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 Just 12 percent say they expect the Affordable Care Act — “Obamacare” to dismissive opponents — to be repealed completely.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are saying there’s a stark choice, but when you ask the voters, they don’t believe that the whole bill will be repealed or implemented as it is today in law.”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

WASHINGTON (AP) — A slight majority of Americans prefer living in a single-family house in the suburbs or a rural area with more land, even if it means driving long distances to get to work or run errands, according to a poll by The Associated Press-GfK.

However, a significant minority, 44 percent, would choose an apartment or smaller house in an urban area that comes with a short drive to work or the opportunity to use public transportation, bike or walk. The split also has a political aspect: Sixty-seven percent of Republicans and 53 percent of independents prefer suburban or rural living, while 55 percent of Democrats prefer urban areas.

The share of Americans who prefer suburban or rural living — 53 percent — is identical to the share who say the government should increase spending to build and improve roads, bridges and interstate highways. About 1 in 3 think current spending levels are about right, while just over 1 in 10 would like to see less money spent on roads.

Many states are struggling just to maintain current spending levels, and Congress has been unable to come up with a long-term plan to pay for highway aid that closes the gap between current spending and federal gas tax revenue.

Americans are more divided over building and improving public transportation such as rail and bus systems. Four in 10 say spending on public transportation should be increased, but just as many say current spending is about right. Only 18 percent say transit spending should be cut.

Contrary to the widely held notion that the millennial generation is flocking to cities and giving up their cars, younger people are not significantly more or less likely than older people to prefer urban living with a shorter commute and access to public transit, the poll found.

Matthew Wild, 33, an airline pilot living in the Los Angeles suburb of Hawthorne, said he favors increasing spending on both public transit and highways. The region’s freeways “take a real beating” from the traffic and need to be maintained, he said, but no new lanes should be added.

“We definitely don’t need to be expanding freeways anymore,” Wild said. “We’ve maxed out.”

He cited a highway near his home that was recently widened and now is as full as ever. He does, however, strongly support building more light rail transit locally and high-speed rail between California cities.

Wild said he’d much rather take a convenient local train than fight traffic in his car. He currently takes trains only a few times a year because there are no direct routes from where he lives to the places he wants to go, and indirect routes take too long, he said.

“The big problem with L.A. is that, given the lack of public transportation, sitting in traffic in your own car is still faster than taking public transit,” Wild said.

Jane McEntire, 62, who lives in Cartersville, Georgia, on the northwest fringe of the Atlanta metropolitan area, says traffic is horrible and getting worse.

Even so, she’d rather keep spending on roads and cut spending on public transportation. She says she’s lost confidence in the ability of state and local transportation officials to make improvements and not fritter money away on wasteful projects.

She is particularly incensed that officials used federal transit aid to build a slow-moving streetcar line in downtown Atlanta that is used primarily by tourists.

“I think they look really cute, but as far as usefulness — no,” she said. “When you have federal dollars that are coming into a state that are available and you spend it on these cars in Atlanta that go six or eight blocks back and forth … Why didn’t they take that money and spend it on something to help commuters?”

The AP-GfK Poll of 1,077 adults was conducted online from April 23 to 27 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.

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Online:

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

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AP-GfK Poll: Many approve Iran deal; Most don’t trust Tehran
WASHINGTON (AP) — Many Americans like the idea of the preliminary deal that would limit Iran’s nuclear program but very few people really believe Tehran will follow through with the agreement.

An Associated Press-GfK poll finds that just 3 percent said they were very confident that Iran would allow inspections of its nuclear facilities, remove plutonium from the country and shut down close to half of its uranium-enriching centrifuges as the preliminary deal says would be required. Nearly seven in 10 people said they were not confident, while 25 percent said they were only moderately confident.

The U.S., Germany, Britain, France, Russia and China are aiming to finalize a deal with Iran by June 30 that puts limits on Iranian programs that could be used to make nuclear arms. In exchange, economic sanctions on Iran would be lifted over time. Tehran denies any interest in such weapons but is negotiating in hopes of relief from billions of dollars in economic sanctions.

The next round of nuclear talks between Iran and six world powers will start Tuesday in Vienna.

Although more than half of Americans polled say they approve of making the deal, few people — 16 percent — are actually paying close attention to the complex Iran negotiations that have angered Israel and unnerved Gulf nations who are concerned about Tehran’s rising influence and aggressive behavior in the region.

The Senate last week passed legislation that would give Congress time to vote to reject any deal before sanctions are lifted. President Barack Obama would retain the right to veto lawmakers’ disapproval.

Israel’s strong objections to the deal could make a difference to many Americans. If forced to choose, a majority say it’s more important to maintain the U.S. relationship with Israel than to strike a deal with Iran. But respondents are divided along party lines, with nearly six in 10 Democrats saying the Iran deal is more important while seven in 10 Republicans believe ties with Israel are more critical.

Israeli Prime Minister Benjamin Netanyahu has been one of the harshest critics of the deal with Iran. Israel considers a nuclear-armed Iran an existential threat, citing hostile Iranian rhetoric toward the Jewish state, Iran’s missile capabilities and its support for violent militant groups.

More broadly, the poll found that Americans are increasingly interested in the U.S. role in world affairs, with 60 percent saying it’s an extremely important issue, up from 52 percent less than five months ago. Slightly more people also approve of Obama’s handling of the issue, increasing from 38 percent in December to 42 percent in the latest poll. Fifty-seven percent disapprove of Obama’s handling of the issue.

But overall, Americans are more likely to trust Republicans than Democrats to handle protecting the country.

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The AP-GfK Poll of 1,077 adults was conducted online April 23-27, 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.

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Online:

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