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First Lady Office - Pam Ciccetti
jenuifer Klein
First Lady Health Care binders to Courtesy Storage - September 23, 1998
# , Box A
ENCLOSURES FILED OVERSIZE ATTACHMENTS 12499
NARA 9868
Health Care binders and group materials - 1993-1994
#2 Box B
ENCLOSURES FILED OVERSIZE ATTACHMENTS 12500
NARA 9869
Health Care Binders and group materials 1993-1994
#3 Box C
ENCLOSURES FILED OVERSIZE ATTACHMENTS 12501
NARA 9870
State-by-State Analysis of Impact of Administration Policies
Economic Impact of 1993 Budget
#4 Box D
ENCLOSURES FILED OVERSIZE ATTACHMENTS 12502 NARA 9871
1993-1994 Health Care Binders
1995 Medicare/Medicaid Budget Briefing Document
1993 Binder on Legal Services
Binder on President's Council on Physical Fitness
#5 Box E
ENCLOSURES FILED OVERSIZE ATTACHMENTS 12503 NARA 9872
Health Care Binders and group materials 1993-1994
5 leopes filed 9/24/98
Tr
Mrs. Clinton
- Health Care Binders and
group materials
1993-1994
HARRIS
POLL
Prepared
for
HEALTH
RIGHT
FEB.
1992
Harris Poll prepared for
Heal
PHOTOCOPY
PRESERVATION
THE PUBLIC MANDATE FOR
HEALTH CARE REFORM IN AMERICA
Prepared for
HEALTHRIGHT
Conducted by
LH RESEARCH
February 1992
Study Director:
Louis Harris
Study 920016
Not Affiliated With Louis Harris and Associates
TABLE OF CONTENTS
A WORD ABOUT THE STUDY
il
EXECUTIVE SUMMARY
iii
THE PUBLIC MANDATE FOR HEALTH CARE REFORM IN AMERICA
2
I
The Context
2
II
The Nature of the Mandate for Change
30
III
Health Care Priorities
49
IV
Long Term Care and the American Health Care System
74
CONCLUDING OBSERVATION
78
SURVEY METHOD
96
QUESTIONNAIRE
99
TABLES
Table
Page
1 OVERALL RATING OF PERSONAL HEALTH
8-9
2 SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR: QUALITY
10-11
3 OCCURRENCE OF A NEED FOR HEALTH CARE THAT WAS NOT ATTENDED TO IN
THE PAST 12 MONTHS
12-13
4 MAIN REASON FOR NOT GETTING THE HEALTH CARE NEEDED
14-15
5 SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE AVAILABILITY OF THE KIND OF HEALTH CARE YOU WANT
16-17
6 SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE COST OF THE HEALTH CARE AVAILABLE TO YOU
18-19
7 SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE HEALTH INSURANCE PLAN AVAILABLE TO YOU
20-21
8 WHETHER FAVOR/OPPOSE PRESENT HEALTH CARE SYSTEM
22-23
9 OVERALL VIEW OF THE HEALTH CARE SYSTEM IN THIS COUNTRY
24-25
10 PRIORITY CLINTON ADMINISTRATION SHOULD GIVE TO HEALTH CARE REFORM
26-27
11 WHETHER HEALTH CARE IS A FUNDAMENTAL RIGHT
28-29
12 WHETHER FAVOR/OPPOSE NATIONAL HEALTH INSURANCE
35-36
13 WHETHER FAVOR/OPPOSE "EMPLOYER PLAY OR PAY"
37-38
14 WHETHER FAVOR/OPPOSE "MANAGED CARE"
39-40
15 WHETHER FAVOR/OPPOSE "HMO SPONSOR"
41-42
15 WHETHER FAVOR/OPPOSE "MEDICARE EXPANSION"
43-44
16 PREFERENCE FOR THE BRITISH NATIONAL HEALTH CARE SYSTEM OR
THE HEALTH CARE SYSTEM WE NOW HAVE IN THIS COUNTRY
45-46
17 PREFERENCE FOR THE CANADIAN SYSTEM OF NATIONAL HEALTH INSURANCE OR
THE HEALTH CARE SYSTEM WE NOW HAVE IN THIS COUNTRY
47-48
18 PRIORITY OF HEALTH CARE ISSUES
- HOSPITALS THAT REALLY CARE ABOUT THE PATIENTS
54-55
19 PRIORITY OF HEALTH CARE ISSUES
- PREVENTIVE HEALTH CARE
56-57
Tables (continued)
Table
Page
20 PRIORITY OF HEALTH CARE ISSUES
- FAST, CONVENIENT OUTPATIENT CARE
58-59
21 PRIORITY OF HEALTH CARE ISSUES
- LONG-TERM HOME CARE
60-61
22 PRIORITY OF HEALTH CARE ISSUES
- LONG-TERM NURSING HOME CARE
62-63
23 PRIORITY OF HEALTH CARE ISSUES
- LONG OR EXTENDED HOSPITAL STAYS
64-65
24 PRIORITY OF HEALTH CARE ISSUES
- UNLIMITED AVAILABILITY OF SUCH CARE AS KIDNEY DIALYSIS,
ORGAN TRANSPLANTS, AND PLASTIC SURGERY
66-67
25 PRIORITY OF HEALTH CARE ISSUES
- EXTENSIVE TESTING OF PATIENTS
68-69
26 MOST IMPORTANT HEALTH CARE ISSUE
70-71
27 FIRST/SECOND MOST IMPORTANT HEALTH CARE ISSUE
72-73
28 EXPERIENCE WITH THE NEED FOR LONG-TERM CARE BECAUSE OF
CHRONIC DISEASE, BIRTH DEFECT, OR A PERMANENT DISABILITY
80-81
29 PREFERENCE FOR NURSING HOME OR OWN HOME FOR LONG-TERM CARE
82-83
30 ABILITY TO AFFORD LONG-TERM CARE
($15,000 TO $60,000 A YEAR/$40 TO $160 A DAY)
84-85
31 WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR ELDERLY PEOPLE 65 AND OVER
86-87
32 WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR PEOPLE 20 TO 64 YEARS OF AGE
88-89
33 WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR CHILDREN 19 YEARS OF AGE OR UNDER
90-91
34 WHETHER FAVOR/OPPOSE EXTENDING MEDICARE TAX ON ALL INCOME EARNED
OVER $130,200 TO FUND A FEDERAL LONG-TERM CARE PROGRAM
92-93
35 PRIORITY A LONG-TERM CARE PROGRAM SHOULD HAVE IN A
NATIONAL HEALTH INSURANCE SYSTEM
94-95
A Word About This Study
This study looks at the attitudes of Americans toward their own health, the
quality of health care they received, their view of the major options for reform of the
health care system, and their priorities for health care. It looks in depth at public
opinion on long term care with a special focus on home care - in terms of their
experience with it, its cost, a greater federal role in providing it, and the priority the
public would give it.
The study was conducted between December 23, 1992, and January 3, 1993,
among a random cross-section of 1250 Americans 18 years old and above. The
details of the sample are discussed in "Sample Method" at the end of the report. Its
project director was Louis Harris, Chairman of LH Research, who has had wide
experience in health care research as well as in all forms of public opinion research.
Mr. Harris was assisted by Robert F. Wagner, Jr., Vice Chairman of LH Research. Mr.
Wagner has had experience with health care issues, particularly during his four years
as Chairman of New York City's Health and Hospitals Corporation which is the second
largest public hospital system (after the Veterans Administration) in the country.
The study's findings put the national debate over health care in a new light. It
also highlights the real importance attached to long term care, particularly home care,
in the context of that debate. What this study attempts to do, as its title states, is look
overall at The Public Mandate for Health Care Reform in America.
i
LH Research is particularly grateful for the great help of the National Association
of Home Care, and of the Foundation for Hospice and Homecare, which made the
project possible.
ii
Executive Summary
The Public Mandate for Health Care Reform in America
What this study shows is a pattern in terms of American attitudes toward health care: a general
satisfaction with the quality of care; a general dissatisfaction with the way health care is financed; a desire
to go beyond the answers commonly suggested for reform; and a real commitment to long term care,
especially home care, preventive medicine and hospitals that provide a more caring atmosphere. What all
of this adds up to is a mandate for basic change in the country's health care system, change that builds on
existing quality but fundamentally alters the way services are delivered and financed.
Here are some of the major findings:
Context
- Quality of Health Care: Quite High: Overall 37% rate their health as "excellent", 46% as "pretty
good", 13% "only fair", and 4% "poor". When the excellent and pretty good are combined, 83% of
Americans consider themselves to be generally healthy. On actual health care experience 84% say
they are either "very satisfied" or "somewhat satisfied" with the quality of service they received in the
last year, with 45% saying "very satisfied". On the question of "the availability of the kind of health
care you want" the results are somewhat less positive than when it comes to the "quality of the
service you received in the last year", with 74% saying they are either "very satisfied" or "somewhat
satisfied".
- Cost of Health Care: A Problem: By a 53-43%, the respondents say they are satisfied with "the
cost of health care available to you." However only 24% take the position that they are "very
satisfied" with 26% saying they are "very dissatisfied". The groups that are most dissatisfied are
those 65 and over (35% "very dissatisfied"), those earning less than $15,000 a year (34% "very
dissatisfied"), who voted for Perot (35% dissatisfied), and those who rate their own health negative
(38% "very dissatisfied").
- Status Quo in Health Care Overwhelmingly Rejected: By 67% to 24%, a majority takes the view
that the current health care system needs to be overhauled. The survey asked the public to choose
between three different points of view about health care. "On the whole, the health care system
works pretty well and only minor changes are necessary to make it work better"; "There are some
good things about our health care system, but fundamental changes are needed to make it work
better"; and "Our health care system has so much wrong with it that we need to completely rebuild
it." Only 10% gave the first answer, while 53% say they agree with the second and 36% with the
third.
- Health Care a Top Priority: Among adult Americans 47% believe it should have the "highest
priority", and another 47% say it should have a "somewhat high priority". Only 5% say it should not
have a high priority at all. Even more positive is the responseto the question of whether health care
is a "fundamental right". Here by an 85-10% margin Americans believe it is.
iii
The Nature of the Mandate For Change
- Wide Support For Single Payer Plan With Choice: On a national single payer health insurance
plan, with government establishing fees, and a choice of doctor, a full 70% say they would support
such a national health system, with 20% opposed and 10% not sure.
- On the "Play or Pay" Option: The "play or pay" approach to health care found 33% in favor,
compared to 56% against, with 11% undecided.
- On Managed Competition: 29% favor, 59% oppose
- On Managed Care Through HMO: 59% are opposed, 30% in favor.
- On Universal Medicare Coverage: Nearly two-thirds (66%) favor such a system while 26% are
opposed and 8% undecided.
- On the British System Compared to the American: Some 35% say they would favor the British
system while 58% say they would "favor the system we have here."
- On the Canadian System: Here the results are very different with 66% preferring the Canadian
system and 30% "the system we have here".
Health Care Priorities
- Priorities: On a scale of one to five, the public was asked to rate the importance of a variety of
services in our health care system. On top, with 67% rating it a "one" very important, is "hospitals
that really care about the patients", followed by "long term care at home or in a nursing home"
(66%), preventive care (51%), "fast, convenient outpatient care" (46%), "unlimited availability of such
care as kidney dialysis, organ transplants, and plastic surgery" (33%), "long or extended hospital
stays," (30%) and extensive testing of patients (23%). Interestingly, if home care and nursing home
care are combined, long term care, with 66%, would rank second to "hospitals that really care about
the patients."
People were than asked which one or two of these items they would give the highest priority. In
this context the order shifts somewhat with preventive care clearly coming out first with 69%
mentioning it either as a first or second priority; this followed by "hospitals that really care about
people" (43%), "fast, convenient outpatient care" (29%), and "long term nursing home care" (26%).
When home care and nursing home care are combined, long term care would actually come in
second, at 51%.
iv
Long Term Care and the American Health Care System
- Experience: Some 50% of the American public say that they, a member of their family, or
someone they have known have needed long term care, while 50% say this has not been the case.
However, experience does not seem to radically alter attitudes on issues involving health care, even
long term care, as a result of having had an experience with long term care. LH Research ran a
special cross tabulation comparing the answers of those with experience and those without. The
results showed almost no significant difference in responses.
- Strong Preference For Home Care Over Nursing Home Care: By an overwhelming 79-14% the
American public says it prefers long term home care to long term nursing home care.
- Deep Concern About the Cost of Long Term Care: By 91% to 7% Americans say they could not
afford long term care. This is even greater than the 82-16% margin recorded in 1988.
- Strong Support For Federal Programs to Long Term Care for the Chronically III in All Age Groups:
For those 65 years old and above, 88% say they favor such a program, for those 20 to 64 years old
83%, and for those 19 and under 86%.
- Support For Extending Medicare Tax to Earnings Over $130,200: By 81-15% the public favors
such an approach to fund a program for long term care.
- High, But Not Highest Priority For Long Term Health Care: Some 31% say long term health care
should get the highest priority, while 54% say it should get a high but not top priority, only 11% say
it should get a lower priority.
All in all the American people are way ahead of their political leaders on health care. They are not
looking for piecemeal change. They want fundamental reform - with a choice of doctor and hospital but
based on national health insurance not managed care, a "play or pay" plan, or managed competition. Long
term care, with home care the preferred form of assistance, has strong support, along with preventive
medicine and the need for caring hospitals, in a revised health care system.
V
THE PUBLIC MANDATE FOR HEALTH CARE REFORM IN AMERICA
What this study shows is a fascinating pattern in terms of American attitudes
toward health care: a general satisfaction with the quality of care; a general
dissatisfaction with the way health care is financed; a desire to go beyond the answers
commonly suggested for reform; and a real commitment to preventive medicine, long
term care, especially home care, and hospitals that provide a more caring atmosphere.
What all of this adds up to is a mandate for basic change in the country's health care
priorities and its health care system, change that builds on existing quality but
fundamentally alters the way service are delivered and financed.
I
The Context
In general, Americans consider themselves by and large healthy, satisfied with
the quality of the services they receive, but dissatisfied with the way health care is
delivered and concerned, in many cases deeply concerned, about the cost involved.
Quality of Health Care: Quite High - Before discussing American attitudes on
health care issues it is useful to look at how Americans rate their own health. Overall
37% rate their health as "excellent", 46% as "pretty good", 13% "only fair", and 4%
"poor". When the excellent and pretty good categories are combined, 83% of
Americans consider themselves to be generally healthy. - with the most positive being
those 18 to 29 (90%), those earning $25,000 and above (91%), and the college
educated (94%). When the "only fair" and "poor" categories are pulled together, the
percentage is 17% for the country as a whole. However, certain groups show
significantly greater concern - blacks (26%), Hispanics (21%), those 65 and over
(36%), those earning under $15,000 (28%). (Table 1 - Q.8)
Overall 84% say they are either "very satisfied" or "somewhat satisfied" with the
quality of service they received in the last year, with 45% saying "very satisfied". The
level of satisfaction (using the "very satisfactory" category as the key indicator) is
highest among those earning more than $50,000 (54%), Republicans (54%), those
with a postgraduate education (59%), and those who voted for President Bush (55%).
It is lowest among blacks (36%), Hispanics (40%), those earning under $15,000
(40%), and those covered by an employer "play or pay" plan (39%). In terms of
expressing actual dissatisfaction, three groups stand out - those earning less than
$25,000 (17% either "somewhat" or "very dissatisfied"), those who rate their own
health as negative (24%) are satisfied, and those who supported Ross Perot (18%).
(Table 2, Q.1a)
The survey also asked the cross-section of 1250 adults about whether there
was any time in the last twelve months "when you or a member of your family needed
or thought you needed health care and could not get it?" A full 90% say there was not
such a time. Although the differences among key groups was fairly insignificant, a
number of groups do say there was such a time more often than others: 15% in the
West, 13% in the 18-29 age group, 14% of those earning under $15,000, and 17% of
those who rate their own health negatively. (Table 3, Q.2a) Of the 10% who answer
the question positively (that they or a family member could not get the health care
they thought they needed): 7 out of 10 cite cost in one way or another. (Table 4,
Q.2b)
However the overall positive results do not mean the public is completely
satisfied with the availability of health care. On the question of "the availability of the
kind of health care you want" (Q.1b) the results are somewhat less positive, than
3
LH RESEARCH, INC.
when it comes to the "quality of the service you received in the last year", with 74%
saying they are either "very satisfied" or "somewhat satisfied", with only 38% saying
they are "very satisfied". Again the level of those "very satisfied" is highest among
those earning over $50,000 (52%), Republicans (51%), those voting for Bush (48%),
and those with a postgraduate education (53%). The groups reporting the lowest "very
satisfied" levels are blacks (28%), Hispanics (22%), those earning under $15,000
(28%), and those who rate their health negative. This last group has among the
highest level of actual dissatisfaction (with 36% saying either "somewhat" or "very
dissatisfied"), along with those earning below $15,000 (38%), and Hispanics (35%).
(Table 5 - Q.1b)
Cost of Health Care: A Problem: - When it comes to the cost of health care, the
picture is quite different. By 53% to 43% the respondents say they are satisfied with
"the cost of health care available to you." However, only 24% take the position that
they are "very satisfied" with 26% saying they are "very dissatisfied". Interestingly
blacks and Hispanics are somewhat more positive than the rest of the population (58%
and 56% "very" or "somewhat satisfied"), probably because of Medicaid. The groups
that are most dissatisfied are those 65 and over (35% "very dissatisfied"), those
earning less than $15,000 a year (34% "very dissatisfied"), those who voted for Perot
(35% "very dissatisfied"), and those who rate their own health negative (38% "very
dissatisfied"). Interestingly, men are more dissatisfied with the cost of health care than
are women (31% "very dissatisfied" compared to 22%). By region, the Midwest and
South are the most dissatisfied (29% and 27% "very dissatisfied" respectively). Those
earning over $35,000 (59% are either "very" or "somewhat satisfied"), and those with
a postgraduate education (58% are either "very" or "somewhat satisfied"). However,
4
LH RESEARCH, INC.
it needs to be emphasized that high percentages among many groups show real
dissatisfaction with the cost of health care and that more people are "very dissatisfied"
than are "very satisfied". (Table 6 - Q.1c)
The results are somewhat more positive when it comes to "the health insurance
plan available to you." Some 67% say they are either "very" or "somewhat satisfied."
The most satisfied are the elderly (71%), the more affluent (72% among those earning
$35,000 - $50,000 and 78% for those over $50,000), Republicans (73%), and those
with college or postgraduate education (75% and 78% respectively). The least satisfied
are those earning under $15,000 (52%) and those who rate their health negative
(54%). (Table 7 - Q.1d)
Observation:
In general, when it comes to the quality and availability of health care, the public
is positive. In fact, this bears out other Harris findings, which indicate that Americans
and Canadians tend to be far more positive about the quality of care than residents
of other industrial countries. However, there is clearly a disturbing gap in terms of
income, education, race, and ethnicity - with blacks, Hispanics, and those earning
under $15,000 far more critical than more affluent Americans. On health care costs,
the response is very different and much more negative. On health insurance, the
response is more positive, but still a significant 28% say they are either "very" or
"somewhat dissatisfied". Consistently, those who believe they have the most health
problems - those who rate their health negative - are the least satisfied with the care
and coverage they receive.
Status Quo in Health Care Overwhelmingly Rejected: - However, despite the
generally positive views of care received, the public overwhelmingly opposes the
system as it now exists. By 67% to 24%, a majority takes the view that the current
health care system needs to be overhauled. This feeling is strongest in the West
(71%), and among Hispanics (70%), those 30-49 years old (71%), those earning
$35,000 to $50,000 (73%), Democrats (70%), Independents (73%), and Clinton and
5
LH RESEARCH, INC.
Perot voters (75% and 73% respectively). Interestingly enough, the group most
satisfied with existing health care - those with a post graduate education - are the most
opposed to the existing system with better than three out of four (76%) taking that
view. Only among those who oppose national health insurance do less than a majority
hold this view, and even there a plurality (47-43%) oppose the present system. (Table
8 - Q.3a)
The survey asked the public to choose between three different points of view
about health care: "On the whole, the health care system works pretty well and only
minor changes are necessary to make it work better"; "There are some good things
in our health care system, but fundamental changes are needed to make it work
better;" and "Our health care system has so much wrong with it that we need to
completely rebuild it." Only 10% give the first answer, while 53% say they agree with
the second and 36% with the third. That means 89% of the public opts for the idea
of fundamental reform. In 1987, 29% agreed with the first, 47% with the second, and
19% with the third; In five years the number saying the system should be completely
rebuilt nearly doubled, and the number supporting fundamental reform has gone up
by 23 percentage points.
The results are fairly uniform across the board, though fewer of those 18-29
years old (25%) opt for the third answer and more of those 65 and older (48%) do.
One other interesting difference is a comparison of Clinton and Bush voters; among
the former 42% take the more extreme position while only 25% of the latter do the
same. (Table 9 - Q.5)
Health Care a Top Priority: - When it comes to the issue of what kind of priority
health care reform should get from President Clinton, the public is overwhelmingly
6
LH RESEARCH, INC.
convinced that it should be a very high priority. Among adult Americans 47% believe
it should have "the highest priority", and another 47% say it should have a "somewhat
high priority". Only 5% say it should not have a high priority at all. The strongest in
the view that it should have the highest priority are blacks (54%), Hispanics (58%),
those 50-64 years of age (62%), those 65 and over (57%), those earning less than
$15,000 a year (58%), those who rate their own health in negative terms (54%), and
those who voted for Clinton (56%). In no case, not even among Bush voters, do more
than 11% say it should not be a priority at all. (Table 10 - Q.7g)
Even more positive is the response to the question of whether health care is a
"fundamental right". Here by an 85-10% margin Americans believe it is. Strongest
feelings are among blacks (93%), 18-29 year old (90%), those earning less than
$15,000 (93%), and Clinton voters (91%). Women are more in agreement (89%) than
men (81%). (Table 11 - Q.7h)
Observation:
All of this amounts to an overwhelming commitment to changing the existing
system, with 89% supporting "fundamental change". In terms of the priority it is given,
fully 94% gives it either a top or near-top priority. And, 85% of the public says that
health care should be a "fundamental right". That the "quality of care received" during
the last year is rated positively, as is "the availability of the kind of health care you
want", does not mean the public is at all satisfied with the existing system.
In fact, the situation is that while personally quite happy about the quality of their
own care, Americans are profoundly committed to change, in no small measure
because of the cost of health care. This feeling is strongest among the poor, blacks,
Hispanics, and Clinton voters, but support for basic change runs through virtually all
groups.
7
LH RESEARCH, INC.
TABLE 1 - QUESTION 8
OVERALL RATING OF PERSONAL HEALTH
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
To-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
EXCELLENT/
83%
87%
81%
81%
84%
85%
75%
79%
90%
85%
82%
64%
71%
78%
91%
91%
91%
88%
79%
80%
PRETTY GOOD
EXCELLENT
37%
39%
35%
39%
36%
39%
28%
34%
47%
41%
28%
20%
25%
29%
40%
42%
52%
46%
31%
36%
PRETTY GOOD
46%
49%
45%
42%
48%
46%
47%
45%
42%
44%
55%
43%
46%
49%
51%
49%
39%
42%
48%
43%
ONLY FAIR/POOR
17%
13%
19%
19%
14%
15%
26%
21%
9%
15%
18%
36%
28%
22%
10%
8%
9%
11%
21%
20%
ONLY FAIR
13%
9%
14%
16%
13%
11%
18%
20%
7%
14%
12%
26%
21%
18%
8%
8%
6%
7%
16%
17%
POOR
4%
4%
5%
3%
1%
3%
7%
2%
2%
1%
6%
11%
8%
4%
2%
*
3%
3%
5%
3%
NOT SURE
*
2%
*
1%
1%
1%
*
1%
*
NO ANSWER
8
LH RESEARCH, INC.
TABLE 1 - QUESTION 8
OVERALL RATING OF PERSONAL HEALTH
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE
FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
EXCELLENT/
83%
82%
84%
94%
89%
84%
85%
83%
86%
80%
82%
77%
84%
81%
85%
86%
85%
81%
82%
PRETTY GOOD
EXCELLENT
37%
39%
35%
53%
53%
38%
34%
43%
41%
34%
36%
36%
36%
43%
39%
42%
42%
35%
37%
PRETTY GOOD
46%
43%
48%
42%
35%
46%
50%
41%
45%
46%
46%
41%
47%
38%
45%
45%
43%
46%
45%
ONLY FAIR/POOR
17%
18%
16%
5%
10%
15%
15%
17%
14%
100%
20%
18%
23%
16%
18%
15%
13%
15%
18%
17%
ONLY FAIR
13%
15%
11%
5%
8%
12%
11%
14%
12%
78%
17%
14%
16%
14%
15%
13%
11%
13%
14%
13%
POOR
4%
3%
4%
1%
2%
4%
5%
3%
2%
22%
2%
4%
6%
3%
4%
2%
3%
2%
4%
4%
NOT SURE
*
*
*
1%
*
1%
*
*
*
*
*
*
NO ANSWER
9
LH RESEARCH, INC.
TABLE 2 - QUESTION 1A
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE QUALITY OF THE SERVICE YOU RECEIVED
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
84%
88%
80%
83%
85%
83%
85%
79%
81%
84%
85%
85%
79%
77%
88%
88%
90%
86%
85%
78%
SATISFIED
VERY SATISFIED
45%
47%
42%
44%
47%
46%
36%
40%
35%
44%
55%
48%
40%
41%
48%
44%
54%
54%
45%
39%
SOMEWHAT
39%
41%
38%
39%
38%
37%
48%
38%
45%
40%
31%
37%
39%
36%
40%
43%
36%
32%
41%
39%
SATISFIED
SOMEWHAT/VERY
13%
11%
14%
12%
12%
12%
14%
12%
16%
12%
9%
14%
17%
17%
11%
9%
8%
8%
13%
16%
DISSATISFIED
SOMEWHAT
7%
8%
9%
5%
8%
8%
7%
9%
10%
7%
3%
9%
7%
8%
8%
8%
6%
6%
8%
7%
DISSATISFIED
VERY
5%
3%
6%
7%
4%
4%
7%
4%
5%
5%
6%
5%
10%
9%
3%
2%
2%
2%
5%
8%
DISSATISFIED
NOT SURE
4%
2%
5%
4%
3%
5%
1%
10%
3%
5%
5%
1%
5%
6%
3%
3%
1%
5%
2%
6%
NO ANSWER
10
LH RESEARCH, INC.
TABLE 2 - QUESTION 1A
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE QUALITY OF THE SERVICE YOU RECEIVED
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
84%
80%
87%
89%
91%
85%
86%
87%
77%
74%
81%
83%
83%
83%
88%
84%
87%
83%
84%
84%
SATISFIED
VERY SATISFIED
45%
41%
48%
53%
59%
46%
43%
55%
38%
45%
41%
44%
45%
42%
53%
39%
47%
43%
43%
45%
SOMEWHAT
39%
39%
39%
35%
31%
39%
43%
32%
40%
28%
40%
39%
38%
41%
35%
45%
40%
40%
41%
38%
SATISFIED
SOMEWHAT/VERY
13%
16%
9%
8%
8%
12%
12%
10%
18%
24%
14%
13%
13%
13%
9%
13%
10%
13%
13%
13%
DISSATISFIED
SOMEWHAT
7%
8%
7%
6%
4%
7%
6%
7%
9%
13%
7%
8%
8%
8%
6%
7%
5%
6%
7%
7%
DISSATISFIED
VERY
5%
8%
3%
2%
4%
5%
5%
3%
9%
11%
7%
6%
5%
5%
4%
6%
5%
7%
5%
5%
DISSATISFIED
NOT SURE
4%
4%
4%
3%
1%
3%
2%
4%
5%
2%
5%
4%
4%
4%
2%
3%
3%
4%
4%
4%
NO ANSWER
11
LH RESEARCH, INC.
TABLE 3 - QUESTION 2A
OCCURRENCE OF A NEED FOR HEALTH CARE
THAT WAS NOT ATTENDED TO IN THE PAST 12 MONTHS
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
WAS SUCH A TIME
10%
7%
10%
8%
15%
9%
14%
10%
13%
10%
8%
8%
14%
10%
16%
7%
7%
7%
10%
13%
NO SUCH TIME
90%
92%
90%
91%
85%
90%
85%
91%
87%
90%
92%
91%
86%
90%
85%
93%
93%
93%
90%
87%
NOT SURE
*
1%
1%
*
1%
1%
1%
1%
*
1%
1%
1%
1%
NO ANSWER
12
LH RESEARCH, INC.
TABLE 3 - QUESTION 2A
OCCURRENCE OF A NEED FOR HEALTH CARE
THAT WAS NOT ATTENDED TO IN THE PAST 12 MONTHS
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
WAS SUCH A TIME
10%
10%
10%
6%
8%
10%
11%
8%
12%
17%
11%
10%
10%
11%
6%
10%
11%
7%
10%
10%
NO SUCH TIME
90%
90%
90%
94%
92%
89%
89%
91%
88%
83%
88%
90%
89%
88%
94%
90%
88%
93%
89%
89%
NOT SURE
*
1%
*
1%
*
1%
1%
*
1%
1%
*
1%
1%
1%
*
NO ANSWER
13
LH RESEARCH, INC.
TABLE 4 - QUESTION 2B
MAIN REASON FOR NOT GETTING THE HEALTH CARE NEEDED
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
WAS SUCH A TIME
10%
7%
10%
8%
15%
9%
14%
10%
13%
10%
8%
8%
14%
10%
16%
7%
7%
7%
10%
13%
LACK OF MONEY
4%
2%
4%
4%
9%
4%
5%
3%
6%
5%
2%
5%
6%
5%
6%
4%
3%
5%
2%
6%
COULDN' T AFFORD IT
NO INSURANCE
2%
2%
3%
3%
1%
2%
6%
1%
3%
4%
1%
4%
2%
3%
1%
2%
1%
3%
2%
COVERAGE FOR THE
CONDITION
COULDN'T GET
1%
*
1%
3%
1%
5%
2%
1%
*
1%
3%
1%
*
1%
1%
2%
DOCTOR'S
APPOINTMENT
COULDN'T GET INTO
*
*
*
*
1%
1%
1%
1%
1%
HOSPITAL
TOLD BY DOCTOR/
*
1%
*
*
1%
1%
*
1%
HOSPITAL CONDITION
DIDN'T REQUIRE
MEDICAL HELP
DIDN'T HAVE
*
*
*
*
1%
*
1%
*
*
TRANSPORTATION TO
DOCTOR/HOSPITAL
DIDN'T KNOW WHERE
*
*
*
*
*
1%
*
*
*
OR FROM WHOM TO
GET MEDICAL HELP
HAD INSURANCE BUT
1%
*
1%
*
*
1%
1%
*
1%
2%
1%
2%
*
*
1%
1%
IT PAID ONLY PART
OF THE BILL
OTHER
1%
3%
*
1%
1%
3%
1%
3%
1%
2%
1%
*
1%
1%
1%
NOT SURE
*
*
*
*
1%
*
1%
1%
1%
*
*
NO ANSWER
NO SUCH TIME
90%
92%
90%
91%
85%
90%
85%
91%
87%
90%
92%
91%
86%
90%
85%
93%
93%
93%
90%
87%
NOT SURE
*
1%
1%
*
1%
1%
1%
1%
*
1%
1%
1%
1%
NO ANSWER
14
LH RESEARCH, INC.
TABLE 4 - QUESTION 2B
MAIN REASON FOR NOT GETTING THE HEALTH CARE NEEDED
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE
FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
WAS SUCH A TIME
10%
10%
10%
6%
8%
10%
11%
8%
12%
17%
11%
10%
10%
11%
6%
10%
11%
7%
10%
10%
LACK OF MONEY
4 %
5%
4%
3%
1%
4%
4%
4%
6%
7%
5%
4%
4%
5%
2%
5%
7%
3%
4%
5%
COULDN' T AFFORD IT
NO INSURANCE
2%
2%
2%
1%
3%
3%
3%
2%
2%
4%
3%
2%
2%
3%
2%
1%
2%
1%
3%
3%
COVERAGE FOR THE
CONDITION
COULDN'T GET
1%
1%
1%
1%
1%
1%
1%
1%
2%
*
1%
1%
1%
1%
1%
1%
*
1%
1%
DOCTOR'S
APPOINTMENT
COULDN'T GET INTO
*
1%
*
1%
1%
*
*
*
1%
*
1%
*
*
HOSPITAL
TOLD BY DOCTOR/
*
*
*
*
*
1%
*
*
*
*
*
*
*
HOSPITAL CONDITION
DIDN'T REQUIRE
MEDICAL HELP
DIDN'T HAVE
*
*
*
*
*
*
*
*
1%
*
*
*
TRANSPORTATION TO
DOCTOR/HOSPITAL
DIDN'T KNOW WHERE
*
*
*
*
*
*
*
*
*
*
OR FROM WHOM TO
GET MEDICAL HELP
HAD INSURANCE BUT
1%
*
1%
1%
1%
1%
1%
2%
1%
1%
1%
1%
1%
*
*
1%
*
1%
*
IT PAID ONLY PART
OF THE BILL
OTHER
1%
1%
1%
1%
1%
1%
1%
2%
*
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
NOT SURE
*
*
*
1%
*
*
*
1%
*
*
1%
*
*
*
*
*
*
*
NO ANSWER
NO SUCH TIME
90%
90%
90%
94%
92%
89%
89%
91%
88%
83%
88%
90%
89%
88%
94%
90%
88%
93%
89%
89%
NOT SURE
*
1%
*
1%
*
1%
1%
1%
1%
*
1%
1%
1%
*
NO ANSWER
15
LH RESEARCH, INC.
TABLE 5 - QUESTION 1B
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE AVAILABILITY OF THE KIND OF HEALTH CARE YOU WANT
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
74%
77%
75%
73%
72%
76%
73%
58%
71%
76%
78%
69%
55%
74%
77%
81%
86%
81%
74%
73%
SATISFIED
VERY SATISFIED
38%
41%
35%
41%
37%
41%
28%
22%
33%
38%
44%
40%
28%
33%
37%
43%
52%
51%
33%
35%
SOMEWHAT
36%
36%
40%
32%
36%
35%
45%
36%
39%
38%
34%
29%
27%
42%
40%
37%
35%
30%
41%
38%
SATISFIED
SOMEWHAT/VERY
22%
19%
21%
23%
25%
20%
26%
35%
25%
21%
18%
24%
38%
21%
20%
18%
13%
17%
23%
23%
DISSATISFIED
SOMEWHAT
11%
9%
10%
12%
13%
11%
12%
17%
18%
12%
5%
7%
14%
11%
13%
11%
9%
8%
11%
12%
DISSATISFIED
VERY
11%
10%
10%
11%
12%
9%
14%
17%
7%
10%
13%
17%
24%
10%
7%
7%
4%
9%
12%
11%
DISSATISFIED
NOT SURE
4%
4%
5%
3%
2%
4%
1%
8%
4%
2%
5%
7%
7%
4%
4%
1%
1%
2%
4%
4%
NO ANSWER
16
LH RESEARCH, INC.
TABLE 5 - QUESTION 1B
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE AVAILABILITY OF THE KIND OF HEALTH CARE YOU WANT
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
74%
73%
76%
85%
88%
77%
74%
82%
75%
61%
70%
74%
73%
73%
83%
76%
81%
76%
73%
75%
SATISFIED
VERY SATISFIED
38%
37%
40%
49%
53%
40%
36%
48%
38%
26%
35%
37%
37%
35%
52%
35%
40%
35%
36%
39%
SOMEWHAT
36%
36%
36%
37%
34%
36%
38%
34%
37%
35%
34%
37%
36%
38%
31%
42%
41%
40%
38%
36%
SATISFIED
SOMEWHAT/VERY
22%
24%
20%
13%
13%
21%
23%
16%
24%
36%
26%
22%
24%
23%
15%
21%
16%
19%
23%
21%
DISSATISFIED
SOMEWHAT
11%
11%
11%
6%
7%
9%
11%
6%
11%
13%
10%
11%
11%
12%
8%
12%
10%
8%
12%
10%
DISSATISFIED
VERY
11%
13%
9%
6%
4 %
11%
12%
10%
13%
23%
17%
11%
13%
11%
7%
9%
6%
11%
11%
11%
DISSATISFIED
NOT SURE
4%
3%
4%
2%
1%
3%
4%
3%
2%
2%
4%
4%
3%
4%
2%
3%
3%
5%
4%
4%
NO ANSWER
17
LH RESEARCH, INC.
TABLE 6 - QUESTION 1C
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE COST OF THE HEALTH CARE AVAILABLE TO YOU
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
53%
61%
49%
50%
57%
53%
58%
56%
55%
51%
55%
51%
48%
51%
51%
59%
58%
57%
58%
46%
SATISFIED
VERY SATISFIED
24%
24%
26%
25%
21%
25%
23%
22%
22%
20%
31%
33%
22%
22%
22%
28%
29%
30%
27%
18%
SOMEWHAT
29%
37%
23%
26%
36%
27%
35%
34%
34%
32%
24%
17%
27%
29%
30%
31%
29%
28%
32%
28%
SATISFIED
SOMEWHAT/VERY
43%
37%
46%
45%
41%
43%
38%
38%
39%
46%
40%
45%
46%
45%
46%
39%
38%
41%
37%
50%
DISSATISFIED
SOMEWHAT
16%
12%
16%
18%
18%
18%
12%
14%
18%
18%
15%
11%
12%
16%
17%
17%
21%
17%
15%
16%
DISSATISFIED
VERY
26%
24%
29%
27%
22%
25%
26%
23%
22%
28%
24%
35%
34%
29%
29%
22%
17%
24%
23%
34%
DISSATISFIED
NOT SURE
4%
3%
6%
4%
2%
4%
4%
8%
5%
3%
6%
5%
6%
5%
3%
2%
4%
2%
4%
5%
NO ANSWER
18
LH RESEARCH, INC.
TABLE 6 - QUESTION 1C
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE COST OF THE HEALTH CARE AVAILABLE TO YOU
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
53%
47%
58%
55%
58%
50%
51%
55%
41%
48%
47%
52%
54%
51%
62%
55%
54%
51%
oto
54%
53%
SATISFIED
VERY SATISFIED
24%
21%
27%
26%
26%
24%
25%
27%
17%
23%
22%
23%
25%
22%
32%
23%
25%
21%
23%
24%
SOMEWHAT
29%
26%
31%
28%
32%
26%
26%
28%
23%
25%
26%
29%
29%
29%
31%
31%
29%
30%
31%
28%
SATISFIED
SOMEWHAT/VERY
43%
49%
38%
43%
41%
46%
45%
43%
53%
48%
49%
44%
43%
45%
34%
41%
42%
44%
42%
44%
DISSATISFIED
SOMEWHAT
16%
17%
16%
23%
23%
18%
19%
16%
19%
10%
13%
17%
14%
17%
18%
18%
17%
19%
15%
17%
DISSATISFIED
VERY
26%
31%
22%
19%
17%
28%
26%
28%
35%
38%
35%
27%
28%
28%
17%
23%
25%
25%
26%
27%
DISSATISFIED
NOT SURE
4%
4%
4%
2%
2%
3%
4%
2%
6%
5%
4%
4%
3%
5%
3%
4%
3%
4%
5%
4%
NO ANSWER
19
LH RESEARCH, INC.
TABLE 7 - QUESTION 1D
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE HEALTH INSURANCE PLAN AVAILABLE TO YOU
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
67%
73%
62%
67%
68%
68%
69%
63%
67%
66%
66%
71%
52%
63%
70%
72%
78%
73%
69%
60%
SATISFIED
VERY SATISFIED
32%
34%
31%
31%
30%
34%
26%
23%
30%
29%
33%
40%
26%
31%
30%
31%
42%
40%
32%
28%
SOMEWHAT
35%
39%
31%
36%
38%
34%
43%
40%
37%
37%
32%
30%
26%
33%
41%
41%
36%
33%
37%
33%
SATISFIED
SOMEWHAT/VERY
28%
24%
32%
29%
24%
27%
30%
28%
25%
30%
29%
27%
40%
33%
28%
25%
19%
23%
26%
35%
DISSATISFIED
SOMEWHAT
13%
10%
13%
15%
11%
13%
14%
8%
11%
14%
13%
11%
11%
12%
14%
15%
12%
9%
13%
15%
DISSATISFIED
VERY
15%
14%
19%
15%
13%
14%
16%
20%
13%
16%
16%
16%
29%
21%
14%
9%
7%
14%
13%
20%
DISSATISFIED
NOT SURE
5%
2%
6%
3%
8%
5%
1%
9%
7%
4%
5%
2%
8%
4%
3%
4%
3%
4%
5%
5%
NO ANSWER
20
LH RESEARCH, INC.
TABLE 7 - QUESTION 1D
SATISFACTION WITH HEALTH CARE SERVICES USED IN THE PAST YEAR
- THE HEALTH INSURANCE PLAN AVAILABLE TO YOU
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
of
100%
or
100%
oto
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
VERY/SOMEWHAT
67%
67%
68%
75%
77%
67%
66%
72%
62%
54%
59%
65%
oto
66%
66%
74%
oto
67%
71%
66%
65%
66%
SATISFIED
VERY SATISFIED
32%
29%
34%
36%
34%
32%
31%
38%
24%
23%
29%
30%
31%
29%
41%
30%
32%
33%
30%
32%
SOMEWHAT
35%
37%
33%
39%
43%
35%
35%
34%
38%
32%
31%
35%
35%
37%
33%
36%
39%
33%
35%
34%
SATISFIED
SOMEWHAT/VERY
28%
30%
26%
23%
22%
29%
30%
24%
34%
41%
36%
30%
30%
29%
22%
27%
25%
29%
30%
29%
DISSATISFIED
SOMEWHAT
13%
13%
13%
12%
15%
13%
14%
11%
15%
12%
15%
14%
11%
14%
11%
14%
12%
op
11%
13%
14%
DISSATISFIED
VERY
15%
17%
14%
11%
7%
16%
16%
14%
19%
29%
21%
16%
18%
15%
11%
13%
13%
18%
17%
15%
DISSATISFIED
NOT SURE
5%
3%
6%
2%
1%
4%
4%
4%
5%
4%
5%
5%
4%
5%
4%
7%
4%
6%
6%
5%
NO ANSWER
21
LH RESEARCH, INC.
TABLE 8 - QUESTION 3A
WHETHER FAVOR/OPPOSE PRESENT HEALTH CARE SYSTEM
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
24%
25%
25%
26%
19%
24%
30%
19%
32%
23%
23%
17%
25%
25%
22%
22%
28%
34%
22%
18%
OPPOSE
67%
69%
66%
64%
71%
67%
62%
70%
60%
71%
68%
67%
66%
69%
68%
73%
66%
56%
70%
73%
NOT SURE
9%
6%
9%
10%
10%
10%
8%
10%
8%
7%
9%
16%
9%
7%
11%
5%
6%
10%
8%
9%
NO ANSWER
22
LH RESEARCH, INC.
TABLE 8 - QUESTION 3A
WHETHER FAVOR/OPPOSE PRESENT HEALTH CARE SYSTEM
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
24%
28%
20%
26%
18%
22%
16%
32%
20%
27%
16%
22%
21%
20%
44%
26%
27%
25%
22%
23%
OPPOSE
67%
66%
67%
67%
76%
69%
75%
58%
73%
64%
76%
69%
67%
73%
47%
68%
67%
67%
70%
69%
NOT SURE
9%
5%
12%
8%
6%
9%
9%
10%
8%
9%
8%
9%
12%
8%
8%
7%
7%
9%
8%
8%
NO ANSWER
23
LH RESEARCH, INC.
TABLE 9 - QUESTION 5
OVERALL VIEW OF THE HEALTH CARE SYSTEM IN THIS COUNTRY
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
ON THE WHOLE, THE
10%
10%
9%
11%
10%
10%
9%
11%
13%
9%
10%
5%
7%
6%
7%
14%
14%
15%
9%
7%
HEALTH CARE SYSTEM
WORKS PRETTY WELL
AND ONLY MINOR
CHANGES ARE
NECESSARY TO MAKE IT
WORK BETTER
THERE ARE SOME GOOD
53%
51%
51%
56%
52%
53%
50%
53%
61%
55%
43%
45%
51%
50%
52%
55%
59%
56%
52%
51%
THINGS IN OUR HEALTH
CARE SYSTEM, BUT
FUNDAMENTAL CHANGES
ARE NEEDED TO MAKE
IT WORK BETTER
OUR HEALTH CARE
36%
38%
38%
32%
36%
36%
37%
35%
25%
33%
46%
48%
41%
44%
39%
30%
24%
28%
37%
41%
SYSTEM HAS so MUCH
WRONG WITH IT THAT
WE NEED TO
COMPLETELY REBUILD
IT
NOT SURE
2%
2%
3%
1%
2%
2%
4%
3%
1%
3%
2%
2%
*
1%
3%
1%
2%
1%
3%
1%
NO ANSWER
24
LH RESEARCH, INC.
TABLE 9 - QUESTION 5
OVERALL VIEW OF THE HEALTH CARE SYSTEM IN THIS COUNTRY
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
ON THE WHOLE, THE
10%
14%
6%
10%
11%
9%
6%
16%
5%
13%
5%
8%
7%
6%
26%
10%
10%
8%
8%
9%
HEALTH CARE SYSTEM
WORKS PRETTY WELL
AND ONLY MINOR
CHANGES ARE
NECESSARY TO MAKE IT
WORK BETTER
THERE ARE SOME GOOD
53%
47%
58%
63%
60%
54%
49%
59%
57%
43%
43%
53%
48%
51%
55%
55%
54%
55%
54%
54%
THINGS IN OUR HEALTH
CARE SYSTEM, BUT
FUNDAMENTAL CHANGES
ARE NEEDED TO MAKE
IT WORK BETTER
OUR HEALTH CARE
36%
38%
34%
24%
28%
36%
42%
25%
38%
42%
50%
38%
43%
41%
17%
33%
35%
35%
36%
36%
SYSTEM HAS so MUCH
WRONG WITH IT THAT
WE NEED TO
COMPLETELY REBUILD
IT
NOT SURE
2%
2%
2%
1%
1%
2%
3%
1%
1%
2%
2%
2%
2%
1%
2%
2%
1%
1%
2%
1%
NO ANSWER
25
LH RESEARCH, INC.
TABLE 10 - QUESTION 7G
PRIORITY CLINTON ADMINISTRATION SHOULD GIVE TO HEALTH CARE REFORM
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
THE HIGHEST PRIORITY
47%
48%
49%
44%
47%
45%
54%
58%
35%
43%
62%
57%
58%
45%
46%
43%
42%
32%
56%
48%
SOMWEHAT HIGH PRIORITY
47%
46%
44%
51%
44%
48%
40%
37%
61%
50%
31%
35%
38%
48%
48%
52%
50%
56%
41%
47%
NOT A HIGH PRIORITY
5%
3%
4%
5%
7%
5%
5%
3%
4%
5%
6%
3%
1%
5%
6%
4%
8%
9%
1%
5%
AT ALL
NOT SURE
2%
2%
3%
1%
1%
2%
1%
3%
1%
2%
2%
6%
2%
2%
2%
1%
*
2%
2%
1%
NO ANSWER
26
LH RESEARCH, INC.
TABLE 10 - QUESTION 7G
PRIORITY CLINTON ADMINISTRATION SHOULD GIVE TO HEALTH CARE REFORM
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
THE HIGHEST PRIORITY
47%
43%
50%
38%
45%
46%
56%
33%
45%
54%
100%
52%
67%
54%
27%
45%
42%
48%
51%
50%
SOMWEHAT HIGH PRIORITY
47%
48%
45%
55%
50%
47%
42%
54%
52%
39%
44%
30%
44%
54%
52%
51%
48%
45%
46%
NOT A HIGH PRIORITY
5%
7%
2%
6%
6%
5%
1%
11%
3%
5%
2%
1%
1%
17%
2%
6%
3%
2%
3%
AT ALL
NOT SURE
2%
1%
3%
1%
1%
1%
2%
1%
2%
2%
2%
1%
2%
1%
1%
1%
1%
1%
NO ANSWER
27
LH RESEARCH, INC.
TABLE 11 - QUESTION 7H
WHETHER HEALTH CARE IS A FUNDAMENTAL RIGHT
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
SHOULD BE A
85%
89%
85%
82%
86%
83%
93%
83%
90%
84%
85%
81%
93%
89%
82%
82%
77%
74%
91%
88%
FUNDAMENTAL RIGHT
SHOULD NOT BE A
10%
7%
11%
12%
9%
11%
6%
9%
7%
12%
12%
7%
5%
6%
11%
13%
20%
20%
6%
7%
FUNDAMENTAL RIGHT
NOT SURE
5%
4%
4%
5%
5%
6%
1%
9%
3%
4%
3%
13%
2%
5%
7%
5%
3%
6%
4%
5%
NO ANSWER
28
LH RESEARCH, INC.
TABLE 11 - QUESTION 7H
WHETHER HEALTH CARE IS A FUNDAMENTAL RIGHT
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
SHOULD BE A
85%
81%
89%
81%
82%
84%
91%
72%
86%
90%
94%
100%
92%
91%
67%
87%
83%
85%
90%
88%
FUNDAMENTAL RIGHT
SHOULD NOT BE A
10%
16%
4%
16%
15%
11%
6%
21%
9%
5%
4%
3%
5%
28%
9%
14%
11%
7%
8%
FUNDAMENTAL RIGHT
NOT SURE
5%
3%
6%
3%
3%
5%
4%
6%
5%
5%
2%
5%
4%
5%
4%
4%
3%
3%
4%
NO ANSWER
29
LH RESEARCH, INC.
II
The Nature of the Mandate for Change
In order to explore the nature of the mandate for change, the survey asked
about a number of different potential models.
First, it asked all people interviewed, "One alternative is a system of national
health insurance, under which the government pays all the bills, with the patient not
paying any of the bills directly. However, the government would pay a set amount for
each service that people receive from their doctor and hospital, thereby controlling
health care costs. Each person could choose his or her own doctor or hospital, much
as they do now. Would you favor or oppose this system?"
A full 70% say they would support such a national health care system, with 20%
opposed and 10% not sure. Strongest support is in the East (76%), among blacks
(82%), young people 18-29 (76%), those with incomes below $25,000, Democrats
(79%), and Clinton supporters (79%). Lowest support comes from Republicans (54%),
Bush voters (50%), and the college educated (51%). However, 65% of those with a
postgraduate education support it. Though a very strong result, it is slightly lower
than the response to a similar question asked in November of 1991 when 79% said
they favored such an approach and 19% said they opposed it. (Table 12 - Q.3b)
Second, the survey asked about a "play or pay" approach to health insurance:
"Another alternative is a system under which each employer would have to pay for
health insurance for the employees of that company or organization, and, if an
employer does not pay for such a plan, then the employer is taxed an amount equal
to what it would cost to pay for health insurance, and the insurance would be provided
30
LH RESEARCH, INC.
by the government. This plan would not cover the costs of long term care, including
nursing home or in-home care. Would you favor or oppose this system?" (Q.3c)
The "play or pay" approach to health care found 33% in favor, compared to 56%
against, with 11% undecided. Those most in favor include Hispanics (45%) and those
18-29 (47%), perhaps in both cases because their relative youth means that long term
care is of less importance. Those most opposed are those 50-64 years old (68%),
those 65 and over (66%) and those earning over $50,000 a year (64%). (Table 13 -
Q.3c)
Third, the study examined a "Managed Care" option. The questionnaire put
forward the following proposal and asked for the public's reaction: "Another plan is
called Managed Competition, under which large health maintenance organizations
would be encouraged to provide most of the health care in the country. They would
compete with others in the same community for people's business. At the same time,
the government would set prices for all health services received. The privately owned
HMO's would guarantee everyone signed up in them full doctor and hospital services,
although under some HMO's, patients may not have the same doctors to take care
of them. The plan would not include costs of long-term care including nursing home
or in-home care. Would you favor or oppose such a system?"
By 59-30% Americans reject such an approach. Those most strongly in favor
(though it should be stressed that among no group is there a majority in support), are
people earning $25,000 - $35,000 (38%) and those with a postgraduate education
(40%). Those most opposed include blacks (65%), Americans 65 years old and above
(65%), those earning under $15,000 (63%), and Clinton voters (64%). In both, the
case of "managed care" and "pay and play" those who are most concerned about the
31
LH RESEARCH, INC.
importance of long-term care are the strongest in opposition (66%) in the case of the
former and (55%) in the case of the latter. (Table 14 - Q.3d)
A fourth proposition was put forward - another version of the concept of
"managed care" - involving the use of a payroll tax. The question put to respondents
was as follows: "Finally, another system of health care would also encourage people
to sign up in special organizations approved by the government, representing large
numbers of people. These sponsor organizations, as they would be called, would
then drive bargains for their members with private health maintenance organizations.
All medical costs would be paid for by a payroll tax on each employer and employee,
which would go into a fund regulated by the government, individual sponsoring
organizations would then offer their members two HMO's to choose from, deciding
which would appeal to them more. If a person wanted more services beyond the
basics, they could pay more for more extensive coverage. This plan would not cover
the costs of long-term care, including nursing home or in-home care. Would you favor
or oppose such a system?"
The results are very similar to those in the previous two questions - 59%
opposed, 30% in favor. Those most in favor include the young (37%), Hispanics
(35%), and those earning over $50,000 (35%), and then those with a postgraduate
education (35%). In no case, does a majority of any group support the proposal.
Those most opposed are blacks (64%) and those earning $35,000 - $50,000 (64%).
(Table 15 - Q.3e)
Then a fifth, and final, general proposition was put forward - Universal Medicare
Coverage: "Another plan would create a health security system similar to Social
Security. Like Social Security, Medicare would expand to include people of all ages.
32
LH RESEARCH, INC.
Everyone would pay into the health security program during their working years in
exchange for comprehensive and long-term care protection when they are
unemployed, retired, disabled, or chronically ill. Employers would be required to
provide the same comprehensive package of benefits as the public health security
program either through private insurance or by buying into the public plan.
Comprehensive budgeting to control costs would be an important part of this plan, as
would quality control provisions. Would you favor or oppose such a system?" (Q.3f)
Nearly two-thirds (66%) favor such a system while 26% are opposed and 8%
undecided. Those most favorable are blacks (81%), Hispanics (77%), Clinton
supporters (72%), and those who give long-term care a high priority (74%). Most
opposed are those earning over $50,000 (37%), Republicans (37%), the college
educated (39%), those with a postgraduate education (42%), and Bush supporters
(40%). (Table 16 - Q.3f)
Observation:
While these options do not include all possible health care alternatives, they do
represent the major ones being discussed now in Washington. The results show
overwhelming support for national health insurance, with a choice of a doctor or
hospital. Medicare expansion is only slightly behind national health care in terms of
broad public support. The "play or pay" option lacks support, as do two variations of
"managed care". In the three options voted down there would be no long term care
component - no doubt a significant factor in their defeat.
The study also looked specifically at attitudes toward two models of national
health insurance the British and the Canadian - compared to the "system we have
here". The survey described the British system as one in which "the government pays
most of the cost of health care, for everyone out of taxes, and the doctors and
33
LH RESEARCH, INC.
hospitals work for the government" and in which "people can choose their family
doctors but not their specialist or hospitals." Some 35% say they would favor the
British system while 58% say they would "favor the system we have here." The most
positive about the British system are those 18-29 years old (41%), those earning
$15,000 - $25,000 (42%), and Perot voters (44%), and Independents (42%). Those
most opposed are the elderly (68%), Republicans (71%), Hispanics (64%), and Bush
voters (73%). (Table 17 - Q.6A)
In the case of the Canadian system the survey described it this way, II the
government pays most of the cost of health care for everyone out of taxes, and the
government sets all fees charged by doctors and hospitals. Under the Canadian
system people can choose their own doctors and hospitals." Here the results are very
different with 66% preferring the Canadian system and 30% "the system we have here".
Support is greatest for the Canadian system among those 18-29 years old (71%),
those earning $25,000 to $35,000 (71%), Democrats (76%), Independents (72%),
those who give long term health care a priority (71%), those with postgraduate
education (73%), and Clinton supporters (78%). Those most negative include those
over 65 (38%), the college educated (40%), Republicans, and Bush voters (both 50%).
(Table 18 - Q.6b)
Observation:
While Americans are clearly in favor of more fundamental change than is being
discussed in Washington, they are not indiscriminate about the change they want.
Yes, they support a single payer system, but they also want choice. Generally those
most concerned about the cost of medical care are the most supportive of sweeping
change, but significantly other groups are also strongly for it, for example those 18 to
29 years old and those with a postgraduate education. By any token, there are strong
majorities in favor of a system of national health insurance, whether through an
extension of Medicare or moving toward the Canadian system. Other commonly
mentioned alternatives simply do not command substantial support.
34
LH RESEARCH, INC.
TABLE 12 - QUESTION 3B
WHETHER FAVOR/OPPOSE NATIONAL HEALTH INSURANCE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
70%
76%
68%
68%
69%
67%
82%
73%
78%
66%
68%
70%
77%
74%
70%
69%
61%
54%
79%
72%
OPPOSE
20%
16%
21%
22%
20%
22%
13%
11%
17%
23%
20%
16%
16%
17%
19%
20%
31%
33%
12%
18%
NOT SURE
10%
9%
11%
9%
11%
11%
6%
16%
5%
11%
13%
14%
8%
10%
11%
12%
9%
13%
9%
10%
NO ANSWER
35
LH RESEARCH, INC.
TABLE 12 - QUESTION 3B
WHETHER FAVOR/OPPOSE NATIONAL HEALTH INSURANCE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
70%
66%
73%
51%
65%
67%
79%
50%
65%
67%
80%
75%
80%
100%
74%
67%
68%
76%
72%
OPPOSE
20%
25%
15%
35%
28%
22%
10%
39%
22%
22%
11%
16%
11%
100%
20%
25%
22%
15%
19%
NOT SURE
10%
8%
12%
13%
7%
11%
11%
11%
14%
11%
8%
10%
9%
6%
8%
9%
9%
9%
NO ANSWER
36
LH RESEARCH, INC.
TABLE 13 - QUESTION 3C
WHETHER FAVOR/OPPOSE "EMPLOYER PLAY OR PAY"
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
33%
33%
37%
30%
29%
32%
35%
45%
47%
34%
24%
17%
34%
33%
35%
38%
28%
32%
37%
30%
OPPOSE
56%
57%
52%
58%
61%
57%
57%
39%
46%
53%
68%
66%
55%
53%
58%
53%
64%
57%
54%
57%
NOT SURE
11%
10%
12%
12%
10%
11%
8%
16%
7%
13%
8%
17%
11%
15%
7%
9%
7%
10%
9%
13%
NO ANSWER
37
LH RESEARCH, INC.
TABLE 13 - QUESTION 3C
WHETHER FAVOR/OPPOSE "EMPLOYER PLAY OR PAY"
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
33%
36%
30%
34%
32%
31%
32%
28%
35%
29%
32%
34%
31%
35%
33%
100%
44%
41%
39%
36%
OPPOSE
56%
56%
56%
59%
58%
58%
59%
59%
55%
53%
57%
55%
55%
55%
61%
48%
50%
50%
55%
NOT SURE
11%
8%
14%
7%
9%
11%
9%
13%
10%
18%
12%
11%
14%
10%
6%
8%
8%
11%
10%
NO ANSWER
38
LH RESEARCH, INC.
TABLE 14 - QUESTION 3D
WHETHER FAVOR/OPPOSE "MANAGED CARE"
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
29%
32%
26%
29%
35%
30%
29%
26%
33%
32%
27%
20%
22%
34%
38%
32%
29%
35%
26%
27%
OPPOSE
59%
58%
62%
60%
52%
58%
65%
60%
58%
57%
59%
65%
63%
56%
53%
62%
60%
53%
63%
62%
NOT SURE
12%
10%
13%
11%
13%
12%
6%
14%
9%
11%
14%
14%
15%
10%
10%
6%
12%
12%
11%
12%
NO ANSWER
39
LH RESEARCH, INC.
TABLE 14 - QUESTION 3D
WHETHER FAVOR/OPPOSE "MANAGED CARE" "
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO FA-
OP
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
29%
35%
24%
34%
40%
30%
26%
34%
33%
23%
26%
29%
23%
28%
37%
39%
100%
45%
27%
31%
OPPOSE
59%
55%
62%
54%
56%
58%
64%
54%
51%
62%
62%
60%
66%
62%
54%
52%
44%
62%
58%
NOT SURE
12%
9%
14%
12%
5%
11%
9%
12%
16%
15%
12%
12%
10%
9%
9%
9%
11%
11%
10%
NO ANSWER
40
LH RESEARCH, INC.
TABLE 15 - QUESTION 3E
WHETHER FAVOR/OPPOSE "HMO SPONSOR"
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER $15-
$25
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
30%
35%
28%
30%
30%
30%
30%
35%
37%
29%
29%
25%
30%
34%
28%
27%
35%
32%
31%
29%
OPPOSE
59%
58%
62%
59%
53%
58%
64%
58%
55%
60%
60%
60%
58%
55%
59%
64%
55%
55%
60%
59%
NOT SURE
11%
8%
10%
12%
18%
12%
6%
8%
8%
12%
12%
15%
12%
11%
13%
9%
11%
13%
9%
12%
NO ANSWER
41
LH RESEARCH, INC.
TABLE 15 - QUESTION 3E
WHETHER FAVOR/OPPOSE "HMO SPONSOR"
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
0/0
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
30%
33%
27%
31%
35%
31%
30%
32%
33%
27%
31%
30%
26%
30%
34%
38%
46%
100%
34%
31%
OPPOSE
59%
58%
59%
59%
53%
58%
60%
56%
55%
62%
58%
58%
62%
60%
57%
53%
41%
56%
58%
NOT SURE
11%
9%
13%
11%
11%
11%
10%
12%
13%
11%
11%
11%
12%
10%
10%
9%
13%
10%
11%
NO ANSWER
42
LH RESEARCH, INC.
TABLE 16 - QUESTION 3F
WHETHER FAVOR/OPPOSE "MEDICARE EXPANSION" "
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
66%
72%
67%
63%
61%
63%
81%
77%
71%
65%
68%
55%
67%
71%
63%
71%
56%
56%
74%
67%
OPPOSE
26%
21%
25%
29%
29%
28%
16%
17%
25%
27%
23%
29%
23%
19%
28%
26%
37%
37%
19%
23%
NOT SURE
8%
7%
9%
9%
9%
9%
4%
6%
4%
8%
9%
15%
10%
9%
10%
4%
7%
7%
7%
10%
NO ANSWER
43
LH RESEARCH, INC.
TABLE 16 - QUESTION 3F
WHETHER FAVOR/OPPOSE "MEDICARE EXPANSION"
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
65%
64%
67%
51%
55%
64%
72%
52%
63%
71%
71%
70%
74%
72%
49%
77%
61%
74%
100%
70%
OPPOSE
25%
30%
22%
39%
42%
28%
22%
40%
26%
21%
21%
23%
17%
21%
45%
19%
30%
21%
23%
NOT SURE
8%
6%
11%
10%
4%
8%
7%
9%
11%
8%
7%
7%
9%
8%
6%
4%
9%
5%
7%
NO ANSWER
44
LH RESEARCH, INC.
TABLE 17 - QUESTION 6A
PREFERENCE FOR THE BRITISH NATIONAL HEALTH CARE SYSTEM OR
THE HEALTH CARE SYSTEM WE NOW HAVE IN THIS COUNTRY
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
BRITISH SYSTEM
35%
37%
32%
33%
39%
35%
36%
31%
41%
34%
35%
25%
33%
42%
39%
35%
28%
23%
36%
42%
SYSTEM WE HAVE HERE
58%
55%
61%
59%
55%
58%
57%
64%
55%
59%
55%
68%
61%
50%
55%
58%
68%
71%
58%
48%
NOT SURE
7%
8%
7%
8%
6%
7%
6%
5%
4%
7%
10%
7%
6%
8%
8%
7%
4%
6%
6%
10%
NO ANSWER
45
LH RESEARCH, INC.
TABLE 17 - QUESTION 6A
PREFERENCE FOR THE BRITISH NATIONAL HEALTH CARE SYSTEM OR
THE HEALTH CARE SYSTEM WE NOW HAVE IN THIS COUNTRY
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
BRITISH SYSTEM
35%
38%
31%
32%
36%
35%
40%
22%
44%
31%
41%
38%
37%
41%
17%
38%
38%
34%
38%
38%
SYSTEM WE HAVE HERE
58%
55%
61%
60%
58%
58%
53%
73%
47%
63%
52%
55%
55%
51%
80%
55%
54%
60%
56%
55%
NOT SURE
7%
7%
7%
8%
6%
7%
7%
6%
10%
6%
7%
7%
8%
7%
4%
7%
8%
5%
6%
7%
NO ANSWER
46
LH RESEARCH, INC.
TABLE 18 - QUESTION 6B
PREFERENCE FOR THE CANADIAN SYSTEM OF NATIONAL HEALTH INSURANCE OR
THE HEALTH CARE SYSTEM WE NOW HAVE IN THIS COUNTRY
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
CANADIAN SYSTEM
66%
70%
66%
63%
67%
65%
70%
60%
71%
67%
63%
60%
65%
69%
71%
67%
59%
46%
76%
72%
SYSTEM WE HAVE HERE
30%
27%
30%
35%
27%
31%
29%
37%
26%
29%
32%
38%
34%
28%
27%
29%
37%
50%
22%
24%
NOT SURE
4%
3%
4%
2%
6%
4%
2%
4%
3%
4%
5%
2%
2%
3%
3%
4%
4%
4%
3%
4%
NO ANSWER
47
LH RESEARCH, INC.
TABLE 18 - QUESTION 6B
PREFERENCE FOR THE CANADIAN SYSTEM OF NATIONAL HEALTH INSURANCE OR
THE HEALTH CARE SYSTEM WE NOW HAVE IN THIS COUNTRY
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
CANADIAN SYSTEM
66%
64%
69%
57%
73%
66%
78%
46%
70%
61%
78%
71%
71%
77%
34%
70%
64%
66%
71%
69%
SYSTEM WE HAVE HERE
30%
33%
28%
40%
24%
30%
20%
50%
24%
36%
20%
25%
26%
20%
63%
27%
33%
31%
26%
28%
NOT SURE
4%
3%
4%
3%
3%
4%
2%
5%
6%
3%
2%
4%
3%
3%
3%
3%
3%
4%
3%
3%
NO ANSWER
48
LH RESEARCH, INC.
III
Health Care Priorities
On a scale of one to five, the public was asked to rate the importance of a
variety of services in our health care system. On top, with 67% rating it a "one" or
"very important" is "hospitals that really care about the patients", followed by preventive
care (61%), "fast, convenient outpatient care" (46%), long term home care (33%),
long term nursing home care (33%), "unlimited availability of such care as kidney
dialysis, organ transplants, and plastic surgery" (33%), "long or extended hospital
stays," (30%) and extensive testing of patients (23%). Interestingly, if home care and
nursing home care are combined, long term care, with 66%, would rank second to
"hospitals that really care about the patients."
Rating on a Scale of 1-5 of Health Care Priorities
1
2
3
4
5
Not
sure
Hospitals that really care
about the patients
67
11
9
4
7
2
Preventive care
51
20
16
5
5
2
Fast, convenient
outpatient care
46
22
17
7
6
3
Long term home care
33
23
26
8
8
3
Long term nursing
home care
33
22
24
10
7
3
Long or extended
hospital stays
30
24
25
9
7
5
49
LH RESEARCH, INC.
(Table continued)
Rating on a Scale of 1-5 of Health Care Priorities
1
2
3
4
5
Not
sure
Unlimited availability of
such care as kidney dialysis,
organ transplants, & plastic
surgery
33
21
24
9
10
4
Extensive testing of
patients
23
20
31
11
10
4
The importance of each of these priorities varies significantly among key
groups:
Hospitals that Really Care about the Patients (67% total): This is of higher than
average concern to a number of groups: blacks (74%), those over 65 (70%), those
earning over $50,000 (71%), women (70%), the college educated (72%), Clinton voters
(71%), and those who rate their own health in negative terms (73%).
Preventive Care (51% total): - This is of greatest importance to those in the
West (61%), those fifty and older (56%), those earning more than $35,000 (56%),
those with a postgraduate education (67%), and those who rate their own health
poorly (46%).
Fast, Convenient Outpatient Care (46% total): This is of greatest concern to
those in the West (52%), those fifty and older (55%), those earning $35,000 and over
(52%), those with a postgraduate education (57%), and those who rate their own
health negative (53%).
50
LH RESEARCH, INC.
Long Term Home Care (33% total): - Here the groups showing the greatest
concern are blacks (52%) and those over 65 (49%), those earning less than $15,000
(43%), women (39%), and Clinton supporters (38%).
Long Term Nursing Home Care (33% total): - This issue raises the greatest
concern among blacks (60%), those 50-64 years old (40%), those 65 and older (46%),
those earning less than $15,000 (42%), women (39%), and those who rate their own
health negative (41%). Interestingly, only 22% of those in the West see this as a
priority concern. This is also true of Westerners' attitudes about home care; only 24%
give it top priority.
Unlimited Availability of such Care as Kidney Dialysis, Organ Transplants, and
Plastic Surgery (33% total): - Here the most concerned are blacks (44%), those 65
years old and above (39%), and those who rate their own health negative (41%).
Long or Extended Hospital Stays (30% total): -
The most concerned about
this issue are blacks (48%), and those 50-64 years old (40%).
Extensive Testing of Patients (23% total): - The greatest emphasis on this as
a priority is among blacks (35%), and those earning under $15,000 (34%).
Interestingly the college educated (15%) and those with postgraduate education (17%)
are the lowest. (Table 19 - Q.4a)
Observation:
While this information could be examined in a myriad of ways, for the purpose
of this study it should be looked at as a barometer of the American public's concerns
about the health care system. Clearly three concerns stand out - hospital quality,
preventive care (combining the concern emphasis placed on outpatient care as well
as preventive care), and long term care (especially if home care and nursing home
care are combined). In the case of home care and nursing home care this especially
a concern of blacks and the elderly.
51
LH RESEARCH, INC.
People were then asked which one or two of these items they would give the
highest priority:
Highest Priority for the Health Care System
Combined
1st Mention
2nd Mention
1st & 2nd
Preventive Care
32
37
69
Hospitals that
really care about
people
18
25
43
Fast, Convenient Out-
patient Care
11
18
29
Long term nursing home
care
9
17
26
Long Term Home Care
10
15
25
Unlimited availability of
such care as kidney dialysis,
organ transplants, and
plastic surgery
10
14
24
Long or extended
hospital stays
8
12
20
Extensive testing of
patients
3
5
8
In this context the order shifts somewhat with preventive care clearly coming out
first with 69% mentioning it either as a first or second priority; this is followed by
"hospitals that really care about people" (43%), "fast, convenient outpatient care
(29%), and long term nursing home care (26%). When home care and nursing home
care are combined, long term care would actually come in second, at 51%.
52
LH RESEARCH, INC.
When the results are examined by different categories, several fascinating
patterns emerge. Taking just first choices into account, preventative health care has
the most interest in the West (40%), among those 30-49 years old (42%), and among
those earning more than $35,000 (39%). The college educated (49%), and those with
some postgraduate education (51%) cite it as their highest priority.
Blacks, (28%), those 18-29 years old (25%) and Clinton voters (21%) choose
"hospitals that really care about the patients" as a top priority more frequently than
other groups. Long term home care is of special interest to those over 65 years old,
21% of whom put it as their number one priority, compared to 10% for the overall
population. Long term nursing home care is of special interest to blacks and the
elderly; 14% and 17% respectively rate it as their top priority, compared to 9% for the
population as a whole. (Table 20 - Q.4b)
Observation:
These results point to the three basic priorities Americans have for health care -
prevention, caring hospitals, and long term care. What Americans are saying is that
many of those things which get a lot of attention and have the support of the medical
profession are of a far lower order of priority than these three. In effect, the public is
saying: emphasize prevention as a way of keeping people out of hospitals, but if they
have to go, make sure they receive high quality care and long term care when it is
necessary.
53
LH RESEARCH, INC.
TABLE 19 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- HOSPITALS THAT REALLY CARE ABOUT THE PATIENTS
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
67%
70%
65%
67%
69%
66%
74%
68%
68%
65%
69%
70%
67%
63%
65%
69%
71%
60%
68%
71%
(2)
11%
12%
13%
12%
10%
12%
7%
10%
13%
13%
6%
10%
11%
15%
15%
9%
11%
16%
11%
10%
(3)
9%
7%
8%
11%
11%
9%
9%
8%
7%
8%
13%
8%
9%
8%
9%
11%
7%
10%
9%
8%
(4)
4%
3%
4%
3%
4%
4%
4%
5%
5%
4%
2%
4%
3%
3%
4%
4%
5%
5%
3%
2%
LOWEST PRIORITY
(5)
7%
7%
7%
7%
5%
7%
7%
11%
6%
7%
7%
5%
7%
8%
8%
6%
5%
8%
7%
7%
NOT SURE
2%
1%
4%
1%
1%
2%
1 %
2%
2%
3%
3%
3%
1%
1%
1%
1%
2%
1%
NO ANSWER
54
LH RESEARCH, INC.
TABLE 19 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- HOSPITALS THAT REALLY CARE ABOUT THE PATIENTS
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE
FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
67%
63%
70%
72%
71%
68%
71%
62%
70%
73%
71%
69%
69%
68%
60%
65%
70%
69%
69%
69%
(2)
11%
14%
9%
15%
11%
12%
9%
17%
12%
9%
10%
12%
10%
10%
15%
13%
13%
14%
11%
11%
(3)
9%
11%
7%
8%
8%
10%
9%
10%
11%
8%
9%
8%
8%
9%
11%
9%
8%
7%
9%
9%
(4)
4%
4%
4%
3%
4%
3%
3%
3%
5%
1%
3%
4%
3%
4%
3%
6%
3%
4%
4%
4%
LOWEST PRIORITY
(5)
7%
6%
7%
2%
4%
5%
5%
6%
3%
7%
7%
7%
8%
7%
8%
8%
5%
5%
7%
6%
NOT SURE
2%
2%
2%
1%
2%
2%
3%
2%
2%
*
1%
1%
2%
3%
1%
1%
1%
1%
NO ANSWER
55
LH RESEARCH, INC.
TABLE 20 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- PREVENTIVE HEALTH CARE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID
WH-
BL-
HISP
18
30
50
UNDER
$15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
51%
51%
44%
52%
61%
52%
45%
55%
39%
54%
54%
58%
42%
50%
56%
56%
59%
45%
52%
54%
(2)
20%
24%
24%
16%
16%
20%
21%
28%
25%
22%
19%
8%
19%
19%
20%
19%
23%
22%
21%
19%
(3)
16%
14%
16%
20%
14%
16%
16%
13%
24%
13%
15%
15%
19%
19%
14%
15%
13%
19%
16%
16%
(4)
5%
6%
5%
4%
5%
6%
4%
2%
8%
4%
3%
7%
6%
3%
6%
5%
2%
6%
5%
4%
LOWEST PRIORITY
(5)
5%
3%
9%
4%
1%
4%
11%
3%
2%
5%
9%
5%
9%
5%
5%
2%
4%
6%
6%
4%
NOT SURE
2%
1%
3%
2%
3%
2%
4%
3%
1%
*
8%
5%
3%
1%
3%
2%
1%
3%
NO ANSWER
56
LH RESEARCH, INC.
TABLE 20 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- PREVENTIVE HEALTH CARE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY
(1)
51%
47%
55%
65%
67%
53%
55%
49%
57%
46%
52%
51%
olo
51%
51%
49%
47%
56%
53%
49%
52%
(2)
20%
23%
18%
19%
20%
21%
21%
24%
15%
15%
20%
20%
20%
21%
20%
23%
20%
23%
23%
20%
(3)
16%
17%
16%
13%
7%
15%
14%
15%
19%
22%
14%
17%
16%
17%
15%
19%
15%
14%
17%
17%
(4)
5%
5%
5%
2%
2%
4%
3%
6%
4%
7%
6%
5%
5%
4%
8%
6%
4%
5%
5%
5%
LOWEST PRIORITY
(5)
5%
6%
4%
1%
4%
5%
5%
4%
3%
6%
6%
5%
7%
5%
4%
5%
3%
5%
5%
5%
NOT SURE
2%
3%
2%
2%
1%
2%
2%
4%
2%
2%
2%
2%
4%
1%
2%
1%
2%
2%
NO ANSWER
57
LH RESEARCH, INC.
TABLE 21 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- FAST, CONVENIENT OUTPATIENT CARE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID
WH-
BL-
HISP
18
30
50
UNDER
$15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
46%
45%
43%
47%
52%
46%
44%
46%
34%
47%
55%
54%
43%
48%
41%
51%
52%
49%
45%
47%
(2)
22%
23%
22%
21%
23%
23%
15%
19%
31%
23%
13%
17%
21%
20%
26%
21%
22%
24%
21%
22%
(3)
17%
18%
17%
19%
12%
17%
16%
17%
23%
15%
17%
11%
17%
18%
20%
15%
15%
15%
17%
18%
(4)
7%
8%
7%
5%
6%
6%
12%
8%
8%
7%
7%
1%
9%
5%
6%
9%
7%
4%
8%
6%
LOWEST PRIORITY
(5)
6%
4%
8%
5%
5%
5%
11%
6%
4%
6%
6%
8%
8%
5%
8%
3%
4%
5%
6%
7%
NOT SURE
3%
2%
4%
3%
1%
3%
2%
5%
*
3%
2%
10%
3%
4%
1%
2%
2%
4%
*
NO ANSWER
58
LH RESEARCH, INC.
TABLE 21 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- FAST, CONVENIENT OUTPATIENT CARE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
46%
46%
46%
48%
57%
49%
49%
48%
51%
53%
52%
47%
53%
46%
46%
46%
52%
48%
48%
47%
(2)
22%
21%
23%
28%
20%
22%
20%
24%
21%
15%
20%
21%
16%
22%
22%
24%
23%
23%
20%
22%
(3)
17%
19%
15%
15%
14%
16%
17%
15%
16%
15%
13%
17%
15%
15%
22%
15%
16%
17%
17%
17%
(4)
7%
6%
7%
6%
5%
5%
5%
4%
6%
8%
6%
7%
8%
7%
6%
9%
6%
6%
7%
7%
LOWEST PRIORITY
(5)
6%
6%
5%
3%
4%
6%
7%
5%
6%
5%
7%
5%
6%
7%
2%
5%
3%
5%
6%
6%
NOT SURE
3%
2%
4%
1%
3%
3%
4%
1%
5%
1%
2%
3%
2%
4%
2%
1%
1%
2%
2%
NO ANSWER
59
LH RESEARCH, INC.
TABLE 22 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- LONG-TERM HOME CARE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
33%
34%
36%
35%
24%
30%
52%
36%
25%
31%
37%
49%
43%
34%
27%
30%
29%
20%
39%
34%
(2)
23%
25%
22%
19%
25%
24%
20%
20%
28%
24%
16%
18%
19%
26%
25%
21%
25%
25%
23%
24%
(3)
26%
23%
23%
24%
37%
27%
17%
28%
28%
26%
29%
17%
18%
24%
28%
28%
32%
31%
23%
26%
(4)
8%
7%
8%
10%
4%
8%
6%
7%
11%
8%
6%
4%
6%
7%
11%
10%
7%
12%
6%
6%
LOWEST PRIORITY
(5)
8%
8%
8%
6%
8%
8%
5%
9%
8%
7%
9%
6%
10%
5%
10%
9%
6%
9%
7%
6%
NOT SURE
3%
2%
2%
5%
2%
2%
1%
1%
1%
3%
2%
7%
5%
5%
1%
1%
1%
3%
1%
3%
NO ANSWER
60
LH RESEARCH, INC.
TABLE 22 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- LONG-TERM HOME CARE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
33%
27%
39%
24%
25%
33%
38%
26%
31%
37%
41%
34%
49%
36%
22%
28%
26%
34%
37%
33%
(2)
23%
23%
22%
24%
26%
23%
24%
22%
23%
16%
22%
23%
18%
20%
26%
23%
25%
22%
22%
23%
(3)
26%
29%
23%
38%
33%
26%
24%
28%
27%
24%
20%
26%
16%
25%
29%
30%
32%
28%
24%
27%
(4)
8%
8%
8%
8%
10%
9%
7%
12%
8%
7%
6%
7%
5%
7%
10%
10%
8%
7%
6%
7%
LOWEST PRIORITY
(5)
8%
9%
7%
4%
5%
7%
5%
8%
7%
10%
8%
7%
9%
8%
9%
8%
8%
6%
8%
7%
NOT SURE
3%
4%
2%
2%
3%
1%
4%
5%
7%
3%
2%
3%
3%
4%
1%
2%
2%
3%
3%
NO ANSWER
61
LH RESEARCH, INC.
TABLE 23 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- LONG-TERM NURSING HOME CARE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY
(1)
33%
27%
39%
22%
20%
32%
36%
28%
29%
41%
45%
36%
51%
36%
24%
29%
28%
30%
38%
35%
(2)
22%
25%
19%
29%
26%
23%
22%
21%
29%
17%
19%
23%
19%
22%
23%
23%
23%
25%
23%
23%
(3)
24%
24%
24%
33%
31%
25%
26%
24%
24%
20%
19%
24%
15%
22%
29%
26%
30%
25%
23%
24%
(4)
10%
13%
8%
10%
13%
11%
8%
14%
12%
11%
7%
9%
4%
9%
12%
13%
10%
11%
9%
9%
LOWEST PRIORITY
(5)
7%
8%
7%
4%
9%
7%
5%
10%
5%
8%
8%
6%
9%
8%
8%
8%
8%
6%
7%
7%
NOT SURE
3%
3%
3%
1%
1%
3%
3%
4%
1%
2%
2%
2%
2%
3%
3%
1%
1%
2%
1%
2%
NO ANSWER
62
LH RESEARCH, INC.
TABLE 23 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- LONG-TERM NURSING HOME CARE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY
(1)
33%
35%
36%
36%
22%
30%
60%
29%
29%
28%
40%
46%
42%
37%
25%
29%
29%
25%
37%
32%
(2)
22%
23%
20%
22%
25%
24%
8%
24%
27%
26%
13%
16%
19%
18%
27%
25%
24%
22%
21%
23%
(3)
24%
23%
22%
20%
36%
25%
15%
29%
22%
27%
28%
12%
17%
28%
29%
25%
24%
28%
23%
26%
(4)
10%
9%
10%
12%
9%
10%
13%
11%
15%
10%
6%
7%
8%
7%
11%
12%
14%
13%
10%
8%
LOWEST PRIORITY
(5)
7%
8%
9%
6%
6%
8%
4%
7%
5%
7%
11%
7%
8%
6%
7%
8%
7%
9%
7%
7%
NOT SURE
3%
2%
3%
3%
4%
3%
1%
1%
2%
2%
*
12%
4%
5%
2%
1%
1%
3%
2%
3%
NO ANSWER
63
LH RESEARCH, INC.
TABLE 24 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- LONG OR EXTENDED HOSPITAL STAYS
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY
(1)
30%
28%
33%
29%
26%
28%
48%
21%
28%
24%
40%
33%
35%
34%
26%
26%
26%
27%
30%
30%
(2)
24%
23%
19%
27%
27%
23%
22%
38%
33%
24%
17%
17%
26%
22%
22%
27%
27%
21%
24%
27%
(3)
25%
27%
24%
24%
26%
27%
13%
26%
26%
29%
22%
16%
20%
21%
32%
26%
27%
28%
25%
22%
(4)
9%
9%
12%
7%
9%
10%
9%
7%
9%
11%
6%
8%
6%
10%
11%
11%
10%
12%
10%
7%
LOWEST PRIORITY
(5)
7%
10%
7%
7%
5%
7%
7%
7%
2%
9%
10%
7%
6%
6%
7%
8%
8%
9%
7%
7%
NOT SURE
5%
4%
6%
6%
6%
5%
1%
1%
2%
3%
5%
18%
7%
8%
4%
2%
2%
3%
4%
7%
NO ANSWER
64
LH RESEARCH, INC.
TABLE 24 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- LONG OR EXTENDED HOSPITAL STAYS
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY
(1)
30%
28%
31%
24%
20%
28%
32%
25%
25%
31%
35%
32%
39%
33%
19%
28%
27%
27%
33%
31%
(2)
24%
27%
21%
26%
26%
25%
27%
22%
22%
25%
21%
25%
20%
24%
21%
25%
26%
25%
24%
24%
(3)
25%
23%
27%
28%
30%
26%
23%
27%
31%
17%
24%
25%
25%
24%
27%
27%
25%
28%
25%
25%
(4)
9%
11%
8%
12%
11%
10%
9%
12%
8%
8%
7%
8%
3%
8%
14%
9%
11%
11%
8%
8%
LOWEST PRIORITY
(5)
7%
7%
8%
6%
11%
6%
4%
9%
8%
9%
8%
6%
9%
6%
12%
9%
8%
6%
7%
7%
NOT SURE
5%
5%
5%
4%
2%
5%
5%
5%
6%
10%
5%
5%
4%
4%
7%
3%
2%
3%
3%
4%
NO ANSWER
65
LH RESEARCH, INC.
TABLE 25 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- UNLIMITED AVAILABILITY OF SUCH CARE AS KIDNEY DIALYSIS,
ORGAN TRANSPLANTS, AND PLASTIC SURGERY
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
33%
31%
33%
34%
32%
30%
44%
34%
31%
30%
35%
39%
36%
36%
28%
33%
29%
27%
35%
34%
(2)
21%
23%
15%
26%
21%
21%
16%
26%
25%
20%
19%
17%
19%
18%
25%
25%
20%
18%
21%
26%
(3)
24%
23%
27%
20%
24%
25%
21%
18%
27%
25%
26%
11%
23%
20%
27%
22%
29%
29%
23%
21%
(4)
9%
6%
10%
11%
11%
9%
13%
5%
9%
11%
7%
11%
11%
9%
8%
9%
9%
12%
10%
6%
LOWEST PRIORITY
(5)
10%
14%
11%
6%
8%
10%
6%
11%
5%
11%
10%
12%
6%
13%
11%
9%
10%
12%
8%
10%
NOT SURE
4%
4%
4%
3%
4%
4%
1%
7%
3%
3%
3%
10%
6%
4%
2%
2%
2%
1%
3%
3%
NO ANSWER
66
LH RESEARCH, INC.
TABLE 25 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- UNLIMITED AVAILABILITY OF SUCH CARE AS KIDNEY DIALYSIS,
ORGAN TRANSPLANTS, AND PLASTIC SURGERY
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
33%
31%
35%
26%
23%
33%
36%
25%
38%
41%
38%
35%
44%
35%
20%
33%
29%
33%
36%
33%
(2)
21%
21%
21%
19%
23%
22%
25%
19%
20%
17%
22%
23%
16%
22%
22%
20%
23%
20%
22%
22%
(3)
24%
25%
23%
28%
24%
23%
22%
27%
18%
17%
21%
22%
22%
22%
30%
25%
24%
24%
23%
24%
(4)
9%
10%
9%
13%
14%
10%
8%
13%
10%
9%
8%
9%
8%
9%
11%
11%
10%
9%
9%
9%
LOWEST PRIORITY
(5)
10%
10%
9%
10%
15%
9%
8%
11%
10%
12%
7%
8%
6%
9%
14%
10%
12%
9%
8%
8%
NOT SURE
4%
4%
3%
3%
2%
3%
2%
5%
2%
4%
3%
3%
3%
3%
5%
2%
2%
5%
2%
3%
NO ANSWER
67
LH RESEARCH, INC.
TABLE 26 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- EXTENSIVE TESTING OF PATIENTS
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
23%
25%
24%
22%
18%
21%
35%
28%
22%
19%
28%
28%
34%
25%
20%
19%
18%
16%
26%
22%
(2)
20%
22%
21%
19%
21%
20%
20%
32%
23%
22%
21%
11%
21%
18%
27%
17%
22%
21%
19%
26%
(3)
31%
27%
29%
32%
37%
31%
24%
25%
35%
32%
27%
27%
23%
31%
33%
34%
35%
33%
29%
32%
(4)
11%
10%
12%
11%
11%
12%
11%
3%
15%
11%
12%
7%
11%
10%
11%
14%
12%
13%
12%
9%
LOWEST PRIORITY
(5)
10%
11%
10%
10%
9%
11%
8%
5%
5%
10%
10%
20%
8%
11%
8%
11%
11%
14%
10%
8%
NOT SURE
4%
4%
4%
4%
4%
4%
2%
7%
1%
6%
2%
8%
4%
5%
3%
5%
2%
3%
4%
3%
NO ANSWER
68
LH RESEARCH, INC.
TABLE 26 - QUESTION 4A
PRIORITY OF HEALTH CARE ISSUES
- EXTENSIVE TESTING OF PATIENTS
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
HIGHEST PRIORITY (1)
23%
23%
23%
15%
17%
21%
26%
14%
23%
28%
29%
24%
32%
25%
16%
24%
23%
24%
24%
24%
(2)
20%
20%
20%
22%
20%
20%
18%
21%
22%
13%
21%
21%
19%
21%
18%
19%
20%
20%
22%
21%
(3)
31%
32%
30%
34%
41%
32%
29%
34%
35%
30%
27%
30%
25%
30%
35%
30%
28%
33%
31%
31%
(4)
11%
11%
12%
14%
14%
11%
12%
11%
9%
8%
10%
11%
9%
11%
15%
16%
15%
13%
10%
12%
LOWEST PRIORITY
(5)
10%
10%
10%
11%
7%
11%
12%
13%
8%
15%
10%
10%
12%
10%
11%
9%
10%
9%
10%
10%
NOT SURE
4%
4%
4%
3%
3%
4%
4%
6%
3%
6%
4%
3%
3%
3%
6%
2%
3%
2%
3%
3%
NO ANSWER
69
LH RESEARCH, INC.
TABLE 27 - QUESTION 4B
MOST IMPORTANT HEALTH CARE ISSUE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
PREVENTIVE CARE
32%
32%
27%
33%
40%
33%
22%
32%
23%
42%
26%
30%
22%
28%
37%
40%
40%
28%
30%
40%
LONG-TERM HOME CARE
10%
12%
10%
11%
7%
10%
13%
11%
8%
9%
7%
21%
11%
15%
7%
11%
7%
7%
12%
6%
LONG-TERM NURSING
9%
7%
10%
12%
4%
8%
15%
4%
7%
6%
11%
17%
11%
11%
4%
8%
4%
10%
8%
11%
HOME CARE
LONG OR EXTENDED
8%
9%
9%
5%
6%
8%
8%
10%
10%
6%
10%
4%
6%
11%
10%
6%
8%
8%
9%
6%
HOSPITAL STAYS
FAST, CONVENIENT
11%
11%
11%
7%
15%
11%
5%
10%
12%
11%
11%
7%
8%
11%
13%
10%
11%
17%
9%
9%
OUTPATIENT CARE
HOSPITALS THAT REALLY
18%
18%
19%
18%
15%
17%
28%
23%
25%
16%
19%
9%
28%
12%
17%
15%
16%
14%
21%
18%
CARE ABOUT THE
PATIENTS
UNLIMITED
10%
8%
10%
10%
8%
9%
8%
10%
10%
8%
12%
9%
10%
10%
10%
7%
12%
10%
10%
8%
AVAILABILITY OF SUCH
CARE AS KIDNEY
DIALYSIS ORGAN
TRANSPLANTS AND
PLASTIC SURGERY
EXTENSIVE TESTING OF
3%
2%
3%
3%
4%
3%
1%
2%
4%
2%
5%
4%
4%
3%
3%
3%
2%
4%
2%
2%
PATIENTS
NOT SURE
NO ANSWER
70
LH RESEARCH, INC.
TABLE 27 - QUESTION 4B
MOST IMPORTANT HEALTH CARE ISSUE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
PREVENTIVE CARE
32%
32%
32%
49%
51%
34%
32%
38%
35%
33%
30%
32%
27%
29%
43%
33%
37%
31%
30%
32%
LONG-TERM HOME CARE
10%
9%
12%
6%
5%
9%
12%
7%
6%
12%
9%
10%
16%
11%
6%
9%
9%
8%
11%
10%
LONG-TERM NURSING
9%
9%
9%
5%
3%
9%
8%
8%
11%
12%
11%
8%
12%
9%
7%
8%
7%
9%
10%
9%
HOME CARE
LONG OR EXTENDED
8%
9%
6%
6%
6%
7%
7%
7%
6%
9%
9%
8%
7%
8%
8%
9%
8%
8%
8%
8%
HOSPITAL STAYS
FAST, CONVENIENT
11%
11%
10%
12%
14%
11%
9%
13%
16%
8%
8%
10%
5%
10%
14%
10%
13%
14%
10%
9%
OUTPATIENT CARE
HOSPITALS THAT REALLY
18%
17%
19%
12%
14%
17%
21%
12%
12%
16%
19%
19%
14%
19%
15%
22%
14%
21%
20%
19%
CARE ABOUT THE
PATIENTS
UNLIMITED
10%
9%
10%
7%
6%
10%
10%
12%
8%
9%
12%
10%
15%
10%
5%
7%
7%
6%
9%
10%
AVAILABILITY OF SUCH
CARE AS KIDNEY
DIALYSIS, ORGAN
TRANSPLANTS, AND
PLASTIC SURGERY
EXTENSIVE TESTING OF
3%
3%
3%
3%
2%
3%
2%
4%
5%
1%
3%
3%
3%
3%
3%
3%
5%
4%
3%
3%
PATIENTS
NOT SURE
NO ANSWER
71
LH RESEARCH, INC.
TABLE 28 - QUESTION 4B
FIRST/SECOND MOST IMPORTANT HEALTH CARE ISSUE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so- MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
PREVENTIVE CARE
37%
36%
33%
36%
45%
37%
26%
33%
30%
46%
29%
32%
25%
32%
44%
45%
46%
35%
32%
44%
LONG-TERM HOME CARE
15%
19%
16%
14%
11%
15%
16%
14%
13%
14%
11%
26%
15%
21%
12%
14%
14%
11%
19%
10%
LONG-TERM NURSING
17%
18%
15%
22%
11%
16%
27%
13%
15%
14%
19%
26%
17%
21%
12%
19%
11%
15%
19%
18%
HOME CARE
LONG OR EXTENDED
12%
16%
12%
10%
11%
12%
11%
15%
15%
9%
15%
10%
11%
17%
16%
9%
12%
12%
12%
11%
HOSPITAL STAYS
FAST, CONVENIENT
18%
18%
20%
12%
25%
19%
11%
13%
18%
22%
16%
11%
14%
17%
18%
20%
21%
25%
15%
18%
OUTPATIENT CARE
HOSPITALS THAT REALLY
25%
25%
26%
26%
24%
25%
35%
30%
34%
26%
23%
13%
33%
19%
29%
24%
23%
25%
27%
26%
CARE ABOUT THE
PATIENTS
UNLIMITED
14%
12%
14%
15%
14%
14%
13%
14%
16%
13%
14%
12%
15%
14%
14%
14%
15%
13%
16%
11%
AVAILABILITY OF SUCH
CARE AS KIDNEY
DIALYSIS ORGAN
TRANSPLANTS AND
PLASTIC SURGERY
EXTENSIVE TESTING OF
5%
4%
5%
5%
5%
5%
4%
2%
7%
4%
6%
4%
5%
6%
6%
4%
5%
6%
5%
4%
PATIENTS
NOT SURE
NO ANSWER
72
LH RESEARCH, INC.
TABLE 28 - QUESTION 4B
FIRST/SECOND MOST IMPORTANT HEALTH CARE ISSUE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
PREVENTIVE CARE
37%
36%
37%
58%
59%
39%
35%
43%
43%
35%
34%
36%
32%
33%
48%
37%
41%
36%
34%
38%
LONG-TERM HOME CARE
15%
13%
17%
13%
10%
14%
18%
12%
9%
14%
15%
14%
23%
16%
9%
14%
14%
14%
17%
15%
LONG-TERM NURSING
17%
13%
20%
10%
10%
16%
18%
13%
17%
17%
20%
17%
24%
19%
10%
15%
14%
15%
19%
16%
HOME CARE
LONG OR EXTENDED
12%
12%
12%
10%
6%
11%
12%
10%
9%
12%
13%
12%
11%
13%
11%
14%
11%
12%
13%
12%
HOSPITAL STAYS
FAST, CONVENIENT
18%
19%
18%
24%
25%
19%
17%
21%
24%
15%
15%
18%
12%
17%
24%
19%
20%
19%
16%
16%
OUTPATIENT CARE
HOSPITALS THAT REALLY
25%
24%
27%
20%
23%
24%
27%
21%
21%
23%
26%
26%
20%
26%
21%
31%
24%
28%
27%
27%
CARE ABOUT THE
PATIENTS
UNLIMITED
14%
12%
15%
13%
8%
15%
16%
16%
12%
14%
15%
15%
17%
15%
8%
12%
13%
12%
13%
14%
AVAILABILITY OF SUCH
CARE AS KIDNEY
DIALYSIS, ORGAN
TRANSPLANTS AND
PLASTIC SURGERY
EXTENSIVE TESTING OF
5%
6%
4%
3%
5%
5%
5%
5%
6%
3%
4%
5%
6%
5%
5%
5%
8%
5%
4%
5%
PATIENTS
NOT SURE
NO ANSWER
73
LH RESEARCH, INC.
IV
Long Term Care and the American Health Care System
The study examined attitudes about long term care, with a special focus on
home care, in some depth. First, it sought to determine just how significant a problem
the need for long term care was for the American people. It asked the public whether
they, a member of their family, or someone you know "ever needed long term care
because they had a chronic disease such as Alzheimer's disease, stroke, or muscular
dystrophy, a birth defect, or a permanent disability resulting from an auto accident or
something similar?"
Some 50% answer in the affirmative while 50% say they have not had such a
need. Those most likely to have known someone who needed long term care are
Southerners (53%), those 50-64 years old (56%), those earning $25,000 or less (54%),
and Bush voters (58%). The groups with the highest percentages saying they or a
member of their family have not needed long term care are those who live in the East
(56%), those 18-29 years old (58%), blacks (62%), Hispanics (57%), those earning
$25,000 - $35,000 (56%), and Clinton voters (56%). (Table 21 - Q.7a)
However, experience does not seem to radically alter attitudes on issues
involving health care, even long term care, as a result of having had an experience
with long term care. LH Research ran a special cross tabulation comparing the
answers of those with experience and those without. The results showed almost no
significant difference in responses.
Then, respondents were asked whether they would prefer nursing home care
or home care if they or some member of their family needed long term care. By an
overwhelming 79-14% the American public prefer home care over nursing home care,
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LH RESEARCH, INC.
a result that is slightly higher than the 78-17% response to a February 1988 survey that
asked a similar question. The most positive about home care are blacks (85%), those
earning $35,000 and above (84%), and those with postgraduate education (86%) -
an interesting coalition in that it combines one of the poorest groups with the most
affluent and educated. Those most positive about nursing home - and it should be
kept in mind that in all cases the percentages are small - are the elderly (18%), those
earning under $15,000 (22%), and those who rate their own health negative (18%).
(Table 22 - Q.7b)
Clearly there has been and continues to be an overwhelming mandate for home
care over nursing home care. However, in both cases there is very great concern
about the cost involved. The survey repeated a question asked in February 1988: "An
estimated one million Americans go bankrupt each year trying to pay the costs of long
term illness such as Alzheimer's or Parkinson's disease. Today, very few people have
long term medical insurance to pay for long term care. It has been estimated that this
kind of long term care in your home or in a nursing home can cost as much as
between $15,000 and $60,000, or $40 to $160 a day. Would you be able to pay that
amount of money for long term care or not?"
In 1988, 16% said they could afford it while 82% said they could not. Today, the
result is even more striking with only 7% saying they could afford it and 91% saying
they could not. Not surprisingly, those earning over $50,000 a year (18%) and those
with postgraduate education (16%) are the most likely to say they can afford it, with
the highest proportion saying they could not afford it in the West (94%), and among
blacks (94%), those earning under $25,000 (97%), and Democrats (94%). (Table 23 -
Q.7c)
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LH RESEARCH, INC.
Then the survey repeated a set of questions asked about home care in 1988 -
concerning support for a federal program to support home care for the chronically ill
or disabled among the elderly, those 20 to 64 years of age, and children 19 years of
age or under.
In the case of a federal program for those 65 years old and above, 88% say
they favor such a program while 9% oppose it. This is approximately the same as the
87-10% margin recorded in 1989. Support is very strong in all groups but highest in
the East (92%), and South (91%), among blacks (97%), those earning under $15,000
(92%), those earning $25,000 - 35,000 (92%), and among Clinton voters (95%).
(Table 24 - Q.7d)
When it comes to a federal program for home care for the chronically ill or
disabled 20 to 64 years old, 83% say they favor it, and 10% oppose it. This compares
with an 80-16% margin recorded in 1989. The pattern of support is similar to that for
the elderly - with blacks the most supportive (94%), those earning under $35,000
(86%), and Clinton voters (91%). Women tend to be more supportive than men (88%
compared to 78%). The elderly, perhaps not surprisingly, are the least enthusiastic
(75%). (Table 25 - Q.7d)
On the issue of a program to provide support for children nineteen and under,
the public again is strongly positive. By 86-9%, the American people say there should
be a federal program for the chronically ill or disabled. This again is even higher than
the results in 1989 which showed an 83-13% margin of support. Once more the
pattern of support is relatively similar with the East the most positive region (90%),
with blacks among the most positive groups (91%), and Clinton voters (92%) showing
high support. In this case those 18-29 years old are the most supportive of any age
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LH RESEARCH, INC.
group (91%), perhaps because of their age but also probably because they know
someone who would be affected. (Table 26 - Q.7d)
Observation:
Back in February 1989 there was very strong support for federally-assisted
home care for the chronically ill and disabled, no matter what age. That support is
even greater today. Though there are slight variations when it comes to the various
age categories, the pattern is generally similar - with the East the most positive region,
blacks the most supportive group, and Clinton voters consistently more favorable than
those who voted for either Bush or Perot.
However, support is one thing; a willingness to pay for it is another. The study
asked respondents whether they would support extending the 1.45% Medicare tax on
employee wages, which now applies only to the first $130,200, earned to cover all
income. This would affect approximately 3% of the population. By 81-15%, the public
favors such an approach. This is significantly greater than the 71-24% recorded in a
February 1988 study. The level of support is fairly uniform among all groups. Even
82% of those earning over $50,000 endorse the idea. The most positive are those
earning $25,000 to $35,000 (90%) while the least positive are those 65 years old and
above (74%). (Table 27 - Q.7d).
Observation:
The results are good news for advocates of home care. The public, by a very
sizable margin, prefers it to nursing home care. Support for a federal program to fund
home care for the chronically ill or disabled is substantial for all ages, though this is
especially true in the case of the elderly. And the public would support a method for
funding such care.
Then, there is the issue of how high a priority Americans give long term care in
the context of a system of national health insurance. Some 31% say it should get a
77
LH RESEARCH, INC.
top priority, while 54% say it is a high but not top priority. Only 11% say it should get
a lower priority. Those most willing to give it a top priority are blacks (40%), those 50
years old and over (41%), those earning under $15,000 (46%) and those who rate
their own health negative (42%). Those least willing to give it a top priority are the
affluent (25%), men (26%), the college educated (23%), and those with a postgraduate
education (22%). (Table 28 - Q.7f).
Observation:
While this is generally positive news for home care advocates, it does not
guarantee that home care will be at the heart of the debate over national health
insurance. Rather than focusing just on the issue of home care, supporters would be
better off tying it to a more comprehensive package of reform - one that also stressed
preventive care and quality hospital care, the two other top priorities stressed by the
American public. Indeed by doing so they could broaden their base of support by
picking up the support of those groups, such as the college educated and those with
a postgraduate education, who are very supportive of preventive care but less
positive about the importance of long term care.
Concluding Observation: The Public Mandate for Health Care Reform in America
Clearly within the context of long term care, home care has strong support, and
the American people would back federal funding to provide it to the chronically ill and
disabled of all ages. Indeed, the public is very worried that they will not be able to
afford it, especially the poor and blacks. More than just supporting the concept of
federal help, the public would back extending the Medicare tax of 1.45% to earnings
of over $130,200. In addition, long term home care is seen as one of the three top
health care priorities, along with preventive medicine and quality hospital care.
All of this represents very good news for home care advocates. However, what
the results of this study suggest is that a single issue approach to health care reform
may not be the most effective way to marshall public support. What the American
people are looking for is less a combination of program initiatives in the health care
field than a fundamental change - change that deals with costs, that ensures choice,
that, in short, provides truly comprehensive medical care.
What is striking about the results is how clear the American people are about
what they want. The proposals which are dominating the debate are not what the
American people are looking for. They reject two frequently mentioned variations of
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LH RESEARCH, INC.
managed care. They reject "play or pay". They are looking for something much closer
to the Canadian system, which has hardly been discussed at all by Congress and
certainly not by the new administration.
This means that those who want home care might do well to link it to
comprehensive health care that emphasizes prevention and quality hospital service as
well as long term home care. The public is not just ready for such an approach; they
want it very strongly. What this would do is tie home care to America's basic concern
and at the same time, as was noted earlier in the report, broaden the base of support.
79
LH RESEARCH, INC.
TABLE 29 - QUESTION 7A
EXPERIENCE WITH THE NEED FOR LONG-TERM CARE BECAUSE OF
CHRONIC DISEASE, BIRTH DEFECT, OR A PERMANENT DISABILITY
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
EXPERIENCED NEED
50%
44%
53%
49%
50%
50%
38%
43%
42%
50%
56%
51%
53%
55%
44%
52%
50%
53%
43%
55%
PERSONALLY OR
FOR SOMEONE ELSE
NO ONE HAS HAD NEED
50%
56%
47%
50%
50%
49%
62%
57%
58%
49%
44%
49%
47%
45%
56%
48%
50%
47%
56%
45%
AND DON' T KNOW
ANYONE WHO HAS
NOT SURE
*
1%
*
*
1%
1%
1%
NO ANSWER
80
LH RESEARCH, INC.
TABLE 29 - QUESTION 7A
EXPERIENCE WITH THE NEED FOR LONG-TERM CARE BECAUSE OF
CHRONIC DISEASE, BIRTH DEFECT, OR A PERMANENT DISABILITY
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
EXPERIENCED NEED
50%
51%
48%
47%
48%
51%
44%
58%
56%
50%
51%
49%
50%
49%
49%
44%
49%
49%
48%
49%
PERSONALLY OR
FOR SOMEONE ELSE
NO ONE HAS HAD NEED
50%
49%
51%
53%
52%
49%
56%
42%
44%
50%
49%
50%
50%
51%
51%
56%
51%
50%
51%
51%
AND DON'T KNOW
ANYONE WHO HAS
NOT SURE
*
1%
*
1%
*
*
*
*
*
*
*
*
NO ANSWER
81
LH RESEARCH, INC.
TABLE 30 - QUESTION 7B
PREFERENCE FOR NURSING HOME OR OWN HOME FOR LONG-TERM CARE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
IN A NURSING HOME
14%
18%
11%
12%
6%
14%
12%
18%
12%
18%
15%
15%
12%
14%
14%
13%
15%
15%
16%
15%
IN OWN HOME
79%
75%
82%
82%
86%
80%
81%
75%
83%
74%
78%
79%
82%
79%
80%
80%
80%
80%
79%
80%
NEITHER (VOLUNTEERED)
1%
1%
1%
1%
1%
*
*
*
1%
1%
1%
1%
1%
1%
1%
1%
*
1%
*
NOT SURE
6%
6%
6%
6%
6%
6%
6%
7%
5%
6%
6%
6%
5%
5%
6%
5%
5%
4%
4%
5%
NO ANSWER
82
LH RESEARCH, INC.
TABLE 30 - QUESTION 7B
PREFERENCE FOR NURSING HOME OR OWN HOME FOR LONG-TERM CARE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
IN A NURSING HOME
14%
14%
13%
16%
14%
14%
11%
21%
14%
13%
17%
18%
22%
17%
14%
10%
11%
16%
15%
13%
IN OWN HOME
79%
79%
82%
77%
78%
79%
85%
72%
81%
80%
77%
76%
73%
76%
80%
84%
84%
78%
78%
82%
NEITHER (VOLUNTEERED)
1%
2%
1%
*
*
2%
1%
1%
1%
1%
1%
*
*
1%
1%
NOT SURE
6%
5%
5%
7%
7%
7%
1%
7%
5%
6%
6%
5%
6%
5%
6%
5%
6%
6%
7%
4%
NO ANSWER
83
LH RESEARCH, INC.
TABLE 31 - QUESTION 7C
ABILITY TO AFFORD LONG-TERM CARE
($15,000 TO $60,000 A YEAR/$40 TO $160 A DAY)
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
COULD AFFORD TO PAY
7%
5%
10%
7%
5%
7%
6%
13%
8%
7%
5%
8%
3%
3%
4%
7%
18%
11%
5%
7%
COULD NOT AFFORD
91%
92%
89%
91%
94%
91%
94%
88%
89%
92%
92%
91%
96%
97%
94%
91%
80%
86%
94%
91%
NOT SURE
2%
3%
1%
3%
*
2%
1%
1%
2%
1%
3%
1%
2%
1%
3%
1%
2%
3%
1%
2%
NO ANSWER
84
LH RESEARCH, INC.
TABLE 31 - QUESTION 7C
ABILITY TO AFFORD LONG-TERM CARE
($15,000 TO $60,000 A YEAR/$40 TO $160 A DAY)
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX- LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN- TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
COULD AFFORD TO PAY
7%
10%
4%
12%
16%
7%
5%
11%
8%
7%
4%
5%
3%
5%
14%
6%
7%
5%
6%
6%
COULD NOT AFFORD
91%
88%
94%
85%
83%
91%
93%
87%
91%
92%
94%
93%
96%
93%
84%
93%
92%
94%
93%
92%
NOT SURE
2%
2%
2%
3%
1%
2%
1%
2%
2%
1%
2%
2%
1%
2%
3%
1%
2%
1%
1%
2%
NO ANSWER
85
LH RESEARCH, INC.
TABLE 32 - QUESTION 7D
WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR ELDERLY PEOPLE 65 AND OVER
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE
POST
ALTH TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
88%
84%
91%
010
85%
85%
87%
95%
76%
87%
92%
93%
91%
96%
93%
72%
90%
85%
90%
93%
91%
OPPOSE
9%
12%
6%
11%
13%
9%
4%
16%
10%
6%
5%
6%
3%
6%
20%
8%
11%
8%
6%
6%
NOT SURE
3%
4%
3%
4%
3%
4%
1%
9%
3%
1%
2%
3%
1%
2%
7%
2%
3%
2%
1%
3%
NO ANSWER
86
LH RESEARCH, INC.
TABLE 32 - QUESTION 7D
WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR ELDERLY PEOPLE 65 AND OVER
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
88%
92%
91%
85%
82%
87%
97%
89%
88%
88%
88%
86%
92%
89%
92%
83%
86%
77%
93%
93%
OPPOSE
9%
6%
7%
10%
13%
10%
3%
7%
10%
8%
9%
8%
6%
8%
6%
12%
12%
17%
6%
4%
NOT SURE
3%
2%
3%
5%
5%
4%
1%
4%
1%
4%
3%
7%
2%
3%
2%
5%
3%
7%
1%
3%
NO ANSWER
87
LH RESEARCH, INC.
TABLE 33 - QUESTION 7D
WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR PEOPLE 20 TO 64 YEARS OF AGE
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
83%
78%
88%
76%
78%
81%
91%
67%
82%
89%
89%
88%
92%
89%
65%
87%
79%
85%
90%
87%
OPPOSE
10%
15%
6%
16%
16%
11%
6%
20%
12%
5%
6%
7%
5%
7%
24%
9%
15%
10%
7%
8%
NOT SURE
6%
7%
6%
8%
6%
7%
3%
14%
6%
6%
4%
5%
4%
4%
12%
4%
7%
4%
3%
5%
NO ANSWER
88
LH RESEARCH, INC.
TABLE 33 - QUESTION 7D
WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR PEOPLE 20 TO 64 YEARS OF AGE
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
83%
88%
85%
80%
80%
82%
94%
87%
86%
84%
84%
75%
86%
86%
86%
81%
80%
69%
90%
88%
OPPOSE
10%
7%
9%
12%
14%
11%
5%
10%
11%
10%
10%
10%
9%
8%
9%
12%
15%
21%
7%
5%
NOT SURE
6%
5%
6%
8%
6%
7%
1%
4%
3%
6%
6%
15%
5%
6%
5%
7%
5%
10%
4%
6%
NO ANSWER
89
LH RESEARCH, INC.
TABLE 34 - QUESTION 7D
WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR CHILDREN 19 YEARS OF AGE OR UNDER
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER $15
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
86%
90%
86%
84%
83%
85%
91%
90%
91%
85%
85%
77%
86%
86%
89%
85%
84%
77%
89%
88%
OPPOSE
9%
6%
9%
10%
11%
10%
7%
4%
7%
10%
10%
10%
11%
8%
7%
10%
13%
16%
7%
6%
NOT SURE
5%
3%
5%
6%
7%
6%
1%
5%
2%
5%
5%
13%
3%
6%
5%
5%
3%
7%
4%
6%
NO ANSWER
90
LH RESEARCH, INC.
TABLE 34 - QUESTION 7D
WHETHER FAVOR/OPPOSE A FEDERAL PROGRAM PROVIDING LONG-TERM CARE
IN THE HOME FOR CHRONICALLY ILL OR DISABLED
- FOR CHILDREN 19 YEARS OF AGE OR UNDER
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO
FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
86%
83%
89%
83%
84%
85%
92%
73%
86%
83%
89%
90%
92%
91%
70%
89%
83%
88%
90%
89%
OPPOSE
9%
11%
7%
13%
13%
10%
5%
17%
9%
9%
6%
6%
5%
5%
25%
8%
13%
7%
7%
7%
NOT SURE
5%
6%
5%
4%
3%
5%
3%
10%
5%
8%
4%
4%
3%
4%
6%
4%
4%
5%
3%
4%
NO ANSWER
91
LH RESEARCH, INC.
TABLE 35 - QUESTION 7E
WHETHER FAVOR/OPPOSE EXTENDING MEDICARE TAX ON ALL INCOME EARNED
OVER $130,200 TO FUND A FEDERAL LONG-TERM CARE PROGRAM
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE-
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER $15-
$25
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
81%
84%
80%
82%
78%
82%
77%
78%
79%
82%
87%
74%
82%
76%
90%
86%
82%
75%
85%
84%
OPPOSE
15%
13%
16%
13%
18%
14%
23%
15%
19%
14%
11%
15%
15%
19%
9%
11%
15%
22%
11%
12%
NOT SURE
4%
4%
4%
5%
4%
5%
1%
7%
2%
4%
3%
11%
3%
5%
2%
2%
3%
3%
4%
5%
NO ANSWER
92
LH RESEARCH, INC.
TABLE 35 - QUESTION 7E
WHETHER FAVOR/OPPOSE EXTENDING MEDICARE TAX ON ALL INCOME EARNED
OVER $130,200 TO FUND A FEDERAL LONG-TERM CARE PROGRAM
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH TOP
SIC
TOP
PAY
MAN- HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA
PRIO
RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
FAVOR
81%
82%
80%
78%
84%
82%
86%
74%
83%
83%
86%
84%
88%
84%
75%
88%
86%
83%
86%
100%
OPPOSE
15%
16%
14%
17%
15%
14%
8%
22%
16%
13%
10%
12%
9%
13%
22%
10%
12%
16%
10%
NOT SURE
4%
2%
7%
4%
2%
4%
5%
5%
2%
4%
4%
4%
3%
3%
4%
2%
2%
1%
3%
NO ANSWER
93
LH RESEARCH, INC.
TABLE 35 - QUESTION 7F
PRIORITY A LONG-TERM CARE PROGRAM SHOULD HAVE IN A
NATIONAL HEALTH INSURANCE SYSTEM
PARTY
AFFILIATION
REGION
RACE
AGE
INCOME
RE
INDE
TO-
so-
MID-
WH-
BL-
HISP
18
30
50
UNDER
$15-
$25-
$35-
OVER
PUBL
DEMO
PEN-
TAL
EAST
UTH
WEST
WEST
ITE
ACK
ANIC
-29
-49
-64
65+
$15K
$25K
$35K
$50K
$50K
ICAN
CRAT
DENT
WEIGHTED BASE
1249
251
423
347
228
1020
141
104
310
509
262
168
248
238
200
246
214
296
481
329
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
GIVE LONG-TERM CARE A
31%
34%
33%
32%
24%
30%
40%
27%
22%
29%
40%
41%
46%
31%
27%
29%
25%
24%
38%
29%
TOP PRIORITY
GIVE IT A HIGH BUT
54%
50%
54%
53%
61%
55%
52%
69%
63%
56%
47%
43%
44%
54%
54%
59%
58%
55%
53%
56%
NOT TOP PRIORITY
GIVE IT A LOWER
11%
10%
9%
12%
12%
11%
6%
4%
13%
11%
11%
7%
7%
8%
15%
10%
15%
16%
7%
11%
PRIORITY
NOT SURE
1%
6%
4%
3%
4%
4%
2%
1%
3%
4%
2%
8%
3%
7%
4%
2%
1%
5%
1%
5%
NO ANSWER
94
LH RESEARCH, INC.
TABLE 35 - QUESTION 7F
PRIORITY A LONG-TERM CARE PROGRAM SHOULD HAVE IN A
NATIONAL HEALTH INSURANCE SYSTEM
HEALTH
FAVOR
GIVE
EDUCATION
RE-
LONG
NATIONAL
EXTEND
VOTED FOR
OWN
FORM
S/B
TERM
HEALTH
EMPL
MEDI
TAX
SEX
COL-
PRESIDENT 1992
HE-
S/B
BA-
CARE
INSURANCE
OYER
CARE FOR
LEGE POST
ALTH
TOP
SIC
TOP
PAY
MAN-
HMO
EX-
LONG
TO-
WO-
EDUC
GRAD
TO-
CLIN
PE-
NEGA PRIO RI-
PRIO FA-
OP-
OR
AGED
SPON
PAN-
TERM
TAL
MEN
MEN
ATED
UATE
TAL
-TON
BUSH
ROT
TIVE
RITY
GHT
RITY
VOR
POSE
PLAY
CARE
-SOR
SION
CARE
WEIGHTED BASE
1249
595
654
144
96
949
473
303
172
212
587
1063
388
873
250
411
368
377
821
1010
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
GIVE LONG-TERM CARE A
31%
26%
36%
23%
22%
29%
35%
24%
23%
42%
44%
34%
100%
36%
17%
29%
24%
27%
35%
34%
TOP PRIORITY
GIVE IT A HIGH BUT
54%
56%
53%
60%
61%
56%
56%
55%
61%
44%
48%
55%
54%
54%
58%
57%
58%
55%
55%
NOT TOP PRIORITY
GIVE IT A LOWER
11%
15%
7%
13%
14%
12%
7%
17%
13%
8%
6%
8%
7%
24%
8%
14%
11%
7%
8%
PRIORITY
NOT SURE
4%
3%
4%
4%
3%
3%
2%
4%
3%
6%
2%
3%
3%
6%
4%
4%
3%
3%
3%
NO ANSWER
95
LH RESEARCH, INC.
Survey Method
The Public Mandate for Health Care Reform in America was conducted by
telephone among a nationwide cross-section of 1250 adults aged 18 and over. The
interviewing was conducted between December 12, 1992, through January 3, 1993.
The sample which was employed is based on methodology that is designed to
produce representative samples of persons in telephone households in the 48
continental United States. The sample makes use of random-digit selection
procedures which assure sample representation of persons in both households which
are "unlisted" in telephone directories as well as persons in households which are
"unlisted II in telephone directories. 1 The sample design is also explicitly designed
to assure proper representation of households in central city, suburban, and rural
areas within each of the 48 continental states.
The sample is selected by a three-state, stratified sampling process. The
ultimate result of this process is a set of sample selections (phone numbers). In
order to assure that the maximum degree of sample control is maintained, the basic
sample design has been set up to produce cross-sectional national samples in
increments of 500, 1,000, or 1,250 sampling points (i.e. households).
The sampling margin of error is +/- 3 percent in 95 out of 100 cases.
1
Some households are "unlisted" as the result of request for an unlisted
number by the telephone subscriber. Other households are "unlisted" in the published
directory because the telephone number was assigned after the publication date of the
directory." Samples that are restricted to directory-listed numbers only may contain
serious sample biases because of the exclusion of the various types of unlisted
households.
96
LH RESEARCH, INC.
Sampling Error
The results achieved from national public cross sections are subject to sampling
error. Sampling error is defined as the difference between the results obtained from
the sample and those that would have been obtained had the entire population been
surveyed. The size of sampling error varies both with the size of the sample and with
the percentage giving a particular answer. The following table (Table B) sets forth the
range of error in samples at different sizes at different percentages of responses:
Table B
Recommended Allowance For
Sampling Error Of Proportions
(Plus or Minus)
Sampling Tolerance (at 95% Confidence Level)
To Use in Evaluating Any Individual Percentage Result
Approximate Magnitude of Results
Approximate Sample Size
Survey
Survey
Survey
Survey
Survey
of Any Group Asked
Percentage
Percentage
Percentage
Percentage
Percentage
Question on Which
Result At
Result at
Result at
Result at
Result at
Survey Result is Based
10% or 90%
20% or 80%
30% or 70%
40% or 60%
50%
1,250
2
2
3
3
3
1,000
2
3
3
3
3
500
3
4
4
4
4
300
3
5
5
6
6
200
4
6
6
7
7
100
6
8
9
10
10
50
8
11
13
14
14
For example, if the response for a sample size of 1,000 is 30%, in 95 cases out
of 100 the response in the total population would be between 27% and 33%.
Note that survey results based on subgroups of small size can be subject to
large sampling error.
The recommended allowances for sampling error were calculated based on a
simple random sample.
97
LH RESEARCH, INC.
Weighting
The study was weighted to the Census Bureau's latest population parameters
on sex, age, race, and education. This adjusts these key variables, where necessary,
to their actual proportions in the population. In addition, the study was weighted by
the number of adults in the household and the number of phone lines in the
household.
All surveys tend to under-represent to some extent the most disadvantaged
stratum of society due to the inherent difficulty of reaching them. Weighting of data
by race and education serves to correct any such under-representation and to assure
that final results are fully projectable.
98
LH RESEARCH, INC.
QUESTIONNAIRE
12:40pm March 2, 1993
LH RESEARCH
1270 Avenue of the Americas
New York, NY 10020
Questionnaire No:
(1-4)
Health -- Study 920016
December 22, 1992
Interviewer I.D.:
Date:
Time Started:
Area Code:
Telephone No.:
Hello. I'm
,
from LH Research, the national survey research firm in New York headed by Louis
Harris. We're conducting a survey on important issues the public today. Your answers and those of everyone we
interview are completely confidential and will only be used for statistical analysis. In order to get a representative sample
of the public, I would like to speak to the youngest male who is at least 18 years old and a permanent member of this
household.
FROM OBSERVATION:
Male
( )__-1
Female
-2
1
March 2, 1993 12:40pm
1. Overall, how do you feel about the health care services that you and your family have used in the last year. As far as
(READ EACH ITEM) goes, would you say you are very satisfied, somewhat satisfied, somewhat dissatisfied, or very
dissatisfied?
Some
Some
Very
what
what
Very
Not
ROTATE--START AT "X"
Satisfied
Satisfied
Dissatisfied
Dissatisfied
Sure
( ) 1. The quality of the service you received
( ) -1
-2
-3
-4
-5
( ) 2. The availability of the kind of
health care you want
( ) -1
-2
-3
-4
-5
( ) 3. The cost of the health care
available to you
( ) -1
-2
-3
-4
-5
( ) 4. The health insurance plan
available to you
( ) -1
-2
-3
-4
-5
2a.
Now let me ask you about health care, such as hospital or physician services, drugs, nursing home care or
assistance to remain at home. In the past 12 months, was there any time when you or a member of your family needed
or thought you needed health care but did not get it, or was there no such time?
Was such a time
-1
(AKD Q.2B)
No such time
-2
(SKIP TO Q.3)
Not sure
-3
(SKIP TO Q.3)
2b.
What is the main reason that you did not get the health care needed in this situation? (DO NOT READ
LIST) (MULTIPLE RECORD)
Lack of money, couldn't afford it
( ) -1
No insurance coverage for the condition
-2
Couldn't get doctor's appointment
-3
Couldn't get into a hospital
-4
Told by doctor/hospital condition didn't require medical help
-5
Didn't have transportation to Dr/hospital
-6
Didn't know where or from whom to get medical help
-7
Had insurance but it paid only part of the bill
-8
Other
-9
Not sure
-0
ASK EVERYONE
3a.
There have been a number of alternative plans for health care for people in this country. I'd like to get your
views on each of them. First, under our present health care system, the government pays most of the cost of health
care for the elderly, the poor, and the disabled. Most other people either have health insurance paid for by their
employers or have to buy it from an insurance company. Some people have no insurance. Even those with insurance
are not covered for the costs of medications, nursing home care and other long-term illnesses. Do you favor or oppose
keeping this system as it is?
Favor
( ) -1
Oppose
-2
Not sure
-3
2
March 2, 1993 12:40pm
3b.
One alternative is a system of national health insurance, under which the government pays all the bills, with the
patient not paying any bills directly. However, the government would pay a set amount for each service that people
receive from their doctor and hospital, thereby controlling health care costs. Each person could choose his or her own
doctor and hospital, much as they do now. Would you favor or oppose this system?
Favor
( ) -1
Oppose
-2
Not sure
-3
3c.
Another alternative is a system under which each employer would have to pay for health insurance for the
employees of that company or organization, and, if an employer does not pay for such a plan, then the employer is
taxed an amount equal to what it would cost to pay for the health insurance, and the insurance would be provided by
the government. This plan would not cover the costs of long-term care, including nursing home or in-home care. Would
you favor or oppose this system?
Favor
( )__-1
Oppose
-2
Not sure
-3
3d.
Another plan is called managed competition, under which large health maintenance organizations (HMOs) would
be encouraged to provide most of the health care in the country. They would compete with each other in the same
community for people's business. At the same time, the government would set prices for all health services received.
The privately-owned HMOs would guarantee everyone signed up in them full doctor and hospital services, although
under some HMOs, patients may not have the same doctors to take care of them. This plan would not cover costs of
long-term care including nursing home or in-home care. Would you favor or oppose that system?
Favor
( )___1
Oppose
-2
Not sure
-3
3e.
Finally, another system of health care would also encourage people to sign up in special organizations approved
by the government, representing large numbers of people. These sponsor organizations, as they would be called, would
then drive bargains for their members with private health maintenance organizations. All medical costs would be paid for
by a payroll tax on each employer and employee, which would go into a fund regulated by the government. Individual
sponsoring organizations would then offer their members two HMOs to choose from, deciding which would appeal to
them more. If a person wanted more services beyond the basics, they could pay more for more extensive coverage.
This plan would not cover the costs of long-term care, including nursing home or in-home care. Would you favor or
oppose such a system?
Favor
( ) -1
Oppose
-2
Not sure
-3
3f.
Another plan would create a health security program similar to Social Security. Like Social Security, Medicare
would expand to include people of all ages. Everyone would pay into the health security program during their working
years in exchange for comprehensive and long-term care protection when they are unemployed, retired, disabled, or
chronically ill. Employers would be required to provide the same comprehensive package of benefits as the public
health security program for their employees either through private insurance or by buying into the public plan.
Comprehensive budgeting to control costs would be an important part of this plan, as would quality control provisions.
Would you favor or oppose such a system?
Favor
( )___-1
Oppose
-2
Not sure
-3
3
March 2, 1993 12:40pm
4a.
A major problem with health care is the constantly rising costs. Keeping that in mind, on a scale of 1 to 5, with
1 being the highest and 5 the lowest, what priority would you give to each of these in our health care system? (READ
EACH ITEM)
4b. Now, if you had to choose, which one or two from that list would you give the highest priorities to? (READ LIST
AGAIN ONLY IF NECESSARY)
ROTATE--START AT "X"
4a. Rankings
4b. Most Important
1
2
3
4
5
Not sure
1st Mention
2nd Mention
( ) 1. Preventive care
( )
1
2
3
4
5
6
( ) 1
( ) 1
( ) 2. Long term home care
( )
1
2
3
4
5
6
2
2
( ) 3. Long term nursing home
care
( )
1
2
3
4
5
6
3
3
( ) 4. Long or extended
hospital days
( )
1
2
3
4
5
6
4
4
( ) 5. Fast, convenient
outpatient care
( )
1
2
3
4
5
6
5
5
( ) 6. Hospitals that really care
about the patients
( )
1
2
3
4
5
6
6
6
( ) 7. Unlimited availability of such
care as kidney dialysis, organ
transplants, and plastic
surgery
( )
1
2
3
4
5
6
7
7
( ) 8. Extensive testing of patients( )
1
2
3
4
5
6
8
8
Not sure
9
9
5.
Which one of the following statements comes closest to expressing your overall view of the health care system
in this country?
a.
On the whole, the health care system works pretty well and
only minor changes are necessary to make it work better ) -1
- or -
b.
There are some good things in our health care system, but
fundamental changes are needed to make it work better
-2
..
or -
C.
Our health care system has so much wrong with it that we
need to completely rebuild it
-3
Not sure
-4
4
March 2, 1993 12:40pm
6a.
In the British National Health Service, the government pays most of the cost of health care for everyone out of
taxes, and the doctors and hospitals work for the government. Under the British system, people can choose their family
doctors, but not their specialists or hospitals. On balance, would you prefer the British system or the system we have
here?
British system
( ) -1
System we have here
-2
Not sure
-3
6b.
In the Canadian system of National Health Insurance, the government pays most of the cost of health care for
everyone out of taxes, and the government sets all fees charged by doctors and hospitals. Under the Canadian system,
people can choose their own doctors and hospitals. On balance, would you prefer the Canadian system or the system
we now have here?
Canadian system
( ) -1
System we have here
-2
Not sure
-3
7a.
Have you, or has any member of your family, or has someone you know ever needed long-term care because
they had a chronic disease such as Alzheimer's disease, stroke, or muscular dystrophy, a birth defect, or a permanent
disability resulting from an auto accident or something similar, or haven't you known anyone like that?
Someone in family or have known someone
( ) -1
No one has had need and don't know anyone who has
-2
Not sure
-3
7b.
Now, suppose you or some member of your family had to have long-term care. Would you prefer to receive
that care in a nursing home or in your or their own home?
In a nursing home
( )__-1
In own home
-2
Neither (vol.)
-3
Not sure
-4
7c.
An estimated one million Americans go bankrupt each year trying to pay the costs of long-term illness such as
Alzheimer's or Parkinson's Disease. Today, very few people have long term medical insurance to pay for long-term care.
It has been estimated that this kind of long-term care in your home or in a nursing home can cost as much as between
$15,000 and $60,000 a year, or $40 to $160 a day. Would you be able to pay that amount of money for long-term care
or not?
Could afford to pay
( ) -1
Could not afford
-2
Not sure
-3
7d.
Would you favor a federal program that would help provide for long-term care in the home for (REACH EACH
ITEM) who are chronically ill or disabled, or would you oppose it? (RECORD BELOW)
ROTATE-START AT "X"
Favor
Oppose
Not Sure
( ) 1. Elderly people 65 and over
( ) -1
-2
-3
( ) 2. People 20 to 64 years of age
( ) -1
-2
-3
( ) 3. Children 19 years of age or under
( ) -1
-2
-3
5
March 2, 1993 12:40pm
7e.
A real question is how a federal long-term care program for the chronically ill and disabled should be paid for.
Today, medicare is financed by a tax of 1.45% on employee wages, up to $130,200 of their annual income. This means
that 3% of the population who earn more than $130,200 pay this tax on the first $130,200 only, but not on income
beyond that. One way to pay for the federal long-term care program would be to make those earning over $130,200 pay
this tax on all of their income. Would you favor or oppose extending the Medicare tax to include all income to fund a
long-term care program?
Favor
( )___-1
Oppose
-2
Not sure
-3
7f.
An estimated one million people go bankrupt each year paying the costs of long-term illness. If a system of
national health insurance were adopted in the country, would you give a top priority to a program of long-term care as
part of such a plan, a high priority but not a top priority, or would you give long-term care a lower priority than that?
Give long-term care a top priority
( )___1
Give it a high but not top priority
-2
Give it a lower priority
-3
Not sure
-4
7g.
Do you feel that the new national administration under President Clinton should give the highest priority to health
care reform, a somewhat high priority, or not a priority at all?
The highest priority
( ) -1
Somewhat high priority
-2
Not a high priority at all
-3
Not sure
-4
7h.
Do you believe that health care should be a fundamental right, or not?
Should be fundamental right
( ) -1
Should not
-2
Not sure
-3
8.
And how would you rate your own personal health -- excellent, pretty good, only fair, or poor?
Excellent
( ) -1
Pretty good
-2
Only fair
-3
Poor
-4
Not sure
-5
6
March 2, 1993 12:40pm
FACTUAL
F1.
How old are you?
18 to 24
( ) -1
45 to 49
-6
25 to 29
-2
50 to 64
-7
30 to 34
-3
65 to 74
-8
35 to 39
-4
75 and over
-9
40 to 44
-5
Not sure
-0
F2.
What is the last grade of school you completed?
Less than high school (1-11 years)
( ) -1
High school graduate (12 years)
-2
Some college (13-15 years)
-3
College graduate (16 years)
-4
Post-college graduate
-5
Not sure
-6
F3.
Which of the following income categories best describes your total 1991
household income. Was it (READ LIST)?
$7,500 or less
( ) -1
$50,001-$75,000
-6
$7,501-$15,000
-2
$75,001-$100,000
-7
$15,001-$25,000
-3
$100,001 and over
-8
$25,001-$35,000
-4
Not sure/refused
-9
$35,001-$50,000
-5
F4.
Regardless of how you vote, what do you consider yourself a Republican, a Democrat, an independent, or
what?
Republican
( )(____1
Democrat
-2
Independent
-3
Not sure
-4
F5.
In the recent election for president, did you vote for Bill Clinton the Democrat, George Bush the Republican, or
Ross Perot the independent, or did you not get around to voting in that election?
Clinton
( ) -1
Bush
-2
Perot
-3
Didn't get around to voteing
-4
Not sure
-5
F6.
Are you of Hispanic descent, or not?
Yes, of Hispanic descent
( ) -1
No, not of Hispanic descent
-2
Not sure
-3
F7.
Do you consider yourself white, black, Asian, or what?
White
( ) -1
Black, African-American
-2
Oriental/Asian or Pacific Islander
-3
American Indian, Native America, or Alaskan native
-4
Not sure
-5
Thank you for your cooperation!
CONFIDENTIAL CONE
BASE: 1250 ADULTS CROSS SECTION
CONFIDENTIAL
OF ENTIRE U.S.A.
INTERY YEWING DATES:
JAN.1993
8
P1.
Now I want to read you some statements about Mrs. Hillary Clinton, the wife of President-elect Bill Clinton. For
each statement, tell me if you tend to agree or disagree. (READ EACH STATEMENT)
ROTATE-START AT "X"
Agree
Disagree
Not Sure
( ) 1. Hillary Clinton will be one of the brightest and most able First Ladies
this country has ever had, and should be of great help
to her husband, the President
Total ( )591
22-2
19-3
( ) 2. She will get too involved in the running of the government and
should be a more traditional First Lady
Total ( )341
51-2
15-3
( ) 3. One of her real strengths is that she cares about children who are
in need of help, improving education for the young, and for people
who need government to do things for them
Total ( Cq-1
12-2
19-3
( ) 4. Hillary Clinton is too liberal and too much of an activist
Total ( )26-1
53.2
21-3
( ) 5. She has led an active career as a lawyer and as an advocate
for children. Now she should use her skills in government to
advance the causes she cares about
Total, ,221
14.2
9.3
(
) 6. The less we see or hear Hillary Clinton, the better off the country will Total be( )23-1
65.2
12-3
P2.
All in all, if you had to say, do you feel more positive or more negative about Hillary Clinton?
More positive
( 0621
More negative
21-2
Not sure
17-3
POSITIVE- NEGATIVE ON HILLARY CLINTON
Pos:-
New
Not
Not
twe tive Sux
Positive
Nagative
sure
Fotal Nation
62 21 17 17
new
55
26
19
East
women
70 17 13
70
16
17
midwest
59 26 15
High school n less
60
22
18
South
ea 18 17
Some college
63
18
19
West
58 19 23
College graduate
59
26
15
white
60 13 17
Black
Postgraduate
F
15
8
88 $ -
Hispanic
57 11 32
vokdin'az
63
22
IS
18-29
65 20 IS
Vold
91
2
J
30-49
60 zz 18
50-64
Voted forBush
28
51
21
62 21 17
65+ +
15
Vetel for Revot
60
17
23
months
under 50
15
70 16 14
E
woman
70
15
$15-251C
61 22 17
Women over 50
69
19
12
#25-35k
cz 22 16
835-50k
Democratic women
88
5
7
63 23 15 15
over $50k
13
Republicion women
F
42
17
Independent women
7
12
14
Republicin
46 19
Quesent
8569
Independent
65 16 19
DETERMINED TO BE AN
CONDUCTED BY LHRESEARCH
ADMINISTRATIVE MARKING
A POLL BY LOUIS HARRIS
INITIALS: SAB DATE: 12-2-13