The Future of Health Care: Where Does the Bipartisan Path Lead? - - PowerPoint PPT Presentation

The Future of Health Care: Where Does the Bipartisan Path Lead?

July 25, 2018

Health Care Priorities

SUPPORT FOR BI PARTI SAN REFORM CROSSES PARTY AND I DEOLOGI CAL DI VI DES

20% 22% 25% 18% 9% 24% 24% 23% 28% 29% 35% 19% 21% 32% 36% 24% 36% 32% 22% 46% 53% 30% 26% 38% 11% 12% 13% 10% 12% 10% 9% 12% 5% 6% 5% 6% 5% 4% 5%

Total Democrats Liberal Democrats Non-Liberal Democrats Independents Republicans Conservative Republicans Non-Conservative Republicans

Strongly Support Somewhat Support Don't Know/No Opinion Somewhat Oppose Strongly Oppose

Do you support or oppose bipartisan efforts and compromises on health care reform?

DEMOCRATS’ BI GGEST CONCERN I N HEALTH CARE REFORM I S ACCESS TO COVERAGE, REPUBLI CANS’ I S LOWERI NG COSTS AND LI MI TI NG GOVERNMENT

28% 18% 17% 15% 12% 6% 43% 13% 16% 17% 5% 23% 17% 16% 18% 7% 16% 14% 25% 20% 11% 24%

Making sure that everyone has health insurance coverage Lowering health insurance premiums Lowering out-of-pocket costs Making sure that low-income families have help in paying for care Limiting government involvement in health care Don't Know / No Opinion

Total Democrats Independents Republicans

What should be Congress’ biggest priority for the health care system?

WHEN ASKED ABOUT COST, ALL RESPONDENTS BELI EVE THAT WE SPEND TOO MUCH ON HEALTH CARE

63% 67% 55% 63% 23% 22% 20% 27% 7% 4% 16% 5% 5% 4% 5% 5%

Total Democrats Independents Republicans

Strongly Agree Somewhat Agree Don't Know/No Opinion Somewhat Disagree Strongly Disagree

Do you agree or disagree: Individuals and families have to pay too much for health care.

55% 58% 48% 57% 25% 25% 24% 27% 9% 6% 17% 6% 7% 7% 7% 7% 4% 4%

Total Democrats Independents Republicans

Strongly Agree Somewhat Agree Don't Know/No Opinion Somewhat Disagree Strongly Disagree

Do you agree or disagree: Overall, Americans spend too much on health care.

Finding Common Ground on Health Care Policies

MORE APPEAR OPEN TO A MARKET-DRI VEN APPROACH TO HEALTH CARE

Which of the following statements come closest to your views on how to improve health care?

39% 52% 59% 40% 30% 30% 25% 41% 14% 8% 4% 13% 32% 9% 6% 15% 48% 40% 36% 46% 38% 61% 70% 44%

Total Democrats Liberal Democrats Non-Liberal Democrats Independents Republicans Conservative Republicans Non-Conservative Republicans

The federal government should take the lead role in making sure health care is affordable through regulations and by placing limits on the prices that can be charged for medical services and products. Don't Know / No Opinion Health care would be better and less expensive if it operated more like other markets in our economy, with consumers making more decisions. The government would help people get insurance, but consumers would choose how much they pay based on the provider

HOWEVER, DEMOCRATS AND I NDEPENDENTS WOULD RATHER REFORM THE ACA THAN SWI TCH TO A MORE MARKET-DRI VEN SYSTEM

29% 21% 17% 7% 22% 37% 13% 26% 5% 16% 24% 17% 11% 6% 38% 24% 32% 12% 11% 19%

Reforming the Affordable Care Act to lower premiums and cost- sharing for those without employer coverage, made affordable through more generous tax credits and greater cost containment Implementing a market-driven approach with less government involvement where consumers pay more when they elect to get care from less expensive providers Moving to a single-payer system similar to the Medicare program Privatizing the health care market including Medicare and Medicaid programs Don't Know / No Opinion

Total Democrats Independents Republicans

Which approach to changing health care in America are you most comfortable with?

Total Dem. I ndep. Rep.

% Willing

54

51 39 67

More responsibility for consumers to choose their insurance plans and providers, and to pay more themselves when choosing more expensive options

49

59 38 47

A requirement that those who earn higher incomes must pay higher deductibles before insurance covers the cost of their care

47

38 34 63

Full reliance on competition and markets among insurers and providers of services to control costs rather than government regulation

27

27 19 34

A requirement that everyone but the very poor must contribute to a health insurance premium, which may mean some people will stay uninsured because of the cost

22

18 16 30

Less regulation of insurance plans, which could mean fewer required benefits and higher premiums for older and less healthy consumers

16

15 13 20

Permission for health insurance companies to set deductibles as high as $10,000 per year

FEW ARE WI LLI NG TO ACCEPT THE HI GHER COSTS AND LACK OF COVERAGE ASSOCI ATED WI TH A MARKET-DRI VEN APPROACH

How willing would you be to support a market-driven approach to health care, with private insurance and less government involvement if…

COST-AVERSI ON ALSO HOLDS MANY BACK FROM SUPPORTI NG A SI NGLE-PAYER SYSTEM

Total Dem. I ndep. Rep.

% Willing

66

74 53 64

Government setting price limits for health care providers and drug manufacturers to constrain program costs

59

72 49 53

Substantial increase in taxes of Americans with incomes over $250,000

39

52 28 33

Increases in taxes by $50 a month

34

44 25 27

Government control of all aspects of program administration, including defining the insurance benefits that are covered and setting rules on how they are administered

32

40 26 27

Elimination of employer-based coverage

22

31 14 18

Increases in taxes by over $100 a month

How willing would you be to support a universal, single-payer health care system run by the US government that ensured every person had generous health coverage with lower out-of-pocket costs if…

Controlling Health Care Costs

DESPI TE CONCERNS ABOUT GOVERNMENT I NVOLVEMENT, MOST LOOK TO THE GOVERNMENT TO CONTROL COSTS

37% 31% 25% 21% 15% 44% 40% 31% 27% 12% 32% 22% 19% 18% 14% 32% 28% 23% 17% 18%

Increase the government's role in promoting lower prices for health care goods and services Increase taxes on certain goods such as tobacco, sugar beverages, medical marijuana Increase the government's role in establishing payment systems for health care providers Increase the government's role in setting prices for health care goods and services Reduce federal payments to private health insurance plans

Total Democrats Independents Republicans

Some say that federal spending on major health care programs including Medicare, Medicaid, CHIP, and health insurance subsidy payments is expected to double in the next 10 years to $2 trillion, due to our country’s aging population and the rising costs of health care. Furthermore, in just eight years, the Medicare program is expected to run short of the funds needed to pay for all the health care costs for people enrolled in the program. Knowing this, what do you believe the federal government should do…

HOWEVER, LI TTLE SUPPORT FOR CONVENTI ONAL WAYS THAT GOVERNMENT CONTROLS COSTS, BY CUTTI NG BENEFI TS OR RAI SI NG CONSUMER COSTS

13% 13% 13% 13% 12% 15% 12% 8% 7% 9% 12% 9% 12% 8% 9% 13% 16% 19% 22% 17%

Increase Medicare payroll tax contributions Raise the age of eligibility for Medicare from 65 to 67 Reduce benefits covered under ACA Marketplace plans Have private sector takeover of health care Cap the total amount spent on Medicaid by the federal government

Total Democrats Independents Republicans

Some say that federal spending on major health care programs including Medicare, Medicaid, CHIP, and health insurance subsidy payments is expected to double in the next 10 years to $2 trillion, due to our country’s aging population and the rising costs of health care. Furthermore, in just eight years, the Medicare program is expected to run short of the funds needed to pay for all the health care costs for people enrolled in the program. Knowing this, what do you believe the federal government should do…

FEW ARE WI LLI NG TO EMBRACE FEDERAL TAX I NCREASES OR BENEFI T CUTS

10% 10% 6% 5% 18% 15% 15% 5% 6% 14% 9% 8% 7% 4% 33% 7% 5% 7% 6% 13%

Increase federal taxes Have government takeover of health care Reduce benefits covered under Medicare Increase Medicare Part B premiums Don't Know / No Opinion

Total Democrats Independents Republicans

Some say that federal spending on major health care programs including Medicare, Medicaid, CHIP, and health insurance subsidy payments is expected to double in the next 10 years to $2 trillion, due to our country’s aging population and the rising costs of health care. Furthermore, in just eight years, the Medicare program is expected to run short of the funds needed to pay for all the health care costs for people enrolled in the program. Knowing this, what do you believe the federal government should do…