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: Voters more confident in Trump’s health
WASHINGTON (AP) — The “stamina,” the “look”: A new poll suggests voters are buying in to Donald Trump’s insinuations about Hillary Clinton’s health. They’re ignoring the medical reports.

Voters — especially men — have more confidence that Trump is healthy enough for the presidency than Clinton, according to the Associated Press-GfK poll.

It’s a disconnect considering Clinton has released more medical information than Trump, and that outside doctors who’ve looked at the available data say both candidates seem fine. But it shows the political points Trump scored after the Democratic nominee’s much-publicized mild case of pneumonia.

 Another gender divide: Nearly half of women but just 4 in 10 men think Clinton’s health is getting too much attention, found the poll, which was taken before the presidential candidates’ debate on Monday.

“Everybody gets sick,” said Sherri Smart, 56, of New York. She said she hasn’t decided who to vote for but wishes the candidates would discuss issues instead of sniping about who’s most vigorous.

“What’s important is, what are you going to do for me?” Smart said.

The AP-GfK poll found 51 percent of voters are very or extremely confident that Trump is healthy enough to be president. In contrast, just over a third of voters — 36 percent — had the same confidence in Clinton’s health.

Men are more likely to question Clinton’s physical fitness for the job, with 45 percent saying they’re only slightly or not at all confident compared to 34 percent of women. Men and women are about equally likely to express confidence in Trump’s health. More Democrats are confident of Trump’s health than Republicans are of Clinton’s.

Health is a legitimate issue as the nation is poised to elect one of its oldest presidents. Trump, 70, for months held off disclosing much about his own fitness while stoking questions about a woman in the White House with his assertion, repeated on national TV Monday, that Clinton lacks the look and stamina for the job. (As for his apparent sniffles during Monday’s debate, he blamed a bad microphone.)

“Stamina is a code word for maybe not physically up to the job,” said New York University bioethicist Arthur Caplan, who has called for an independent panel to certify the health of presidential candidates. “There’s something of a bias about men versus women that subtly Trump has played to, that men are more fit, tough enough to do the job.”

Clinton, 68, last year released more detail about her own health history only to buy trouble earlier this month by refusing to take a sick day until a public stumble forced her to reveal the pneumonia diagnosis. But Monday she rebutted Trump’s talk of stamina by wondering if he could match her grueling schedule as a secretary of state — traveling to 112 countries, negotiating peace deals, spending 11 hours testifying before a congressional committee.

What exactly do we know about their health? Neither has released their actual medical records, just a summary from their personal physicians with no way to know if anything important was left out.

Yet another disconnect: The AP-GfK poll found nearly 4 in 10 voters don’t consider such a release important, and another 2 in 10 say it’s only moderately important.

Trump’s gastroenterologist in December released a four-paragraph letter saying the GOP nominee would be “the healthiest individual ever elected.” Earlier this month, Trump took to “The Dr. Oz Show” to say he felt great, while releasing a bit more detail, such as his cholesterol levels and cancer screenings.

Bottom line: Trump takes a cholesterol-lowering statin medication and a baby aspirin, has some mild plaque in his arteries and is overweight — but was declared generally in good health.

Last summer, Clinton’s internist released a two-page letter detailing her family history, prior exams including lab test results, and some prior ailments that have healed — including a 2012 concussion and blood clot Clinton suffered after becoming dehydrated from a stomach virus and fainting. This month, a second letter outlined the mild pneumonia and revealed some updated check-up results.

Bottom line: Clinton takes a blood thinner as a precaution given a history of blood clots, as well as a thyroid medication and allergy relievers — but also was declared generally in good health.

Some doctors say just watching how the candidates handle a physically demanding campaign trail and the cognitive finesse needed to debate can give voters a good idea of health.

But while the public may not pay attention to cholesterol tests and EKGs, it was hard to miss that image of Clinton stumbling.

“The public is feeding off the impressions they’ve received, but that’s not borne out by the letters of health,” said Dr. Howard Selinger, chair of family medicine at Quinnipiac University.


The AP-GfK Poll of 1,694 adults, including 1,476 registered voters, was conducted online Sept. 15-19, 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 2.5 percentage points, and for registered voters is plus or minus 2.7 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:

AP-GfK poll shows voter distaste for Putin-style leadership
WASHINGTON (AP) — Donald Trump has called Russian President Vladimir Putin “a leader — unlike what we have in this country.”

But most Americans don’t agree with Trump’s assessment of Putin’s leadership skills, a new Associated Press-GfK poll shows.

Only 24 percent of registered voters say Putin has leadership qualities that would be good for an American president to share, while 71 percent say he does not. In fact, a majority, 56 percent, said they have an unfavorable view of Putin, while only 10 percent said they view the Russian leader favorably.

 Voters were split on whether Trump would be too close to Putin, with 42 percent saying they think Trump would be too close, and 41 percent saying his approach would be about right. Fourteen percent think he would not be close enough.
By comparison, most voters (53 percent) think Democrat Hillary Clinton’s relationship with Putin would be about right, while 11 percent think she would be too close and 32 percent think she would not be close enough.

The relationship between the Republican nominee and the Russian strongman began taking on new life when Putin praised Trump last December as “bright and talented” and “the absolute leader of the presidential race.”

The billionaire businessman hailed Putin’s regard for him as a “great honor,” brushing off widespread allegations that the Russian president has ordered the killing of political dissidents and journalists.

“Our country does plenty of killing also,” Trump told MSNBC’s “Morning Joe” in December.

Four in 10 Trump supporters and only 1 in 10 Hillary Clinton supporters say Putin has leadership qualities that would be good for an American president to have. Still, even among Trump’s supporters, just 16 percent have a favorable opinion of Putin. Only 5 percent of Clinton’s supporters do.

Marissa Garth, a 28-year-old stay-at-home mom from Smithfield, Utah, said she plans to vote for Trump this November because he exhibits the qualities of a strong leader — not to be compared with Putin.

“I think (Putin) is a strong leader for his country,” she said. “But at the same time I don’t think he necessarily has the qualities that I would want as a president.”

In fact, the poll finds that men are more likely than women to say that Putin has leadership qualities that would be good in an American president, 28 percent to 19 percent.

Among Clinton’s supporters, 69 percent say Trump would be too close to Putin. Forty-nine percent of those supporting another candidate share that view, but only 8 percent of Trump supporters say their candidate would be too close to Putin. Eighty percent of Trump supporters say his approach would be about right. Among conservatives, 20 percent say Trump would be too close to Putin.

There is nothing 54-year old Gary Sellers, of Homewood, Illinois, likes about Putin — or Trump. He called Putin a “dictator,” adding, “there are no qualities of his that I wish that an American president would have.”

A lukewarm Clinton supporter, he’s concerned that Trump shares Putin’s extreme views of governing. “I feel he has a dictatorial approach toward being president of the United States,” Sellers said of Trump.

Forty-seven percent of voters say they approve and 52 percent disapprove of President Barack Obama’s handling of the U.S. relationship with Russia.

Voters are divided over whether the next president should take a tougher approach to Putin (42 percent) or whether the current approach is about right (39 percent). Just 16 percent think the next president should take a friendlier approach.

Just under half of voters (48 percent) say the U.S. relationship with Russia is a very or extremely important issue, ranking it low on Americans’ list of priorities, far below issues like the economy (92 percent), the threat posed by the Islamic State group (70 percent), the U.S. role in world affairs more generally (68 percent) and immigration (60 percent).

There’s a generational divide over Russia. Two-thirds of voters age 65 and over and more than half of those between 50 and 64 call the U.S. relationship with Russia very or extremely important, while only 4 in 10 30-49 year olds and only a third of those under 30 say the same.

Generally speaking, voters are more likely to say they trust Clinton than Trump on negotiating with Russia, 40 percent to 33 percent. Nineteen percent say they trust neither and 7 percent trust both equally.

John Eppenger, 68, a retiree in Fairfield, Ala., said that when it comes to dealing with Russia, Clinton would “do a much better job than Trump. She’s not perfect, she’s not ideal, but she’s better.”


The AP-GfK Poll of 1,694 adults, including 1,476 registered voters, was conducted online Sept. 15-19, 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 2.5 percentage points, and for registered voters is plus or minus 2.5 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: