Insights on NH Medical Society Members' Attitudes Towards Medicare For All
NH Medical Society conducted a survey on members' opinions regarding Medicare For All. Findings reveal strong support for a simplified payer system funded by public taxes to provide basic healthcare services to all citizens. The survey also highlights consistent support for public financing of healthcare among NHMS doctors, regardless of age. View the full presentation for detailed demographics and responses.
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NH Medical Society Member NH Medical Society Member Attitudes about Medicare For All Attitudes about Medicare For All (M4A) Support and Advocacy (M4A) Support and Advocacy Presentation to NHMS Council January 2022
Methodology Survey questions were developed by a group of NHMS leaders, including former presidents, working with the NHMS Single Payer Interest Group. Surveys were distributed by SurveyMonkey tool to all NHMS members (2200) in October, with follow up requests sent to non- respondents in early and mid November. Total responses = 267 (11.8%) 2
Demographics of Respondents (n=267) Demographics of Respondents (n=267) Male 70% Female 30% Under Age 46 13% Age 46-64 53% Over Age 64 34% DHMC employed 21% Non-DHMC salaried 37% Self-Employed 21% Other (e.g. retired) 21% Primary Care Medical Specialist Surgery or surgical specialist Other 32% 25% 23% 19% Democrat 48% Independent 40% Republican 13% *Note: some rows may not add to exactly 100% due to rounding.
Question #1: Question #1: I would favor a simplified payer system in which I would favor a simplified payer system in which public funds, collected through taxes, were used to pay directly public funds, collected through taxes, were used to pay directly for services to meet basic healthcare needs of all citizens. for services to meet basic healthcare needs of all citizens. (Identical to 2007 survey) (Identical to 2007 survey) More than 74% of respondents agreed with this core question More than 74% of respondents agreed with this core question 4
NHMS Doctors have been consistent in support of public financing for healthcare Survey Year All Doctors Primary Care Specialists 2007 67% 81% 55% 2021 74% 82% 66%
There was no meaningful difference based on physician age in support for There was no meaningful difference based on physician age in support for a simplified public funding plan paying directly for medical services a simplified public funding plan paying directly for medical services 100% 11 6 27 90% 6 80% 3 9 6 3 70% 23 32 60% 50% 40% 22 30% 47 68 20% 10% 0% Under 46 46-64 Over 64 Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 6
There was no meaningful There was no meaningful difference based on type of employment difference based on type of employment in support for a simplified public funding plan paying directly for medical support for a simplified public funding plan paying directly for medical services services in 100% 10 9 9 90% 5 16 3 3 4 80% 2 21 70% 3 13 13 60% 14 50% 40% 30% 57 29 28 20% 22 10% 0% DHMC Salaried Non-DHMC Self Employed Other Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 7
agreed with a statement with a statement to support a to support a 82% of primary care physicians 82% of primary care physicians agreed simplified public funding plan which pays directly for medical services simplified public funding plan which pays directly for medical services also agreed to support support More than More than 66% of medical and surgical specialists 66% of medical and surgical specialists also agreed to a simplified public funding plan paying directly for medical services a simplified public funding plan paying directly for medical services. . 100% 10 11 9 90% 15 5 1 1 3 80% 2 3 15 70% 6 17 14 60% 14 50% 40% 54 30% 34 24 25 20% 10% 0% Medical Specialist Primary Care Surgery or Surgical Specialist Other 8 Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree
There There was 92% 92% of Democratic of Democratic- -identifying respondents identifying respondents agreed 73% of Independent respondents agreed 73% of Independent respondents agreed 29% of Republican 29% of Republican- -identifying respondents agreed. This represents a identifying respondents agreed. This represents a small absolute minority, as only 13% identified as Republican small absolute minority, as only 13% identified as Republican was a partisan divide in response a partisan divide in response agreed 100% 6 1 3 18 90% 17 80% 6 2 17 70% 60% 31 50% 40% 89 5 30% 40 20% 8 10% 1 0% Democratic Independent Republican Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 9
Question #2: I would Question #2: I would generally Society Society advocacy advocacy supporting Medicare For All. supporting Medicare For All. generally support NH Medical support NH Medical Almost 72% of respondents agreed with the statement Almost 72% of respondents agreed with the statement 10
There was little variation by age or employment status in support of NHMS advocacy NHMS advocacy age or employment 100% 100% 10 12 9 9 6 90% 90% 28 7 18 8 1 4 80% 80% 4 3 12 2 16 7 2 70% 70% 11 16 9 5 26 60% 60% 1 50% 50% 12 40% 40% 62 21 30% 30% 32 51 30 71 20% 20% 19 10% 10% 0% 0% DHMC Salaried Non- DHMC Self Employed Other Under 46 46-64 Over 64 Strongly agree Agree somewhat Don't Know Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree Disagree somewhat Strongly disagree 11
Every specialty category was more than Every specialty category was more than 60% in agreement with support for NHMS advocacy agreement with support for NHMS advocacy 60% in 100% 10 8 13 90% 16 6 1 4 80% 4 2 1 13 70% 6 1 15 11 60% 9 50% 40% 55 30% 26 34 28 20% 10% 0% Medical Specialist Primary Care Surgery or Surgical Specialist Other Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 12
Once again, there was Once again, there was a party support of NHMS advocacy support of NHMS advocacy a party- -identification difference in identification difference in 100% 5 1 2 90% 20 19 80% 12 18 70% 3 60% 19 50% 40% 89 6 30% 43 20% 5 10% 2 0% Democratic Independent Republican Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 13
Question 3: I would generally support NH Medical Society Question 3: I would generally support NH Medical Society advocacy supporting lowering the Medicare advocacy supporting lowering the Medicare- -eligible age to age 55 or lower. age 55 or lower. eligible age to 67% of respondents agreed 67% of respondents agreed 14
All age and employment groups agreed with All age and employment groups agreed with lowering the Medicare lowering the Medicare- -eligible age eligible age 100% 100% 10 22 6 90% 90% 11 19 12 16 8 80% 80% 2 5 16 3 9 1 3 8 4 70% 70% 14 3 6 8 2 4 60% 60% 27 12 2 9 50% 50% 11 40% 40% 59 30% 30% 31 19 47 70 25 20% 20% 20 10% 10% 0% 0% DHMC Salaried Non- DHMC Self Employed Other Under 46 46-64 Over 64 Strongly agree Agree somewhat Don't Know Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree Disagree somewhat Strongly disagree 15
All specialty types agreed with lowering the All specialty types agreed with lowering the Medicare Medicare- -eligible age eligible age 100% 13 12 90% 10 14 80% 8 2 8 3 3 70% 8 2 10 6 2 60% 10 50% 16 40% 30% 51 30 35 20% 20 10% 0% Medical Specialist Primary Care Surgery or Surgical Specialist Other Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 16
Again, there was a difference by party identification Again, there was a difference by party identification 100% 3 8 90% 4 22 80% 19 11 70% 19 5 60% 15 50% 40% 82 3 30% 44 20% 7 10% 2 0% Democratic Independent Republican Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 17
Question #4: I would generally support NH Medical Society Question #4: I would generally support NH Medical Society advocacy supporting making a form of Medicare buy advocacy supporting making a form of Medicare buy- -in ( the public option ) available under the Affordable Care ( the public option ) available under the Affordable Care Act (ACA). Act (ACA). in 79% of respondents agreed with having a public option 79% of respondents agreed with having a public option 18
Once again, no difference by age or practice in support for a Medicare public-option 100% 100% 5 12 9 6 6 2 5 3 10 90% 90% 8 5 2 5 1 2 7 80% 80% 3 25 5 7 70% 70% 22 18 35 2 60% 9 60% 14 9 50% 50% 40% 40% 61 30% 30% 52 77 28 27 16 26 20% 20% 10% 10% 0% 0% DHMC Salaried Non- DHMC Self Employed Other Under 46 46-64 Over 64 Strongly agree Agree somewhat Don't Know Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree Disagree somewhat Strongly disagree 19
All specialty types agreed with offering a public option All specialty types agreed with offering a public option 100% 7 6 5 9 90% 2 2 6 2 4 5 80% 6 1 7 70% 22 18 60% 18 50% 40% 35 30% 49 35 26 20% 10% 0% Medical Specialist Primary Care Surgery or Surgical Specialist Other Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 20
Even 49% of Republican-identifying respondents agreed with making a form of Medicare buy-in ( the public option ) available 100% 2 1 5 13 90% 21 5 10 80% 3 70% 29 60% 5 50% 1 40% 87 30% 12 47 20% 10% 3 0% Democratic Independent Republican Strongly agree Agree somewhat Don't Know Disagree somewhat Strongly disagree 21
Summary of NHMS Survey results 74% of physicians agree with the statement: I would favor a simplified payer system in which public funds, collected through taxes, were used to pay directly for services to meet basic healthcare needs of all citizens. Primary Care 82% Medical Specialists 76% Surgery/Surgical Specialists 65% 22
Summary (continued) In addition, 72% of physicians favor NHMS advocacy supporting Medicare for all 67% of physicians support NHMS advocacy for lowering the Medicare eligible age to 55 or lower 79% of physicians support NHMS advocacy regarding Medicare buy-in AKA the public option 23
Medical Society resolutions supporting a Medical Society resolutions supporting a simplified public payor funding plan simplified public payor funding plan 2 states Vermont and Hawaii - have passed such resolutions 21 states are considering resolutions We propose that the New Hampshire Medical Society pass a resolution supporting a simplified publicly funded plan 24
NEW HAMPSHIRE MEDICAL SOCIETY RESOLUTION in NEW HAMPSHIRE MEDICAL SOCIETY RESOLUTION in support of a Simplified Public Payer System support of a Simplified Public Payer System BE IT RESOLVED that the New Hampshire Medical Society expresses its support for universal access to comprehensive, affordable, high-quality health care through a simplified payer system in which public funds, collected through taxes, are used to pay directly for services to meet basic healthcare needs, and be it further RESOLVED that the New Hampshire Medical Society will support such a simplified payer system provided it meets these core criteria and principles: a) Promotes universal, equitable coverage for all US resident; b) Provides comprehensive and high quality coverage for all medically necessary or appropriate services; c) Prioritizes affordability for all; d) Reimburses physicians and health care practitioners in amounts that are sufficient, fair, predictable, transparent and sustainable; e) Allows for collective participation by physicians and other practitioners in negotiating rates and program policies; f) Reduces administrative costs and burdens on clinicians; g) Creates a legal environment that fosters high quality patient care and relieves clinicians from practicing defensive medicine; and h) Is funded through a publicly financed system. 25