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Results are somewhat mixed about willingness to finance government-sponsored insurance coverage that would be available to all Americans: 2 different national polls: 65% favored a government guarantee of health insurance for all citizens, even if it would mean raising taxes (Pew, 2005). Of the 64% who said it s the government s responsibility to ensure coverage for all Americans, only 45% said they would be willing to pay higher taxes or premiums to pay for the coverage (Public Agenda/ Gallup/Kaiser, 2004). tZZZZ\Z\ m/Broad Values and Preferences: Private InsuranceA 2004 post-election survey compared perceptions of private and public sector to solve health care issues: 49% of respondents trusted the private sector more 40% trusted the government more However, trust in employer-sponsored insurance may be waning: 7 percentage-point decline in percentage of respondents who would prefer to get health insurance through an employer (48% in 2002 to 41% in 2003) 9 percentage-point increase in who would prefer to get insurance from government rather than employer (25% in 2002, 36% in 2003) (EBRI, 2003).LlS>!lS>!o_Who types of organizations do Americans think should own, provide or run most health insurance?``pHealth Care Costs Health care/insurance costs was cited more than any other problem as the most urgent health problem facing America (Gallup, 2005). 23% of Americans had trouble paying medical bills 18% say medical bills are biggest monthly expense (USA Today/Kaiser Family Foundation/Harvard School of Public Health, 2005) Americans believe several factors contribute to high costs: 89% cite high profits made by drug and insurance companies 84% cite the aging population 77% cite the use of high-tech medical equipment and expensive new drugs 63% cite the lack of incentive for the insured to look for lower-priced services (Kaiser/Harvard, 2004)jZZ Z<Z Z< q Health Insurance Tradeoffsc61% of adults with employer-provided insurance said they would choose not to get a pay increase in order to maintain their current health insurance (Wall Street Journal/Harris Interactive, 2005). 57% somewhat or strongly agree that they would stay with a job they dislike because of their need to maintain health/prescription drug coverage (Zogby, 2005).s 1Paying more for services not covered by insurance t Tradeoffs to Control Costs59% of adults with employer-provided coverage indicated they would be willing to sacrifice some provider choice in exchange for lower out-of-pocket costs (Community Tracking Survey, 2003). If health care costs increase significantly: 55% would be willing to sacrifice choice of hospitals to obtain lower costs 64% would sacrifice choice in prescription drugs to obtain lower costs 52% would sacrifice choice in physicians to obtain lower costs 20% would not sacrifice ANY restrictions on choice03u  Most people with employer-sponsored insurance are willing to have fewer choices of providers in order to reduce out-of-pocket costs . . . P/P|}~     0` 33` Sf3f` 33g` f` www3PP` ZXdbmo` \ғ3y`Ӣ` 3f3ff` 3f3FKf` hk]wwwfܹ` ff>>\`Y{ff` R>&- {p_/̴` 3>?" dd@ ? " Pd@ @`d n?" dd@   @@``PR    @ ` ` p>>   (  d   C .Abackground"  6֕   T Click to edit Master title style! !  0ٕ "  FClick to edit Master text styles Second level Third level Fourth level!    GH  0޽h ? 380___PPT10.` "[ Default Design 0 zr  (    0Lc P   c P*    0Qc    c R*  d  c $ ?  c  0Uc  0 c RClick to edit Master text styles Second level Third level Fourth level Fifth level!     S  6Zc _P  c P*    6^c _  c R*  H  0޽h ? 3380___PPT10. @^ (    0  P     X*   0lE       Z*   6tK  _P    X*   6N  _    Z* H  0޽h ? 3380___PPT10.    0  (  x  c $`$cp  c H  0޽h ? f___PPT10i.%@Wa+D=' ]= @B +   0 *(  x  c $c  c r  S  dc c H  0޽h ? f___PPT10i.D_+D=' ]= @B +  0 e(  r  S \c  c  0 ZA D? ? D c  0 c@` sGallup Poll conducted August 8-11, 2005. Results reported for adults aged 18 or older employed full or part time.t 2t H  0޽h ? 33___PPT10i.+D=' ]= @B +g  0 ~v(  r  S p^c  c  0 ZA P? ? P c  0c@* NThe Gallup Poll, conducted November 7-10, 2006. Wording (rotated) : Which of these statements best describes the U.S. health care system today  It is in a state of crisis, it has major problems, it has minor problems,, (or) it does not have any problems. , 2:   H  0޽h ? 33___PPT10i.iZ+D=' ]= @B +}  0 $(  r  S cp  c r  S c c H  0޽h ? 33___PPT10i.PE+D=' ]= @B +}  0 $(  r  S c  c r  S hc c H  0޽h ? 33___PPT10i.O8+D=' ]= @B +  0 +# (  r  S c  c  0  fA  ?AA ?"`80G  c  0c@0 w : 21% Unsure 2    0cFp  ~LSOURCE: Wall Street Journal Online/Harris Interactive Health-Care Poll, 2003M 2M    0c@ '  : 2    0c@   O22% prefer for-profit companies 2    0Pc0p E32% prefer government 2   0c 04 S#25% prefer non-profit organizations$ 2$H  0޽h ? 33___PPT10i.`+D=' ]= @B +}  0 @$(  r  S c  c r  S c c H  0޽h ? 33___PPT10i.y+D=' ]= @B +}  0 P$(  r  S P    r  S     H  0޽h ? 33___PPT10i.pnY+D=' ]= @B +   0 ` d(  x  c $cp    0  fA ?AA ?"`3  c  0 P q?Percentage Willing to Pay Out-of-Pocket for Particular Services@ 2@  0 p LGet Specialized Services(2  0p pP x U!See a doctor outside normal hours"(2"   0 p 0x QSpend more time with a doctor(2   0 p U!Get top priority for appointments"(2"   0#  542%(2   0' @  533%(2   0P+ ` pG  323% 2  0.    521%(2  01  @ R SOURCE: Harris Interactive, 2005! 2! H  0޽h ? 33___PPT10i.@)+D=' ]= @B +}  0 $(  r  S 8    r  S 9    H  0޽h ? 33___PPT10i.]+D=' ]= @B +q   0 23e(  x  c $|h]P` ]   6i]"` V$Income as % of Federal Poverty Level% 2%LB  c $D`000  0o]@ 7All 2LB  c $D00p0  04s]9  10 2  0$w]9  210 2   0y]9`  250 2   00~]9@  230 2   0]9P  240 2   0]9`  220 2   0]9p  260 2  0]9  270 2  0̎]9`  280 2B  s *Dtp0p,$@   0RB  s *Dt 0   0]   90-199 2B  s *Dt` 0` ,$@  0RB  s *Dt 0P   0h]   ;200-399 2B  s *DtP 0P ,$@  0RB  s *Dt 0   0]P` 8400+ 2B  s *Dt0 ,$@  0RB  s *Dt 0 f  0"`   0|]P 82001 2  0"`P,$@  0  0L] ,$  0 82003 2  0Ԩ] @m 750% 2    0@]c `,$  0 754% 2  ! 0]` P  759% 2  " 0]  ,$  0 762% 2  # 0T]p P  766% 2  $ 0P] 0 ,$   0 767% 2  % 0] `- 755% 2  & 0]P,$   0 759% 2 D ' 0] 0,$   0 z& This trend is true even for people who are chronically ill.> P>B ( 6DfAt@0 @,$@   0 ) 0t] p,$  0 751% 2 B * 6DfAt 0 ,$@  0 + 0] - ,$  0 760% 2 B , 6DfAt 0 ,$@  0 - 0] `= ,$  0 768% 2 B . 6DfAt0,$@  0 / 0T]M,$  0 756% 2  0 0H]F  `.Center for Studying Health System Change, 2005/ 2/  1 0 ]"`P] IChronically ill    3@ jfA(Large checker board"@P@,$D  0H  0޽h ? 33PP___PPT10P..C+gQD`N' ]= @B DN' = @BA?%,( < +O%,( < +D&' =%(DM&' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<* D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<* D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*"%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*"D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*"D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*$%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*$D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*$D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*&%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*&D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*&D&' =%(DM&' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*'%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*'D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*'D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*(%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*(D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*)%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*)D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*)D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<**%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<**D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<**D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*+%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*+D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*+D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*,%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*,D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*,D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*-%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*-D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*-D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*.%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*.D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*.D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*/%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*/D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*/D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*3%(D' =+4 8?\CB#ppt_xBCB#ppt_xB*Y3>B ppt_x<*3D' =+4 8?dCB1+#ppt_h/2BCB#ppt_yB*Y3>B ppt_y<*3+0+0+0 ++0+ 0 ++0+"0 ++0+$0 ++0+&0 ++0+'0 ++0+)0 ++0++0 ++0+-0 ++0+/0 + 0 ]U0(  X  C    U  S Ч  0   Most surveys show that most people with employment-based coverage are satisfied with their health insurance benefits. Although the percent has been declining, 60% indicate that they are completely or somewhat satisfied.H  0޽h ? 3380___PPT10.aE^_  0 @o(  X  C      S ر  0   q]But individuals indicate that they feel that the health care system in America is in trouble.H  0޽h ? 3380___PPT10.Fw. 0 P >(   X   C       S D  0   @,We looked at broad issues of values and preferences. Gallup does a survey approximately the same time every year and about 60% of the people feel that the federal government should be responsible or assuring health care coverage for those who cannot afford to pay for it themselves. Even more people believe that it s the government s responsibility to help people pay for health care. The results are more mixed about the willingness to finance government-sponsored health insurance coverage that would be available to all Americans.H   0޽h ? 3380___PPT10.p%׃ 0 kc`$(  $X $ C    c $ S   0   The Employee Benefits Research Institute does a study every year and found that the percent of individuals confident in or who would prefer to get their coverage from employers is still a plurality although the percent has declined. H $ 0޽h ? 3380___PPT10.6 0 *"p((  (X ( C    " ( S p  0   Across all the studies; there is ambivalence: people want government involvement but are unsure about the government s ability to provide or assure health insurance. 57% indicated that government or non-profit organizations should own, provide or run most health insurance compared to only 22% who preferred that for-profit companies do so.H ( 0޽h ? 3380___PPT10.u` 0 ,p(  ,X , C     , S   0   r^People are really worried about health care costs. For the first time this year, health care costs beat every other area as the one of most concern to people. Americans believe there are a number of causes of high costs, including high drug and insurance company profits, aging population, expensive new drugs, and a lack of incentives for low costs.H , 0޽h ? 3380___PPT10.@;   0 0'(  0X 0 C     0 S   0   )With tradeoffs, 61% of people said they would choose not to get a pay increase in order to maintain their current health insurance. Almost as many said that they somewhat or strongly agreed that they would stay with a job they disliked because of the need to maintain coverage.H 0 0޽h ? 3380___PPT10.@?BB  0 XP4(  4X 4 C    P 4 S   0   Significant numbers of people indicated that they would be willing to pay more out-of-pocket for particular services; for instance, 42% indicated a willingness to pay more out-of-pocket to get specialized services.H 4 0޽h ? 3380___PPT10.`$+h  0 2*8(  8X 8 C    * 8 S &  0   59% of adults with employer-provider coverage indicated they would be willing to sacrifice some control over choosing their provider in exchange for lower out-of-pocket costs. H 8 0޽h ? 3380___PPT10.`}  0 d\<(  <X < C    \ < S .  0   Most people with employer-sponsored insurance are willing to have fewer choices of providers in order to reduce out of pocket costs; this trend is true even for people who are chronically ill.H < 0޽h ? 3380___PPT10.0 0 >6@(  @X @ C    c6 @ S oc 0  c Presentation on Public Opinion, Polling Data, regarding health care coverage, costs, and financing, by Jill Bernstein, Senior Policy Analyst, to the Citizens Health Care Working Group, Washington, D.C., December 15, 2005.H @ 0޽h ? 3380___PPT10.$ 0 }uD (  DX D C    u D S 87  0   Poll Data: Data is divided into 3 groups (broad values and preferences; opinions on health care costs; and views on tradeoffs) Emphasis on recent poll data Data from nation surveys using sound polling techniques.  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