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 Just 12 percent say they expect the Affordable Care Act — “Obamacare” to dismissive opponents — to be repealed completely.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are saying there’s a stark choice, but when you ask the voters, they don’t believe that the whole bill will be repealed or implemented as it is today in law.”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.

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AP News Survey Specialist Dennis Junius contributed to this report.

 

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

Online:

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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Online:

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


AP-GfK Poll finds most NFL fans believe Commissioner Roger Goodell should keep job

By RACHEL COHEN, Associated Press

NEW YORK (AP) — Most NFL fans believe Commissioner Roger Goodell should keep his job after his handling of recent domestic violence cases, according to a new Associated Press-GfK Poll.

Only 32 percent say Goodell should lose his job over the issue, with 66 percent saying he shouldn’t.

Support for his handling of the cases is much lower, though, with 42 percent saying they disapprove. The same percentage neither approve nor disapprove, with just 15 percent approving.

Goodell initially suspended Ray Rice for two games after the Baltimore Ravens running back was charged with assaulting his then-fiancee. The commissioner defended the punishment at first, before admitting more than a month later that he “didn’t get it right.”

When a video of the assault later surfaced, Goodell suspended Rice indefinitely, saying the images constituted new evidence. Rice was released earlier that day by the Ravens.

The poll shows strong support for keeping Rice off the field for at least some period of time. Forty-three percent of fans say Rice should never be allowed to play again. Just 7 percent say he should be able to play now, with 49 percent saying he should be permitted to return after missing more time.

Opinions differed by gender and race. Slightly more than half of women say Rice should never be allowed to play again, compared with 37 percent of men. Just 19 percent of black fans say he should receive a permanent ban, while 46 percent of white fans support that.

Respondents were more receptive to the idea of Minnesota Vikings star running back Adrian Peterson returning to the field. Peterson is currently on paid leave while he faces child abuse charges.

Fifty-four percent of fans say he should be allowed to play again if he is found not guilty, and another 29 percent say he should be able to return regardless of the case’s outcome. Only 15 percent say he should never play again.

Answers to this question also varied by gender and race. Thirty-four percent of men say Peterson should be allowed to return under any circumstances, compared with 22 percent of women. And 45 percent of black fans say he should be able to return no matter the verdict, while only 25 percent of white fans say that.

The poll suggests that the recent spate of highly publicized domestic violence cases has made a small dent in the NFL’s popularity. An AP-GfK Poll conducted in January found that 49 percent of respondents considered themselves fans of pro football. That number dropped to 43 percent in the current poll.

In January, 19 percent of respondents said their interest in the sport had increased in the previous five years, with 12 percent saying it had decreased. This time, 12 percent say it has increased while 15 percent say it has decreased.

Of the group with less interest, 42 percent say the recent domestic violence arrests have been an extremely or very important factor in that drop.

The AP-GfK Poll was conducted Sept. 25-29 using KnowledgePanel, GfK’s probability-based panel designed to be representative of the U.S. population. It included online interviews with 1,845 adults, including 836 NFL fans. The margin of sampling error is plus or minus 2.5 percentage points for all respondents and plus or minus 3.8 percentage points for the NFL fans.

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AP News Survey Specialist Emily Swanson contributed to this report.