By RICARDO ALONSO-ZALDIVAR and JENNIFER AGIESTA, Associated Press

 WASHINGTON (AP) — Memo to the White House: The website may be fixed, but President Barack Obama’s new health insurance markets have yet to win over most consumers.

Negative perceptions of the health care rollout have eased, a new Associated Press-GfK poll finds. But overall, two-thirds of Americans say things still aren’t going well.

Of those who’ve tried to sign up, or who live with someone who has, 71 percent have encountered problems. But the share reporting success jumped to 40 percent from a meager 24 percent in December.

“Everything is not perfect; it takes time to work out the glitches,” said Carol Lyles, a homecare provider from Los Angeles who was able to get coverage as a result of the law. “If done right, I believe it will provide the services that are needed.

“The poll comes with about 60 days left in open enrollment season. The administration is playing catch-up to meet its goal of signing up 7 million people in new insurance exchanges that offer subsidized private coverage to middle-class households. So far, the markets have attracted an older crowd that tends to be more costly to cover. Younger people in the coveted 18-34 age group are still mainly on the sidelines.

While the poll did not find a turnaround for “Obamacare,” the trend offers some comfort for supporters of the health care law.

In December, 76 percent of adults had said the opening of the new markets was not going well. Such negative perceptions have now fallen 10 points to 66 percent.

Still, rave reviews remain rare.

Only 4 percent said things were going extremely or very well, while another 17 percent said things were going somewhat well.

Compare that to 38 percent who said the rollout had gone not at all well. Another 28 percent said things were not going too well. Add those together and it makes up two-thirds of the public.

“People were locked out of the system,” said Karyle Knowles, a restaurant server from San Antonio. “They weren’t able to access what they should have, which only added to the mayhem.

“The White House had hoped to bring the ease of online shopping to the daunting process of buying health insurance. Instead, the federal website serving 26 states froze up when it was launched Oct. 1. Some of the 14 states running their own sites also encountered problems. It took the better part of two months to straighten out the issues with the federal exchange.

The administration reported Friday that 3 million people have now signed up for private coverage through federal and state markets, and another 6.3 million have been deemed eligible for Medicaid coverage. It’s not clear how many of those were previously uninsured.

According to the poll, many website users have had a frustrating experience. Among those who’ve tried to sign up, just 8 percent say it worked well, 29 percent somewhat well, 53 percent not well.

The public’s take on the law itself is stable, with 27 percent saying they back it, 42 percent opposed and 30 percent neutral. Those figures are unchanged since December.

People who have tried to sign up are more positive than the overall public — 46 percent say they back the law, 31 percent oppose it.But among the uninsured generally, there’s a more even divide, with 30 percent saying they support the law while 33 percent oppose it.

The major elements of the health care law took effect with the new year. Virtually all Americans are now required to get covered or risk fines. Insurers can no longer turn away people with health problems. And the exchanges are open for business.

Enrollment in the Medicaid safety-net program is also rising. That’s partly because of a program expansion accepted by about half the states and partly as a consequence of previously eligible but unenrolled people now forced to comply with the law’s individual coverage mandate. Last week, Utah’s Republican Gov. Gary Herbert said his state plans to become the 26th to accept the expansion.

The AP-GfK Poll was conducted Jan. 17-21 using KnowledgePanel, GfK’s probability-based online panel designed to be representative of the U.S. population. It involved online interviews with 1,060 adults, and has a margin of sampling error of plus or minus 3.9 percentage points for the full sample.

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.

AP News Survey Specialist Dennis Junius contributed to this report.

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.

___

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.

___

Online:

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