

AP-GfK poll: Most Trump supporters doubt election legitimacy

By Jonathan Lemire and Emily Swanson

CHARLOTTE, N.C. (AP) — Donald Trump’s dubious claims the presidential election is “rigged” have taken root among most of his supporters, who say they will have serious doubts about the legitimacy of the election’s outcome if Hillary Clinton wins, according to a new Associated Press-GfK poll.

Just 35 percent of Trump’s supporters say they will most likely accept the results of the election as legitimate if Clinton wins, while 64 percent say they’re more likely to have serious doubts about the accuracy of the vote count if the Republican nominee is not the victor.

“Of course I believe it’s rigged, and of course I won’t accept the results,” said Mike Cannilla, 53, a Trump supporter from the New York borough of Staten Island. “It’s from the top: Obama is trying to take over the country, he’s covering up all of Hillary’s crimes and he’s controlling the media trying to make Trump lose.”

“Our only chance on Nov. 9 is if the military develops a conscience and takes matters into its own hands,” Cannilla said.

By contrast, 69 percent of Clinton’s supporters say they’ll accept the outcome if Trump wins. Only 30 percent of the Democratic nominee’s backers express a reluctance to accept the results if the former secretary of state loses on Election Day.

Overall, 77 percent of likely voters say they’ll accept the legitimacy of the results if Trump wins, while 70 percent say the same of a Clinton win.

In the final weeks of the campaign, Trump has made doubts about the integrity of the U.S. election system a cornerstone of his closing argument. Asked directly at the final presidential debate if he would accept the election results, Trump refused, saying: “I will keep you in suspense.”

That extraordinary statement, with its potential to challenge the peaceful transition of power that is a hallmark of the American democracy, did little to harm him with his base of supporters. The poll found that 44 percent of all likely voters say Trump’s stance makes them less likely to support him, but the vast majority of his supporters say it doesn’t make a difference.

“He should fight it all the way,” said George Smith, 51, a Trump supporter from Roswell, Georgia. “Spend weeks in court if he has to. He can’t let it be taken from him. That’s his right.”

Trump has also repeated inaccurate claims that vote fraud is a widespread problem, and the poll finds that most of Trump’s supporters share that concern. Fifty-six percent think there’s a great deal of voter fraud, 36 percent believe there is some, and 6 percent say there’s hardly any.

Most Clinton supporters, 64 percent, think there’s hardly any voter fraud. Overall, just 27 percent of likely voters think there’s a great deal of fraud. A third of voters overall believe there is at least some, while 38 percent say there is hardly any.

While there have been isolated cases of voter fraud in the U.S., there is no evidence of it being a widespread problem. In one study, a Loyola Law School professor found 31 instances involving allegations of voter impersonation out of 1 billion votes cast in U.S. elections between 2000 and 2014.

Beyond allegations of fraud, 40 percent of Trump supporters say they have little to no confidence that votes in the election will be counted accurately. Another 34 percent say they have only a moderate amount of confidence, and just 24 percent say they have a great deal or quite a bit of confidence in the vote count.

Among Clinton supporters, 79 percent say they have a great deal or quite a bit of confidence in the vote count’s accuracy. Many believe Trump should voice support for the electoral system even in defeat.

“Be an adult. Accept the results,” said Shavone Danzy-Kinloch, 37, a Clinton supporter from Farmingville, New York. “If the shoe was on the other foot, he’d expect Hillary to do the same.”

Trump’s supporters are also more likely than others to say they are concerned about hackers interfering with the election. Forty-six percent of them are extremely or very concerned and 37 percent somewhat concerned. Overall, 32 percent of voters say they’re extremely to very concerned and 39 percent somewhat concerned. Among Clinton supporters, 60 percent are at least somewhat concerned.

Although the poll shows many Trump supporters would have doubts about a Clinton win, the poll shows relatively little acute concern that claims of inaccuracy and voter fraud could prevent Americans overall from accepting the results. Just 30 percent of likely voters are extremely or very concerned about that, while another 40 percent are somewhat concerned.

Twenty-nine percent say they’re not very or not at all concerned.

“If she wins, we’re all going to have live with it,” said Daniel Ricco, 76, a Trump supporter from Milford, Connecticut. “It won’t be good for the country, but there’s nothing we can do.”


The AP-GfK Poll of 1,546 adults, including 1,212 likely voters, was conducted online Oct. 20-24, 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 2.75 percentage points, and for likely voters is plus or minus 3.1 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.



Poll results:


Swanson reported from Washington.


Follow Jonathan Lemire and AP Polling Editor Emily Swanson on Twitter at: and

AP-GfK Poll: Clinton appears on cusp of commanding victory


NEW YORK (AP) — Hillary Clinton appears on the cusp of a potentially commanding victory over Donald Trump, fueled by solid Democratic turnout in early voting, massive operational advantages and increasing enthusiasm among her supporters.

A new Associated Press-GfK poll released Wednesday finds the Democratic nominee has grabbed significant advantages over her Republican rival with just 12 days left before Election Day. Among them: consolidating the support of her party and even winning some Republicans.

“I’m going to pick Hillary at the top and pick Republican straight down the line,” said poll respondent William Goldstein, a 71-year-old from Long Island, New York, who voted for Mitt Romney in 2012. “I can’t vote for Trump.”

Overall, the poll shows Clinton leading Trump nationally by a staggering 14 percentage points among likely voters, 51-37. While that is one of her largest margins among recent national surveys, most show the former secretary of state with a substantial national lead over the billionaire businessman.

The AP-GfK poll finds that Clinton has secured the support of 90 percent of likely Democratic voters, and also has the backing of 15 percent of more moderate Republicans. Just 79 percent of all Republicans surveyed say they are voting for their party’s nominee.

With voting already underway in 37 states, Trump’s opportunities to overtake Clinton are quickly evaporating — and voters appear to know it. The AP-GfK poll found that 74 percent of likely voters believe Clinton will win, up from 63 percent in September.

Troubles with President Barack Obama’s signature health care law have given Trump a late opening to warn voters against putting another Democrat in the White House. But even Republicans question whether the rising cost of insurance premiums is enough to overcome the damage the businessman has done to his standing with women and minorities.

“Donald Trump has spent his entire campaign running against the groups he needs to expand his coalition,” said Whit Ayres, a Republican pollster who advised Florida Sen. Marco Rubio’s failed presidential campaign. Ayres called Trump’s campaign “strategically mindless.”

Even if Clinton’s support plummets in the contest’s closing days, or she’s unable to motivate strong turnout in her favor, it’s not clear that Trump could marshal the resources to take advantage and collect enough states to win the 270 electoral votes needed to claim the White House.

Clinton’s team has overwhelmed Trump’s campaign in its effort to turn out voters.

An Associated Press review of campaign finance filings finds that her campaign, the Democratic National Committee and Democratic parties in 12 states have more than three times as many paid employees as Trump’s campaign and the main Republican organizations supporting him. Clinton and Democrats had about 4,900 people on payroll in September, while Trump and Republicans had about 1,500.

Both sides benefit from legions of volunteers knocking on doors and making phone calls to voters, as well as outside forces such as unions and super PACs pitching in on voter turnout operations. But key Republican groups such as the ones funded by the conservative billionaire Koch brothers are sitting out the presidential race because of their distaste for Trump, further extending Clinton’s likely advantage at getting out the vote.

The strength of the Democratic turnout effort appears to be paying dividends in states where voting is underway. Nationwide, more than 12 million voters have already cast ballots, according to data compiled by the AP, a pace far quicker than 2012.

In North Carolina, a must-win state for Trump, Democrats lead Republicans in early ballots, 47 percent to 29 percent. The Democrats hold an advantage even though turnout among blacks, a crucial voting bloc for Clinton in the state, is down compared to this point in 2012. Strategists in both parties attribute the lower black turnout in part to an early reduction in polling stations, though more sites are to open in the days leading up to Nov. 8.

In Florida, a perennial battleground, Democrats have drawn even to Republicans in votes cast, reaching that milestone faster than in 2012. Traditionally, Republicans do well initially with mail-in ballots. But Democrats were able to keep it close, putting Clinton in position to run up the score during in-person voting.

Clinton also appears to hold an edge in Nevada and Colorado based on early returns. David Flaherty, a Republican pollster based in Colorado, said the data signal “a Democrat wave in the making.”

Buoyed by support from white voters, Trump looks strong in Ohio, Iowa and Georgia, a Republican state where Clinton is trying to make inroads. But wins in those states would still leave him well short of the required 270 Electoral College votes.

Trump’s top advisers have conceded in recent days the businessman is trailing Clinton. But they point to his large rallies and enthusiastic supporters as an indication he could be poised for an upset. Clinton draws smaller crowds to her events and has been perceived by some voters a lesser of two evils.

“We have a couple of different paths to get to 270 and we’re actively pursuing them,” Kellyanne Conway, Trump’s campaign manager, told MSNBC on Monday.

The AP-GfK poll suggests Clinton’s advantage is about more than just voter dislike for Trump. Clinton supporters are more likely than his backers to list their candidate’s leadership, qualifications for the presidency and positions on issues as major factors in their support.

Although voters are still more likely to have an unfavorable than a favorable view of Clinton, her ratings have improved slightly in the past month. Forty-six percent of likely voters now say they have a favorable view of the former secretary of state, up from 42 percent in September. Just 34 percent of all likely voters have a favorable view of Trump.

Trump’s unpopularity has opened surprising opportunities for Clinton as the White House race barrels toward its finish. Her campaign is actively competing for Arizona, a state that has voted for the Democrat in only one presidential race since 1952, and she is also spending money in Georgia, a reliably Republican state over the past two decades.

Both states have been on Democrats’ wish lists in recent years given their increasingly favorable demographics, though the party had little expectation they might flip this year. Hispanics are a growing share of the Arizona electorate, while Georgia is on its way to becoming a majority-minority state.

The real electoral map surprise this year is Utah, one of the most conservative states in the country. Utah’s heavily Mormon population has turned its back on Trump, providing an opening for third-party candidate and Utah native Evan McMullin to carry the state. Stripping Trump of six Electoral College votes Republicans have never had to worry about would further narrow his already slim path to victory.

With so much appearing to lean in their favor heading into Election Day, the Clinton campaign’s biggest concern is that some supporters take victory for granted and don’t show up to vote.

“Donald Trump said he could still win, and he could if our people get complacent,” Clinton communications director Jennifer Palmieri said.


The AP-GfK Poll of 1,546 adults, including 1,212 likely voters, was conducted online Oct. 20-24, 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 2.75 percentage points, and for likely voters is plus or minus 3.1 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.



Poll results:


Associated Press writers Hope Yen, Nicholas Riccardi, Thomas Beaumont and Chad Day contributed to this report.


Follow Julie Pace and Emily Swanson on Twitter at: and