By JENNIFER AGIESTA and RICARDO ALONSO-ZALDIVAR, Associated Press

     WASHINGTON (AP) — Nearly two years after President Barack Obama signed landmark legislation to cover the uninsured, a new poll finds his health care overhaul is neither better liked nor better understood.

     But as the Supreme Court prepares to hear arguments on the constitutionality of the Affordable Care Act, the AP-GfK poll shows that Americans are less concerned that their own personal health care will suffer as a result of it.

     Shortly after the law passed in 2010, nearly half — 47 percent — said they expected the quality of their care to worsen. Now just 32 percent say that’s their worry.

     Most of the law’s major changes have yet to take effect, and dire predictions — of lost jobs, soaring premiums and long waits to see the doctor — have not materialized. Provisions that have gone into effect, including extended coverage for young adults on their parents’ insurance and relief for seniors with high prescription costs, only had a modest impact on health care spending.

     Lee Sisson, 63, a semi-retired businessman from Winter Haven, Fla., says he figures that he might be better off personally as a result of the overhaul. For example, it would limit how much health insurance companies can charge older adults. But self-interest hasn’t made Sisson a supporter.

     ”As a guy that’s semi-retired, the law would probably benefit me, and I’m still against it because it’s not good for our country,” said Sisson. He’s concerned about the cost of new government programs getting passed on to future generations.

     Most of the drop in people saying they believe their care will worsen actually comes from those like Sisson, who are opposed to it. Of the law’s opponents, 55 percent now say their care will worsen. But in April 2010, soon after the law passed, that share was 67 percent.

     Overall, half of Americans say they don’t think the quality of their care will change, while 14 percent expect it to improve.

     The health care debate may be getting less edgy, but it’s unclear how much it will help Obama and Democrats heading into a contentious 2012 election season. Americans remain cool to the major domestic accomplishment of the president’s first term, even if they like some of the law’s provisions.

     The poll found that 35 percent of Americans support the health care law overhaul, while 47 percent oppose it. That’s about the same split as when it passed. Then, 39 percent supported it and 50 percent opposed it.

     Opposition remains strongest among seniors, many of whom object that Medicare cuts were used to help finance coverage for younger uninsured people.

     ”We were supposed to have a nice, relaxed retirement, and now we are scared,” said Nancy Deister Knaack, 65, of Leawood, Kan., a retired special education teacher. “We don’t know what’s going to happen.”

     Confusion about the complex legislation has not helped Obama sell it to the public, contributing to an atmosphere in which wild charges about potential repercussions readily find an audience.

     Only about three in ten say they understand the law extremely or very well. Most, 44 percent, say they understand it just somewhat, while 29 percent say they understand it not too well or not well at all.

     On the key issue before the Supreme Court, however, public opinion is clear. Nearly 6 in 10 in say they oppose the law’s requirement that Americans carry health insurance, except in cases of financial hardship, or pay a fine to the government.

     Opponents argue that such a mandate is an unconstitutional expansion of federal power, amounting to Congress ordering private citizens to buy a particular product.

     The administration and many experts believe that the overhaul cannot work without an insurance requirement. The law guarantees that people with pre-existing medical problems can get coverage. Therefore, without a mandate, many healthy people may just postpone buying insurance until they get sick, driving up costs.

     Even many Democrats are uneasy about the insurance requirement, although it can be fulfilled by getting coverage through an employer, a government program or by directly buying a policy, in many cases with the help of federal subsidies.

     Las Vegas software engineer Michael Hugh, 37, says he supports the president and intends to vote for him, but the health care law should be revised.

     ”I am for the concept of it, but I am against the penalties,” he said. “It’s a good idea that they are taking down a wrong path because people shouldn’t be penalized for not having health care.” Hugh is currently uninsured but says he plans to get coverage through a new job.

     While opposition to an individual insurance requirement remains strong, the poll found that 60 percent support putting the obligation on employers. Businesses are currently under no legal requirement to provide insurance, and the law would penalize medium to large companies that fail to do so.

     The Associated Press-GfK Poll was conducted February 16-20, 2012 by GfK Roper Public Affairs and Corporate Communications. It involved landline and cellphone interviews with 1,000 adults nationwide and has a margin of sampling error of plus or minus 4.1 percentage points.

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     Associated Press writer Stacy A. Anderson and News Survey Specialist Dennis Junius contributed to this report.

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     Online:

     AP-GfK poll – http://www.ap-gfkpoll.com

     Health care interactive – http://hosted.ap.org/interactives/2011/healthcare

 

 

How the poll on the health care law 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 Feb. 16-20. It is based on landline and cellphone telephone interviews with a nationally representative random sample of 1,000 adults. Interviews were conducted with 700 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 one time in 20 should chance variations in the sample cause the results to vary by more than plus or minus 4.1 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: No agreement on how to pay for highways

By JOAN LOWY and JENNIFER AGIESTA, Associated Press

WASHINGTON (AP) — Small wonder Congress has kept federal highway and transit programs teetering on the edge of insolvency for years, unable to find a politically acceptable long-term source of funds. The public can’t make up its mind on how to pay for them either.

Six in 10 Americans think the economic benefits of good highways, railroads and airports outweigh the cost to taxpayers. Yet there is scant support for some of the most frequently discussed options for paying for construction of new roads or the upkeep of existing ones, according to a new Associated Press-GfK poll.

Among those who drive places multiple times per week, 62 percent say the benefits outweigh the costs. Among those who drive less than once a week or not at all, 55 percent say the costs of road improvement are worthwhile.

Yet a majority of all Americans — 58 percent — oppose raising federal gasoline taxes to fund transportation projects such as the repair, replacement or expansion of roads and bridges. Only 14 percent support an increase. And by a better than 2-to-1 margin, Americans oppose having private companies pay for construction of new roads and bridges in exchange for the right to charge tolls. Moving to a usage tax based on how many miles a vehicle drives also draws more opposition than support — 40 percent oppose it, while 20 percent support it.

Support for shifting more responsibility for paying for such projects to state and local government is a tepid 30 percent.

“Congress is actually reflecting what people want,” said Joshua Schank, president and CEO of the Eno Center for Transportation, a transportation think tank. “People want to have a federal (transportation) program and they don’t want to pay for it.”

Last week, Congress cobbled together $10.8 billion to keep transportation aid flowing to states by changing how employers fund worker pension programs, extending customs user fees and transferring money from a fund to repair leaking underground fuel storage tanks. The money was needed to make up a shortfall between aid promised to states and revenue raised by the federal 18.4 cents-per-gallon gas tax and the 24.4 cents-per-gallon diesel tax, which haven’t been increased in more than 20 years.

It’s the fifth time in the last six years that Congress has patched a hole in the federal Highway Trust Fund that pays for highway and transit aid. Each time it gets more difficult for lawmakers to find the money without increasing the federal budget deficit. Critics described the pension funding changes used this time as budget gimmicks that would cost the government more in the long run and undermine employee pension programs.

The latest patch cleared Congress about three hours before midnight last Thursday, the day before the Transportation Department said it would begin cutting back aid payments to states. The current fix is only expected to cover the revenue gap through next May, when Congress will be back where it started unless lawmakers act sooner.

The most direct solution would be to raise fuel taxes. That’s what three blue-ribbon federal commissions have recommended. But opposition to a gas tax increase cuts across party lines, although Republicans are more apt to oppose an increase, 70 percent, than Democrats, 52 percent.

“Every time we turn around there’s another tax, and our gas taxes are so high now,” said James Lane, 52, of Henry County in rural south-central Virginia, who described himself as leaning toward the GOP.

Lane favors allowing companies to pay for the construction of new or expanded roads and bridges in exchange for the right impose tolls on motorists, often for many decades. There have been projects like that in Virginia, but since those roads are in more populated areas of the state where he doesn’t drive it makes sense to have the people who use them pay for them, he said.

But Michael Murphy, 63, a data services contractor who lives near San Antonio, Texas, where a high-speed public-private toll road is scheduled to open this fall, said he’d rather see gas taxes increased than tolls imposed on drivers. Roads benefit everyone, even if indirectly, so it’s only fair that everyone who drives pays something toward their cost, he said.

A majority of those surveyed, 56 percent, say traffic in the area where they live has gotten worse in the last five years. Only 6 percent say traffic has improved in their area, and 33 percent that it’s stayed about the same.

The AP-GfK Poll was conducted July 24-28 using KnowledgePanel, GfK’s probability-based online panel designed to be representative of the U.S. population. It involved online interviews with 1,044 adults. It has a margin of sampling error of plus or minus 3.4 percentage points for all respondents, larger for subgroups.

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 to them.

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Online:

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

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Follow Joan Lowy on Twitter at http://www.twitter.com/AP_Joan_Lowy


AP-GfK poll: Americans ready to close the book on wars in Iraq, Afghanistan

By DEB RIECHMANN, Associated Press

 WASHINGTON (AP) — Three in four Americans think history will judge the wars in Iraq and Afghanistan as failures, according to an Associated Press-GfK poll that shows that about the same percentage think it was right to pull forces from the two countries.

Americans surveyed in last month’s poll were not optimistic about the chance that a stable democratic government will be established in either country. Seventy-eight percent said it was either not too likely or not at all likely in Afghanistan and 80 percent said the same about Iraq.

Roughly three out of four Americans polled think that in hindsight, each war will be deemed as an outright “complete failure” or “more of a failure than success.”

A majority of those polled, or 70 percent, said the United States was right to withdraw American troops from Iraq in 2011 and pull most U.S. forces out of Afghanistan by December. The two conflicts have consumed the nation for more than a decade and claimed the lives of 6,800 U.S. troops.

Nelson Philip, 73, of Oswego, Illinois, is of two minds. He judges the Afghan war a failure, but wants U.S. troops to stay in countries that remain in turmoil.

“What’s so successful about it? We didn’t do anything there. The Taliban. They’re still there. We haven’t done anything and now we’re pulling everybody out of there,” Philip said. “And now this Islamic group is over there taking over Iraq.”

The situations in Afghanistan and Iraq are distinct. But in each, the U.S. has spent more than a decade trying to set up democratic governments that could effectively police their own territories and stamp out threats to the American homeland. And in both countries that objective is in peril — their futures threatened by a combination of poor leadership, weak institutions, interethnic rivalry, insurgencies and extremist rebellions.

Americans surveyed in the poll think more bad news is on the horizon.

Fifty percent — up 18 points in the past seven months — think the situation in Afghanistan will get worse. Fifty-eight percent — up from 16 percent in December 2009 — expect conditions in Iraq will worsen. The poll was conducted shortly after Sunni extremists conducted an offensive that shattered security in Iraq.

The rapid advance by the extremist Islamic State group, which captured Iraq’s second-largest city, Mosul, and overran much of northern and western Iraq, has plunged the country into its worst crisis since the withdrawal of U.S. troops at the end of 2011.

Melody Fisher, a 58-year-old midwife from Prescott, Ariz., was among the roughly 25 percent who didn’t think it was time yet for American troops to return from Afghanistan, where about 2,340 U.S. servicemen and women have been killed. She said she wasn’t convinced that the U.S. had finished its work there.

“I used to work with refuges so I’m very aware of the conditions that people have to live in,” said Fisher, a midwife who spent time helping resettle Cambodian refugees. “Our country, our nation, has no idea about the day-to-day things that people have to go through in many places.”

People over 50 expressed far more pessimism about the ultimate outcome of the two conflicts than their younger counterparts.

Sixty-two percent of those over 50 said the situation in Afghanistan would get worse in the coming year, compared with 40 percent of younger Americans. On Iraq, that gap is even larger, with 72 percent age 50 or older expecting things to get worse compared with 47 percent of those under age 50.

Older Americans also are more likely to think the U.S. war in Afghanistan will be judged a failure in the future; 86 percent of those 50 or older feel that way, compared with 64 percent among those under age 50. They are also more likely to doubt that a stable democratic government will be established there; 88 percent age 50 or older say it’s unlikely to happen compared with 70 percent age 18 to 49.

The AP-GfK Poll was conducted July 24-28, 2014 using KnowledgePanel, GfK’s probability-based online panel designed to be representative of the U.S. population. It involved online interviews with 1,044 adults, and has a margin of sampling error of plus or minus 3.4 percentage points for all respondents. It is larger for subgroups.

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 to them.

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Associated Press director of polling Jennifer Agiesta in Washington contributed to this report.

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Online:

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