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


KFF
News Release
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%).  
2020-Feb-KFF-Tracking-Poll-final
“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.
Read the Poll Findings
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.
Contacts:
Rakesh Singh | (650) 854-9400 | rsingh@kff.org
Craig Palosky | (202) 347-5270 | cpalosky@kff.org
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