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.


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



     AP-GfK poll –

     Health care interactive –



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

Topline results are available at and

AP-GfK poll: Americans favor farmers & food during drought
LOS ANGELES (AP) — When water gets scarce and the government slaps restrictions on its use, who should be first in line at the spigot? Farmers, according to an Associated Press-GfK poll.

The national survey provides a glimpse into how Americans think water should be managed at a time when abnormally dry weather has afflicted swaths of the country, and water shortages in some states have led to conflict over who should get water and how much.

Two-thirds of Americans believe water is a limited resource that can be depleted if people use too much, the poll found, and 70 percent believe that government should restrict how much residents and businesses use when drought takes hold.

When asked to rate the importance of competing needs when water is scarce, 74 percent said agriculture should be a top or high priority, followed by residential needs (66 percent), wildlife and ecosystems (54 percent) and business and industry (42 percent).

To Cheryl Hendricks in parched California, it’s simple: To put food on the table “we rely on agriculture.”

“It’s getting kind of serious when you are not giving water to people who are producing food,” said Hendricks, 63, of Rancho Cucamonga, about 40 miles east of downtown Los Angeles.

She and her husband are taking shorter showers and removing lawn in response to California’s four-year drought, but for growers and ranchers “it’s more important for them to have it.”

The poll’s findings appear to run against criticism of farming practices that demand vast amounts of water. In California, for example, agriculture accounts for 80 percent of all water drawn from rivers, streams and the ground. Producing California’s almond crop consumes more water than all the showering, dish-washing and other indoor household water use of the state’s 39 million people.

The drought has been acute in California, where rainfall has dipped to record lows, reservoirs are depleted and state regulators have ordered conservation from cities, businesses and agriculture. Some communities have been given nine months to cut their use by 36 percent compared to 2013 levels.

Nevada’s Lake Mead, the largest reservoir in the country, is hovering near its historic low water mark and residents in the Las Vegas area have limits on lawn watering. In Oakridge in western Oregon, a community well is 23 feet below normal and restrictions prevent residents from washing cars and filling swimming pools.

“We need to take care of people first — and food,” said William Clarke-Jessimy, 33, from Queens, New York, who thinks homes and agriculture should be favored for water rights.

He’s watched prices spike for California fresh fruits and vegetables in his local markets, and he worries about friends and family in the San Francisco area who are living with the scarcity of water, with no relief in sight.

“It’s really scary,” he said. “They need to find ways to deal with the drought on a long-term basis. I don’t think a lot of people realize how bad it really is.”

Earlier this month, the House passed Republican-backed legislation designed to bring more water to California’s farm belt. Republicans have blamed some cutbacks on environmental regulations designed to protect salmon and the threatened Delta smelt, a three-inch-long fish that is disappearing. California Democratic Sen. Dianne Feinstein has proposed spending $1.3 billion over a decade for reservoirs, desalination projects and water recycling.

According to the survey, Republicans are slightly more likely than Democrats to call water for agriculture a top priority, 81 percent to 74 percent, respectively. Democrats were more likely than Republicans to see water for wildlife and ecosystems as a top need, 61 percent to 49 percent.

There was little variation in regions around the nation in picking top priorities.

The poll also found most Americans — nearly 80 percent — think government should limit developers to building only in places with an adequate, long-term water supply.

The advocacy group Food & Water Watch has urged Gov. Jerry Brown to place a moratorium on groundwater use for irrigating crops in some parts of the heavily farmed San Joaquin Valley. California director Adam Scow said the poll’s findings reflect that people value food production but the group believes “we simply don’t have the water” to support crops in some drought stricken regions.

David Abbott has witnessed the toll in his hometown.

The resident of Winton, California, in the heart of the state’s Central Valley farm belt, has seen fields turn to dusty patches and farm workers end up jobless. Friends’ wells have gone dry.

In California, farmers have seen allocations of water from rivers and reservoirs slashed by government agencies in amounts greater than at any other time in California history, forcing many to tap depleted groundwater sources or buy it at high prices.

Abbott, 27, a part-time college business professor, places home use and the needs of agriculture on about equal footing. For his part, he’s watering less outdoors at home, has changed shower heads to conserve and waits to get a full load of dirty laundry before turning on the washing machine.

“I know it’s hard when we don’t have water,” said Abbott, who lives amid farms and almond orchards. “They say we are going to have a real wet winter, but I don’t think that’s going to be enough.”


The AP-GfK Poll of 1,004 adults was conducted online July 9-13, 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 3.4 percentage points.



AP-GfK Poll:

AP-GfK Poll: Majority of Americans favor diplomatic ties with Cuba

WASHINGTON (AP) — Nearly three-fourths of Americans think the United States should have diplomatic ties with Cuba, but they’re not sure how far to go in lifting sanctions, according to an Associated Press-GfK poll released Monday as full diplomatic relations between the two countries were formally restored.

“Relations between Cuba and the U.S. I think are long overdue. There’s no threat there,” said Alex Bega, 30, of Los Angeles. “I think the sanctions we have on them are pretty much obsolete.”

The resumption of normal ties ended decades of acrimony between the two nations that was hardened when President John F. Kennedy and Cuba’s Fidel Castro fought over Soviet expansion in the Americas. The new diplomatic status, however, does not erase lingering disputes, such as mutual claims for economic reparations, Havana’s desire to end a more than 50-year-old trade embargo and the U.S. push for Cuba to improve human rights and democracy.

The new poll also found that 58 percent of Americans approve of President Barack Obama’s handling of the U.S. relationship with Havana while 40 disapprove. By contrast, only 39 percent approve of his handling of the U.S. role in world affairs more generally, while 59 percent disapprove.

“I just disapprove of his politics in general,” said Julie Smith, 40, a university administrator from Bowling Green, Kentucky. “I just don’t think that us trying to improve relations with Cuba is beneficial to the United States.”

Respondents were split on what to do about the sanctions on Cuba. Forty-eight percent thought they should be decreased or eliminated entirely while 47 percent favored keeping them at their current level or increasing them. Five percent didn’t answer.

The story was different when it came to Iran.

Seventy-seven percent said they thought sanctions on Tehran should be kept where they are or increased, according to the poll, which was conducted just days before the U.S. signed an agreement to curb Iran’s nuclear program in exchange for economic sanctions relief. Under the agreement, Iran’s nuclear program will be curbed for a decade in exchange for potentially hundreds of billions of dollars’ worth of relief from international sanctions.

Mary Barry, 57, of Arlington, Texas, is happy that the Obama administration opened diplomatic efforts with both Cuba and Iran, but is wary about lifting sanctions on the two countries.

“I think we need to have diplomatic relations with Iran and monitor their nuclear weapon,” said Berry, who works producing and staging corporate business meetings. But, she said: “I think we need to keep the sanctions in place on Iran to make sure they’re doing what they’ve promised they’re going to do because I think Iran is a country that you can’t really trust.”

On Cuba, she thinks it’s “just time” to restore diplomatic relations. But she favors a gradual lifting of sanctions on Cuba. “I don’t think they should be lifted immediately,” she said.

There is some momentum in Congress, however, to lift the trade embargo.

Sen. Amy Klobuchar, D-Minn., backs a bipartisan bill in the Senate to lift the embargo, which she said must be done for the U.S. to avoid losing investment opportunities that will come with loosening of travel restrictions to the island.

“Once millions of American tourists are going, they will need places to stay and they will need food to eat. … So when they come, they are going to be starting to sleep in Spanish hotels and eat German foods because those countries will be able to supply what they need in the tourism industry, not to mention the computers and Wi-Fi and everything else,” Klobuchar said in an interview.

She predicted the legislation, which has 20 co-sponsors so far, would pass, although maybe not this year. “I know there are some people who have long been opposed to this,” she said.

Democratic Sen. Bob Menendez of New Jersey thinks the Obama administration’s work to restore relations is an attempt to validate the Castro regime’s “brutal behavior.”

“I remain deeply concerned with ongoing human rights violations in Cuba,” Menendez said Monday. “There have been over 2,800 political arrests on the island this year alone.”

The AP-GfK Poll of 1,004 adults was conducted online July 9 to July 13, 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 3.4 percentage 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 access at no cost to them.



AP-GfK Poll: