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: 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


AP-GfK Poll: Voters see GOP win in the offing, but they aren’t too fond of their choices

By JENNIFER AGIESTA and EMILY SWANSON, Associated Press

WASHINGTON (AP) — Two weeks before Election Day, most of the nation’s likely voters now expect the Republican Party to take control of the U.S. Senate, according to a new Associated Press-GfK poll. And by a growing margin, they say that’s the outcome they’d like to see.

But the survey suggests many will cringe when they cast those ballots. Most likely voters have a negative impression of the Republican Party, and 7 in 10 are dissatisfied by its leaders in Congress.

The Democrats win few accolades themselves. Impressions of the party among likely voters have grown more negative in the past month. In fact, Democrats are more trusted than the GOP on just two of nine top issues, the poll showed.

The economy remains the top issue for likely voters — 91 percent call it “extremely” or “very” important. And the GOP has increased its advantage as the party more trusted to handle the issue to a margin of 39 percent to 31 percent.

With control of the Senate at stake, both parties say they are relying on robust voter-turnout operations — and monster campaign spending — to lift their candidates in the final days. But the poll suggests any appeals they’ve made so far haven’t done much to boost turnout among those already registered. The share who report that they are certain to vote in this year’s contests has risen just slightly since September, and interest in news about the campaign has held steady.

Among all adults, 38 percent say they’d like the Democrats to wind up in control of Congress, to 36 percent for the Republicans. But the GOP holds a significant lead among those most likely to cast ballots: 47 percent of these voters favor a Republican controlled-Congress, 39 percent a Democratic one. That’s a shift in the GOP’s favor since an AP-GfK poll in late September, when the two parties ran about evenly among likely voters.

Women have moved in the GOP’s direction since September. In last month’s AP-GfK poll, 47 percent of female likely voters said they favored a Democratic-controlled Congress while 40 percent wanted the Republicans to capture control. In the new poll, the two parties are about even among women, 44 percent prefer the Republicans, 42 percent the Democrats.

In all, the poll finds that 55 percent of likely voters now expect Republicans to win control of the Senate, up from 47 percent last month. Democrats have grown slightly more pessimistic on this count since September, with 25 percent expecting the GOP to take control now compared with 18 percent earlier.

What’s deeply important to likely voters after the economy? About three-quarters say health care, terrorism, the threat posed by the Islamic State group and Ebola.

On foreign affairs, Republicans have the upper hand. By a 22-point margin, voters trust the GOP more to protect the country, and they give the Republicans a 10-point lead as more trusted to handle international crises. Democrats have a slim advantage on health care, 36 percent to 32 percent.

Although handling the Ebola outbreak was among the top issues for likely voters, the poll shows little sign that either party could capitalize on fears of the virus as an election issue. More than half said either that they trust both parties equally (29 percent) or that they don’t trust either party (24 percent) to handle public health issues like Ebola. The remaining respondents were about equally split between trusting Republicans (25 percent) and Democrats (22 percent).

Same-sex marriage? Only 32 percent said that was an extremely or very important issue to them personally, identical to the percentage saying so in September, before the Supreme Court effectively allowed same-sex marriages to proceed in five more states.

The poll, which asked likely voters whom they preferred among the candidates in the congressional district where they live, found Republicans hold an edge in the upcoming elections. Forty percent said they would vote for the GOP candidate in their House district, while 32 percent said the Democrat. About a quarter backed a third-party candidate or were undecided.

Although likely voters appear more apt to take the GOP side in the upcoming elections, the poll finds little difference between those most likely to cast a ballot and others on negative perceptions of the nation’s direction and leadership. Among all adults as well as just the likely voters, 9 in 10 disapprove of Congress, 7 in 10 say the nation is heading in the wrong direction, 6 in 10 disapprove of the way Barack Obama is handling his job as president and 6 in 10 describe the nation’s economy as “poor.”

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 had a margin of sampling error of plus or minus 2.8 percentage points for all respondents. Among 968 likely voters, the margin of sampling error was plus or minus 3.6 points.

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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Associated Press writer Philip Elliott contributed to this report.

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Follow Jennifer Agiesta on Twitter: http://www.twitter.com/JennAgiesta

Follow Emily Swanson on Twitter: http://www.twitter.com/el_swan

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Online:

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