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 Just 12 percent say they expect the Affordable Care Act — “Obamacare” to dismissive opponents — to be repealed completely.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are saying there’s a stark choice, but when you ask the voters, they don’t believe that the whole bill will be repealed or implemented as it is today in law.”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: Americans prefer low prices to items ‘Made in the USA’
WASHINGTON (AP) — The vast majority of Americans say they prefer lower prices instead of paying a premium for items labeled “Made in the U.S.A.,” even if it means those cheaper items are made abroad, according to an Associated Press-GfK poll.

While presidential candidates like Donald Trump and Bernie Sanders are vowing to bring back millions of American jobs lost to China and other foreign competitors, public sentiment reflects core challenges confronting the U.S. economy. Incomes have barely improved, forcing many households to look for the most convenient bargains instead of goods made in America. Employers now seek workers with college degrees, leaving those with only a high school degree who once would have held assembly lines jobs in the lurch. And some Americans who work at companies with clients worldwide see themselves as part of a global market.

Nearly three in four say they would like to buy goods manufactured inside the United States, but those items are often too costly or difficult to find, according to the survey released Thursday. A mere 9 percent say they only buy American.

Asked about a real world example of choosing between $50 pants made in another country or an $85 pair made in the United States — one retailer sells two such pairs made with the same fabric and design — 67 percent say they’d buy the cheaper pair. Only 30 percent would pony up for the more expensive American-made one. People in higher earning households earning more than $100,000 a year are no less likely than lower-income Americans to say they’d go for the lower price.

“Low prices are a positive for US consumers — it stretches budgets and allows people to save for their retirements, if they’re wise, with dollars that would otherwise be spent on day-to-day living,” said Sonya Grob, 57, a middle school secretary from Norman, Oklahoma who described herself as a “liberal Democrat.”

But Trump and Sanders have galvanized many voters by attacking recent trade deals.

From their perspective, layoffs and shuttered factories have erased the benefits to the economy from reduced consumer prices.

“We’re getting ripped off on trade by everyone,” said Trump, the Republican front-runner, at a Monday speech in Albany, New York. “Jobs are going down the drain, folks.”

The real estate mogul and reality television star has threatened to shred the 1994 North American Free Trade Agreement with Mexico and Canada. He has also threatened to slap sharp tariffs on China in hopes of erasing the overall $540 billion trade deficit.

Economists doubt that Trump could deliver on his promises to create the first trade surplus since 1975. Many see the backlash against trade as frustration with a broader economy coping with sluggish income gains.

“The reaction to trade is less about trade and more about the decline in people’s ability to achieve the American Dream,” said Caroline Freund, a senior fellow at the Peterson Institute for International Economics. “It’s a lot easier to blame the foreigner than other forces that are affecting stagnant wage growth like technology.”

But Trump’s message appeals to Merry Post, 58, of Paris, Texas where the empty factories are daily reminders of what was lost. Sixty-eight percent of people with a favorable opinion of Trump said that free trade agreements decreased the number of jobs available to Americans.

“In our area down here in Texas, there used to be sewing factories and a lot of cotton gins,” Post said. “I’ve watched them all shut down as things went to China, Mexico and the Philippines. All my friends had to take early retirements or walk away.”

Sanders, the Vermont senator battling for the Democratic nomination, has pledged to end the exodus of jobs overseas.

“I will stop it by renegotiating all of the trade agreements that we have,” Sanders told the New York Daily News editorial board earlier this month, saying that the wages paid to foreigner workers and environmental standards would be part of any deal he would strike.

Still, voters are divided as to whether free trade agreements hurt job creation and incomes.

Americans are slightly more likely to say free trade agreements are positive for the economy overall than negative, 33 percent to 27 percent. But 37 percent say the deals make no difference. Republicans (35 percent) are more likely than Democrats (22 percent) to say free trade agreements are bad for the economy.

On jobs, 46 percent say the agreements decrease jobs for American workers, while 11 percent say they improve employment opportunities and 40 percent that they make no difference. Pessimism was especially pronounced among the 18 percent of respondents with a family member or friend whose job was offshored. Sixty-four percent of this group said free trade had decreased the availability of jobs.

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The AP-GfK Poll of 1,076 adults was conducted online March 31-April 4, 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 3.3 percentage points.

Respondents were first selected randomly using telephone 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.

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Online:

http://ap-gfkpoll.com

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On Twitter follow Emily Swanson at @EL_Swan and Josh Boak at @joshboak


AP-GfK Poll: Public wants Senate action on court, but interest is modest

WASHINGTON (AP) — Nearly 2 in 3 Americans back Democrats’ demands that the Republican-run Senate hold hearings and a vote on President Barack Obama’s pick for the Supreme Court. But an Associated Press-GfK poll also suggests that GOP defiance against considering the nominee may not hurt the party much because, to many people, the election-year fight is simply not a big deal.

Just 1 in 5 in the survey released Wednesday said they’ve been following the battle over Obama’s nomination of federal judge Merrick Garland extremely or very closely.

That included just 26 percent of Democrats and 22 percent of Republicans expressing intense interest, along with a scant 8 percent of independents. That aligns with the political reading of the issue by many Republicans that while it motivates each side’s most committed partisans, people in the middle consider it a yawner — making the fight essentially a wash.

Another clue that voters not dedicated to either party find the court fight tiresome: While just over half of Democrats and Republicans said the issue is extremely or very important, only around a third of independents — and half of Americans overall — said so.

About 8 in 10 said that about the economy and about 7 in 10 took the same stance about health care and the threat posed by the Islamic State group. Immigration and the U.S. role in world affairs both attracted slightly more intensity of interest than the court battle.

“It gets me irritated, the bickering and all that kind of stuff,” Julie Christopher, 49, a Republican and flight attendant from Fort Worth, Texas, said in a follow-up interview, describing her modest attention to the issue.

Christopher said that while she agrees with the GOP’s refusal to hold hearings on Garland, when it comes to backing candidates in November, “That’s not going to be my only thing, like boom, I’m not going to vote for them.”

Hours after Justice Antonin Scalia’s death in February, Senate Majority Leader Mitch McConnell, R-Ky., said his chamber would not consider an Obama nominee and would instead wait until the president elected this November makes a pick. With the remaining justices split 4-4 between those leaning conservative or liberal, most GOP senators have lined up behind McConnell.

Democrats have been spewing outrage ever since. Along with liberal groups, they’ve been using television ads, news conferences, public demonstrations and Senate speeches to ratchet up pressure on GOP senators, especially those facing re-election this fall in swing and Democratic-leaning states like Illinois, New Hampshire, Wisconsin, Pennsylvania and Ohio.

Democrats’ theory is that the public wants Republicans to end their obstruction and let the Senate do its job, forcing GOP senators to relent on Garland or risk defeat in November. The AP-GfK poll has some data backing that up.

The 64 percent who favor hearings and a vote this year on Garland include an overwhelming proportion of Democrats and a sizable minority of Republicans, 40 percent. Independents, who can be pivotal in closely divided states, back action this year, 52 percent to 36 percent.

“I’d rather see at least deliberations, and see Congress do its job,” said Marc Frigon, 33, a high-tech worker from Beverly, Massachusetts, who leans Republican and wants the Senate to reject Garland’s confirmation. “I feel like that’s why we elected them in the first place.”

Just over half of moderate and liberal Republicans want the Senate to hold hearings this year, while fewer than 3 in 10 GOP conservatives say that.

Overall, people say by 59 percent to 36 percent that they want the Senate to approve Garland should a vote be held. Nearly 9 in 10 Democrats favor confirmation and independents tilt slightly that way, while 69 percent of Republicans favor rejecting him.

In another sign that the public tips toward Obama on the issue, 57 percent approve of the way he’s been handling the Garland nomination. That’s more than the number who gave the president positive reviews on any other issue in the poll: the economy, health care, Islamic State militants, immigration and world affairs.

The AP-GfK Poll of 1,076 adults was conducted online March 31-April 4, 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 3.3 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.

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Online:

http://ap-gfkpoll.com