News Release
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Poll: Nearly 10 Years after Its Enactment, the Affordable Care Act is
More Popular Than Ever as Republican Voters Instead Target Medicare-for-All
Health
Care is a Top Issue for Swing Voters, Who Prefer a Public Option to
Medicare-for-All
With
the Supreme Court today considering whether to take up a case that seeks to
overturn the entire Affordable Care Act (ACA), the latest KFF tracking poll finds that a clear majority (55%) of
the public now views the law favorably – its highest rating in more than 100
KFF polls since it became law nearly 10 years ago. In comparison, slightly
more than a third (37%) hold unfavorable views.
The
recent uptick reflects strong support among Democrats, 85% of whom now
express favorable views. A narrow majority (53%) of independents also view
the law favorably.
While
most Republicans (77%) still hold unfavorable views towards the ACA, the poll
suggests that Republican voters have largely moved on from efforts to repeal
the ACA and now rank opposition to a single-payer government health plan like
Medicare-for-all among their top health priorities. When asked what about
health care is important to their vote, few Republican voters (3%) say
repealing the ACA, while much larger shares say health care costs (24%) or
opposition to Medicare-for-all (19%).
“Republicans
seem to be shifting their ire from the ACA to Medicare-for-all,” KFF
President and CEO Drew Altman said. “The gulf between Republicans and
Democrats on health has never been wider.”
Health
care ranks lower in a list of important issues in the 2020 election for
Republican voters, compared to Democratic voters, independent voters, and the
crucial group of voters who haven’t made up their minds yet – swing voters.
More than one-third of Democratic voters (36%) say health care is the “most
important” issue in their 2020 vote choice as do three in ten independent
voters and 28% of swing voters. The economy is the top issue for Republican
voters (34%).
Issues
are not the only factor in the election. When asked what is the one thing
that will motivate them to vote in 2020, a larger share of voters offer
responses related to defeating President Trump and electing a Democrat (20%)
than any issue, including health care (8%) or the economy (8%).
As
the Democratic primary season heats up, the poll finds about two thirds (66%)
of the public favor a government-run public insurance option that would
compete with private insurance plans and be available to all Americans, while
about half (52%) favor Medicare-for-all, in which all Americans would be
insured through a single government plan. Four in 10 (43%) favor both a
public option and Medicare-for-all
With
both of these proposals garnering majority support and being front-and-center
in the 2020 presidential campaign, the poll pushed voters who support both
approaches to choose the one they prefer. The results show voters prefer the
public option (44%) over Medicare-for-all (26%).
The
public option retains this clear edge among Democratic, Republican and
independent voters. Among the potentially crucial group of swing voters,
twice as many prefer a public option (49%) as Medicare-for-all (25%).
Additional
findings from the poll will be released next week.
METHODOLOGY
Designed
and analyzed by public opinion researchers at KFF, the poll was conducted
February 13-18, 2020 among a nationally representative random digit dial
telephone sample of 1,207 adults including 998 self-reported registered
voters. Interviews were conducted in English and Spanish by landline (302)
and cell phone (905). The margin of sampling error is plus or minus 3
percentage points for the full sample and 4 percentage points for voters. For
results based on subgroups, the margin of sampling error may be higher.
Filling
the need for trusted information on national health issues, the Kaiser Family Foundation is
a nonprofit organization based in San Francisco, California.
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Monday, February 24, 2020
Nearly 10 Years after Its Enactment, the Affordable Care Act is More Popular Than Ever as Republican Voters Instead Target Medicare-for-All
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