Current Public Opinion on the Affordable Care Act (ACA)
Public opinion on the Affordable Care Act (ACA) remains divided since its passage, with increasing negativity seen after the Marketplace rollout. While some favor the law, there are deep partisan divisions on its favorability. A majority prefers that Congress work to improve the ACA rather than repeal and replace it. Awareness of ACA provisions lags behind favorability for most elements included in the law.
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ACA Opinion: Divided Since Passage, Tilting More Negative Since Marketplace Rollout As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it? Rollout of insurance exchanges ACA signed into law 80% Favorable Unfavorable Don't know/Refused 60% Oct 51% Jul 50% Apr 46% 40% Apr 38% Jul 35% Oct 34% 20% Apr 16% 0% Nov Dec Nov Dec Nov Nov Dec Sep Feb Sep Feb Sep Feb Sep Feb Jan Jan Jan Aug Aug Aug Aug Apr Mar Apr Mar Apr Mar Apr Mar Apr May Oct May Oct May Oct Oct Jun Jul Jun Jul Jun Jul Jun 2010 2011 2012 2013 2014 SOURCE: Kaiser Family Foundation Health Tracking Polls
Deep Partisan Divisions Persist On ACA As you may know, a health reform bill was signed into law in 2010. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it? Very Favorable Somewhat Favorable Somewhat Unfavorable Very Unfavorable Total 19% 19% 16% 30% Democrats 36% 32% 9% 8% Independents 18% 19% 19% 31% 7% Republicans 4% 20% 56% NOTE: Don t know/Refused answers not shown. SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted April 15-21, 2014)
More Want Congress To Improve ACA Than Repeal And Replace Which would you rather see your representative in Congress do when it comes to the health care law? They should work to improve the law They should work to repeal the law and replace it with something else Total 58% 35% Democrats 85% 10% Independents 56% 39% Republicans 31% 62% NOTE: Neither of these/they should do something else and don t know/Refused answers not shown. SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted April 15-21, 2014)
Awareness Lags Behind Favorability For Most ACA Provisions Percent who say they have a favorable opinion of each of the following and percent who say they are aware each is included in the health reform law: Percent with a favorable view of element Percent who are aware element is included in ACA 80% Extension of dependent coverage 71% 79% Close Medicare doughnut hole 40% 77% Eliminate out-of-pocket costs for preventive services 43% 77% Subsidy assistance to individuals 63% 74% Medicaid expansion 60% 70% Guaranteed issue 54% 62% Medical loss ratio 44% 56% Increase Medicare payroll tax 46% 35% Individual mandate 78% NOTE: Items asked of separate half samples. Response wording abbreviated. See topline for complete wording. SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted March 11-17, 2014)
Cost Is Main Barrier For Uninsured AMONG THE UNINSURED AGES 18-64: As you may know, the health care law requires nearly all Americans to have health insurance this year or else pay a fine. Which of the following comes closest to why you personally have not gotten health insurance this year? 36% You tried to get coverage but it was too expensive 14% You don't think the requirement applies to you 13% You didn t know about the requirement to have health insurance 12% You tried to get coverage but were unable 7% You would rather pay the fine than pay for health insurance NOTE: Some other reason (vol.) and Don t know/Refused responses not shown. SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted April 15-21, 2014)
Impressions of ACA Based Mainly On News Media Is your impression of the health care law based mainly on your own experience, what you ve seen and heard on television, radio, and in newspapers, what you ve learned from friends and family, or some other source? Dk/Ref. 5% Some other source 10% Television, radio and newspapers 44% Friends and family 18% Your own experience 23% SOURCE: Kaiser Family Foundation Health Tracking Poll (conducted February 11-17, 2014)
