By RICARDO ALONSO-ZALDIVAR and JENNIFER AGIESTA, Associated Press

 WASHINGTON (AP) — They may not like it, but they don’t see it going away. About 7 in 10 Americans think President Barack Obama’s health care law will go fully into effect with some changes, ranging from minor to major alterations, an Associated Press-GfK poll finds.

 Just 12 percent say they expect the Affordable Care Act — “Obamacare” to dismissive opponents — to be repealed completely.

 The law — covering 30 million uninsured, requiring virtually every legal U.S. resident to carry health insurance and forbidding insurers from turning away the sick — remains as divisive as the day it passed more than two years ago. After surviving a Supreme Court challenge in June, its fate will probably be settled by the November election, with Republican Mitt Romney vowing to begin repealing it on Day One and Obama pledging to diligently carry it out.

 That’s what the candidates say. But the poll found Americans are converging on the idea that the overhaul will be part of their lives in some form, although probably not down to its last clause and comma.

 Forty-one percent said they expect it to be fully implemented with minor changes, while 31 percent said they expect to see it take effect with major changes. Only 11 percent said they think it will be implemented as passed.

 Americans also prefer that states have a strong say in carrying out the overhaul. The poll found that 63 percent want states to run new health insurance markets called “exchanges.” They would open for business in 2014, signing up individuals and small businesses for taxpayer-subsidized private coverage. With many GOP governors still on the sidelines, the federal government may wind up operating the exchanges in half or more of the states, an outcome only 32 percent of Americans want to see, according to the poll, which was developed with researchers from Stanford University and the University of Michigan.

 Finally, the poll found an enduring generation gap, with people 65 and older most likely to oppose the bill and those younger than 45 less likely to be against it.

 ”People are sort of averaging out the candidates’ positions,” said Harvard School of Public Health professor Robert Blendon, who tracks polling on health care issues. “The presidential candidates are saying there’s a stark choice, but when you ask the voters, they don’t believe that the whole bill will be repealed or implemented as it is today in law.”

 Republicans remain overwhelmingly opposed to the overhaul and in favor of repeal. But only 21 percent said they think that will actually come about.

 Romney supporter Toni Gardner, 69, a retired school system nurse from Louisville, Ky., said that until a few weeks ago she was sure her candidate fully supported repeal, as she does.

But then Romney said in an interview there are a number of things he likes in the law that he would put into practice, including making sure that people with pre-existing medical problems can get coverage. The Romney campaign quickly qualified that, but the candidate’s statement still resonates.

 ”If Romney gets in, he’ll go with parts of it,” Gardner said, “and there are parts of that he won’t go with.”

 Gardner thinks expanding coverage will cost too much and may make it harder to get an appointment with a doctor. Besides, she doesn’t believe the government can handle the job. She’s covered by Medicare — a government-run health system — but says “that wasn’t a choice that I had.”

 At 26, Santa Monica, Calif., web developer Vyki Englert has only bare-bones health insurance coverage. Her parents, a preschool teacher and a self-employed photographer, are uninsured. Englert says she thinks the law will largely go into effect as passed. (Among 18- to 29-year-olds, 60 percent think it will be implemented with only minor changes or none at all.)

 Englert says that she supports guaranteeing coverage to people with health problems and that provisions such as broader coverage for birth control will help younger women such as her.

 ”I kind of see a day-to-day way where this law could benefit me,” she said. Englert says the health care law dovetails with a trend toward consumerism in her generation. Older Americans “don’t have the context of the young people,” she added. “They are looking more at the theoretical impact on the budget and the country.”

 Overall, the poll found Americans divided on the question of repeal, with neither side able to claim a majority. Forty-nine percent said the health care law should be repealed completely, while 44 percent said it should be implemented as written.

 The notion that the law will be implemented with changes, captured in the poll, mirrors a discussion going on behind the scenes in Washington, particularly among some Republicans.

 ”Whoever wins the election, the (health care law) is going to be modified,” Mark McClellan, who ran Medicare under former President George W. Bush, said in a recent interview.

Congressional Republicans say if tax increases are on the table in a budget negotiation with a re-elected Obama next year, changes to the health care law — including possible delays in implementation — also must be considered. For now, White House officials refuse to be drawn in on that question.

 Some parts of the law already are in effect; its big coverage expansion for the uninsured doesn’t come until 2014.

 Public opinion about the law itself has barely budged since the summer of 2010, soon after it passed. At the time, 30 percent supported the law. It’s now 32 percent. And 40 percent opposed the overhaul. That’s now 36 percent.

 And misconceptions about the law that reigned two years ago continue to live on, including former Alaska Gov. Sarah Palin’s widely debunked charge that it would create “death panels” to decide on care for the elderly and disabled. In 2010, 39 percent believed the law would set up committees to review individual medical records and decide who gets care paid for by the government. Forty-one percent currently hold that view, according to the poll.

 The poll asked people to say whether 18 different items were in the law or not and to rate how certain they were about their answers. Just 14 percent were right most of the time and sure of it.

Still, knowledge about what the law actually does is growing. More people are aware of provisions that allow adult children to stay on their parents’ coverage until age 26, impose insurance mandates on individuals and businesses, and protect those with pre-existing medical conditions.

 The poll was conducted Aug. 3-13 and involved interviews with 1,334 randomly chosen adults nationwide. It has a margin of sampling error of plus or minus 3.4 percentage points.

The survey was conducted online by GfK using its KnowledgePanel sample, which first chose people for the study using randomly generated telephone numbers and home addresses. Once people were selected to participate, they were interviewed online. Participants without Internet access were provided it for free.

 ___

 

AP News Survey Specialist Dennis Junius contributed to this report.

 

___

 

Topline results are available at http://www.ap-gfkpoll.com and http://surveys.ap.org.

Online:

http://www.ap-gfkpoll.com

AP-GfK Poll: Americans support menu labeling in restaurants, grocery stores

By MARY CLARE JALONICK, Associated Press

WASHINGTON (AP) — More than half of Americans say they already have enough information at restaurants to decide whether they are making a healthy purchase. But they want even more.

According to an Associated Press-GfK poll conducted in December, most Americans favor labeling calories on menus in fast food and sit-down restaurants. Most favor labels for prepared foods in the grocery store, too.

The poll was conducted a little more than a week after the Food and Drug Administration announced new rules that will require restaurants and other establishments that sell prepared foods and have 20 or more locations to post the calorie content of food “clearly and conspicuously” on their menus, menu boards and displays. Companies will have until November 2015 to comply.

___

MAJORITY SUPPORT MENU LABELING

A majority of Americans — 56 percent — favor requiring fast food restaurants to post calorie amounts on menus, while 54 percent favor the calorie postings at sit-down restaurants and 52 percent favor the labels at prepared food counters at grocery stores.

Slightly fewer approved of requiring the calorie postings in other dining locations. Forty-nine percent of Americans supported posting calories on coffee shop menus and 44 percent approved of the postings on vending machines and at movie theaters. Forty-three percent favored calorie postings in amusement parks. All of those establishments will be required to post calorie amounts under the new FDA rules.

Only about 1 in 10 Americans oppose labeling requirements at each of these places. The remainder said they neither favor nor oppose each requirement.

___

WOMEN, DEMOCRATS MOST SUPPORTIVE

Women are more likely than men to say they favor labeling requirements at restaurants and prepared-food counters, though a majority of men support the labeling at fast food restaurants and around half support it at sit-down restaurants. College-educated respondents are more likely than those without a college education to favor labeling requirements at all of the establishments.

The support appears to be relatively bipartisan. Democrats are significantly more likely to support the calorie postings than independents or Republicans, but a slim majority of Republicans still support calorie postings at restaurants.

___

PEOPLE CARE ABOUT CALORIES, SUGARS, FATS

The idea behind the rules is that people may pass on that bacon double cheeseburger if they know it has hundreds of calories — and, in turn, restaurants may make their foods healthier to keep calorie counts down. The menus and menu boards will tell diners that a 2,000-calorie diet is used as the basis for daily nutrition, noting that individual calorie needs may vary. Additional nutritional information beyond calories, including sodium, fats, sugar and other items, must be available upon request.

When they’re judging whether a food item is a healthy choice or not, 55 percent of Americans say how many calories it contains is very or extremely important to them. Same with sodium levels.

Sugar and fat were slightly more important to health-conscious diners — 61 percent said sugar was very or extremely important when deciding on healthy purchases and 59 percent said the same about the amount of fat.

Only 36 percent of Americans said they feel the level of vitamins and minerals is extremely or very important when making healthy purchases, and even fewer — 23 percent, less than a quarter — said the same about whether an item is organic. Women and people living in urban areas were most likely to make organic food a priority.

___

AMERICANS ARE ALREADY INFORMED

Even though a majority favors more calorie labeling, most Americans say they already have enough information to decide whether they are making healthy purchases at restaurants.

Sixty percent say they now have enough nutrition information at sit-down restaurants and 56 percent say they do at fast food restaurants. That number drops to 48 percent at prepared food counters in grocery stores.

Around a third say they don’t have enough information to decide if they are making a healthy purchase in any of those places.

When it comes to the grocery store, 75 percent of people say they have enough information to make a healthy choice. Unlike restaurants, where nutritional information is often a mystery, nutrition facts panels have been required on packaged foods since the 1990s. The FDA included prepared foods at supermarkets in the menu labeling rules as grocery stores have increasingly sold restaurant-like offerings.

The menu labels were required by Congress as part of health overhaul in 2010. The FDA has said they are just one way to combat obesity, since Americans eat and drink about one-third of their calories away from home.

Michael Taylor, FDA’s deputy commissioner of foods, said the agency knows there is strong interest from the public in the labeling.

“It’s not a magic wand, but it will help people make better choices about their diets,” he said.

___

The AP-GfK Poll of 1,010 adults was conducted online Dec. 4-8, 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 Director of Polling Jennifer Agiesta and News Survey Specialist Emily Swanson contributed to this report.

___

Online:

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

___

Follow Mary Clare Jalonick on Twitter at http://twitter.com/mcjalonick

 

 


AP-GfK Poll: 5 things to know about the economy

By JENNIFER AGIESTA and EMILY SWANSON

WASHINGTON (AP) – Few issues in a presidential campaign come close to being as meaningful as the economy. The latest Associated Press-GfK poll offers a look at how the public feels about this issue, which touches nearly every aspect of American life. As the 2016 candidates get set to kick off their campaigns, here are five things to know about public opinion on the economy.

___

THE ECONOMY ISN’T A MONOLITH

The economy, writ large, has been America’s top policy priority for the entirety of Barack Obama’s presidency, despite the slowly building recovery and the recent skyrocketing stock market. But focusing on this overall concern masks a distinction that matters to many Americans. Though negative perceptions of the economy overall are down compared with four years ago (57 percent describe it as “poor” compared with 83 percent who did in November 2010), Americans’ ratings of their own finances are actually a bit worse than they were back then (38 percent describe their household’s finances as poor, up from 30 percent in 2010). Young Americans, under age 30, have an exceptionally negative take on their finances, with nearly half describing them as poor.

Along the same lines, while a majority of Americans say the stock market and big businesses have mostly recovered from the Great Recession, just 16 percent think small businesses have, 27 percent say the job market where they live is mostly recovered and only 34 percent say their family is largely back to normal.

EDUCATION, LOCATION, INCOME LINKED TO IMPRESSION OF ECONOMY

For some in America, the economy is humming along. Majorities of college graduates, urban residents and people with incomes of $100,000 or more say the economy is in good shape. By contrast, just 28 percent of rural residents, 35 percent without college degrees and 35 percent with incomes under $50,000 say it’s in good shape. Half of those with incomes under $50,000 and 42 percent of rural residents say they and their families haven’t yet recovered from the Great Recession.

Rural residents feel the labor and real estate markets in their area have been particularly hard hit: 45 percent say their local real estate market has only recovered a little or not at all, while 53 percent say the same about their local job market.

EXPECTATIONS ARE SOMEWHAT BETTER

The poll finds an uptick in Americans’ hopes for their own finances and the nation’s finances in the coming year. In the new poll, 34 percent say they expect their household’s financial situation to improve over the next 12 months, better than the 27 percent saying so in October. And 38 percent think the overall economic situation in the country will improve in the coming year, up from 31 percent in October. On both measures, the share saying things would worsen dropped significantly. Still, 48 percent see stagnation ahead for themselves and 42 percent see sluggishness for the economy more broadly.

INCHING TOWARD RECOVERY

That expectation of stagnation may be because that’s what most Americans think the economy is doing now. Asked how the economy had changed in the last month, 60 percent said it stayed about the same. Nearly a quarter think it improved, while 14 percent say it’s gotten worse. Those figures are slightly rosier than in October, when 24 percent said things had worsened. But the majority saying things are staying the same has held over two years of AP-GfK polls, with one exception during the partial government shutdown in October 2013 when the share saying things got worse spiked to 45 percent.

LITTLE FAITH IN WASHINGTON TO IMPROVE THINGS

Who can turn things around? Very few think it’s Washington. Two-thirds of Americans say it’s unlikely that the newly elected Republican majority in Congress will be able to improve the economy in the next two years, and 6 in 10 say Obama won’t be able to either. Three in 10 say they don’t even trust either party to handle the economy.

But Americans don’t completely discount that Washington can help: 52 percent say the government generally did a decent job helping the country recover from the Great Recession. A scant 10 percent, however, say that Washington did a “very good” job lifting the economy out of recession.

___

The AP-GfK Poll of 1,010 adults was conducted online Dec. 4-8, 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.

___

Online:

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