heathcare -- where next?

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  • 8/13/2019 Heathcare -- Where Next?

    1/18Naionwide Poll & Focus Group Findings |January 20

    HealthCare:Where Nex

  • 8/13/2019 Heathcare -- Where Next?

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    p1.Health Care a Top

    Concern,

    Shutdown Is Not

    Health care is the publics No.1 concern after the economyand jobs and is irmly on topo voters minds heading into2014 for both supporters andopponents o Obamacare. Only 7percent o voters deem last fallsshutdown a top concern

    p3. Voters Pessimistic

    About Obamacare

    Since the summer, the share othose who say they will be worseoff under it has risen by 6 points and is now the answer o aclear plurality o voters

    Table ofContents

    p4. Obama Has Lost the

    Middle

    President Obamas job approvalrating has fallen below 50percent; health care is the biggest

    drag

    p5.Both Sides Agree

    Delay Is Prudent

    Voters in every category supporta delay to make the law fair andworkable for everyone

    p7. Test Messages:

    Replace Beats Fix

    Voters are more open than everto replacing Obamacare; o ivetested criticisms o the law,congressional hypocrisy andMedicare cuts are most effective

    p10. Voters

    Are Open to

    Alternatives

    Obamacaredefenders are opento alternative healthcare reforms, with tmost popular ideasbeing purchasinggroups, portability,and tort reform

    p12. Conclusion

    p14.About the

    Report

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    Dean ClancyVice President o Public Policy, [email protected]

    Kellyanne ConwayPresident, the polling [email protected]

    Stephen SpikerSenior Project Director, the polling [email protected]

    David KirbyVice President o Opinion Research, [email protected]

    AuthorsFreedomWorks Health Care: Where Next

    survey is part o an occasional series opolls that aim to capture voters attitudeson the role o government and key policyissues.

    FreedomWorks is a grassroots servicecenter to a community o over 6 millionactivists dedicated to advancing the ideaso liberty and constitutionally-limitedgovernment.

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    1

    Economy/Jobs 58%

    Healh Care 46%

    Gov Spending 33%

    Educaion 14%

    Social Issues 13%

    Foreign Affairs 8%

    Immigraion 8%

    Shudown 7%

    A new FreedomWorksnaionwide poll revealsha healh care is heAmerican publics No.1 concern afer he

    economy and jobs and isfirmly on op o voersminds heading ino 2014.

    The same poll inds last fallscontentious governmentshutdown has been largelyforgotten by voters, an event thataffected few Americans directlyand which has been swamped bynegative news surrounding therollout o the so-called AffordableCare Act, also known as the ACAor Obamacare.

    Health care is a top threeconcern for both supportersand opponents o the health

    Health Care a TopConcern, ShutdownIs Not

    care law. Among women, theissue has narrowed the gap withthe economy and jobs as thetop issue; among seniors, it hasovertaken it.

    The nationwide survey o 1,000registered voters, conducted forFreedomWorks by the pollingco., inc./WomanTrend in mid-December 2013, challenges theconventional wisdom on thisissue in several areas.

    Obamacare Is Dragging ObamaDown.Health care appears to bethe biggest drag on the presidents

    sagging approval rating. Manyvoters now view him through thelens o Obamacare negatively.

    No Quie he Law o heLand. Americans are dissatisiedwith Obamacare so far, and arenot resigned to its permanence.

    From he FocusGroup

    My concern is with

    the inequity that

    [the health law]puts on the younger

    generation.

    Bruce R., 57-year-oldmoderate Democrat

    They expect and want furtherhealth care reforms.

    Voers Suppor a Delay. Voteracross the political spectrum including Obamacare supporter support a delay o the troubleprogram, in the wake o its

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    52

    All Voers Men Women 18-29 30-39 40-49 50-64 65+ GOP IND DEM

    Economy/Jobs 58% 59% 57% 63% 57% 61% 61% 46% 56% 53% 62%

    Healh Care 46% 44% 48% 42% 42% 45% 46% 55% 53% 40% 44%

    Gov Spending 33% 38% 29% 33% 30% 32% 33% 38% 48% 39% 17%

    Educaion 14% 11% 16% 19% 18% 13% 13% 10% 5% 16% 20%

    Social Issues 13% 11% 15% 13% 15% 16% 13% 9% 9% 13% 17%

    Foreign Affairs 8% 9% 7% 10% 8% 5% 9% 7% 6% 8% 10%

    Immigraion 8% 9% 6% 5% 9% 7% 6% 12% 8% 10% 6%

    Shudown 7% 6% 8% 8% 5% 7% 8% 6% 2% 5% 12%

    From he ollowing lis, wha are he wo mos imporan issues o you personally when considering or

    whom o voe or Congress? (ACCEPT TWO CHOICES)

    When considering how

    o voe or Congress,

    how imporan o your

    voe is he issue o

    healh care, specifically

    he new healh care

    law known as The

    Affordable Care Ac or

    Obamacare?

    All Voers

    Conserv GOP

    Top 3 Is

    No TopIssueFavor Obamacare

    Mod/Lib GOP

    Conserv/Mod DEM

    Oppose Obamacare

    Independens

    Liberal DEM

    70%

    8

    18%63%

    35%

    64%

    23%

    67%

    32%

    70%

    30%

    28%

    66%34%

    75%

    22%

    than three hours o intenseconversation about Obamacareand health care reform nota single person mentionedthe shutdown. (The groupincluded 17 middle-of-the-road

    voters who reside in the D.C.area, including several federal

    employees.)

    Obamacare is a top issue headininto 2014, for both supportersand opponents, and is a drag onObamas job rating.

    Shudown Forgoten.Votershave clearly put last fallsgovernment shutdown behindthem. Eight weeks after the high-proile defunding ight, while87 percent o those surveyedknew about the shutdown, only7 percent o voters named the

    shutdown as a top concern.

    This inding is conirmed bythe results o a FreedomWorksfocus group, also conducted inDecember, where during more

    fumbled implementation andwidely reported negative impactson millions o families.

    Repeal Beas Fix.

    (And delay beats both.) A

    majority of voters surveyed

    would prefer to repealObamacare and start over

    than try to fix it.

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    3

    Do you avor or oppose he Afforda

    Care Ac, also known as Obamacar

    Favor 55%

    17%

    37%

    37%

    20%

    43%

    32%

    Persuadable Vo

    Augus 2013

    December 2013

    Oppose 35%

    Do you hink you and your amily w

    be beter off or worse off under he

    healh reorm law, or do you hink iwill no make much o a difference?

    Beter

    Worse Off

    No Difference

    The more people learn about thelaw, the more concerned theybecome.

    Obamacares remainingsuppor may be hin. O theminority (32 percent) o voterswho think it will make nodifference to them or theirfamily personally, only a slight

    majority, 55 percent, support thelaw. To staunch the bleeding,the laws most ardent supportersmust persuade voters that it willactually beneit them personally.That will be a tough sell, in thewake o months o negativeheadlines detailing Obamacaresnumerous broken promises.

    From double-digit premium hikesto millions o insurance-policycancellations to the disastrousrollout o the Obamacare website,Healthcare.gov its hard to seea positive development that canneutralize the fallout in votersminds by November.

    We found that political partyidentiication is a more powerfulpredictor o ones positionon the health care law than

    In erms o publicopinion, he roubledhealh care law hassuffered a seady andprecipious decline inavorabiliy since i wenrom on paper o inpracice.

    A majority o Americans continueto disapprove o the law, but inrecent months there has beena marked rise in the number othose who say they will be worseoff under it.

    55 percent of voters

    currently say they oppose

    the law a finding

    consistent with most

    national health care polls

    conducted over the past

    four years.

    But since last summer, the shareo those who say they will be

    worse off under Obamacare hasrisen by 6 points and is nowthe answer o a clear plurality.

    Voters PessimisticAbout Obamacare

    ideology, with liberal/moderatRepublicans lining up withconservative Republicansand conservative/moderateDemocrats lining up with liberDemocrats.

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    74

    Disapprove

    Disapprove

    Approve

    Approve

    FavorObamacare

    OpposeObamacare

    Conserv GOP

    Mod/Lib GOP

    Independens

    Cons/Mod DEM

    Liberal DEM

    4%

    94%91% 89%

    6% 9%

    24%76%

    29%67%

    79%18%

    89%8%

    Do you approve

    or disapprove

    o he job

    Barack Obama

    is doing as

    Presiden?

    And would

    you say Barack

    Obama is doing

    an excellen,

    good, air, or

    poor job as

    Presiden?

    Poor

    Fair

    Good

    Excellen 12%

    24%

    16%

    48%

    lines. Even soft partisans aremoving towards their respectivbases on Obama. 94 percento conservative Republicansdisapprove; so do 76 percent omoderate/liberal RepublicansOn the other side, 89 percent oliberal Democrats approve; anso do 79 percent o conservativmoderate Democrats.

    The bad news for Mr. Obama isthat he has lost the middle, with

    just 29 percent o independentsapproving the job hes doing,

    versus 67 percent disapproving

    The Northeast is currentlythe presidents only bastion o

    his performance is excellent;24 percent call it good. By

    contrast, 15 percent describehis performance as fair, while48 percent say its poor.Overall, voters nationwide arefour times as likely to say thathis performance is poor thanexcellent.

    Support is polarized along party

    Approval o President Obamasperformance has fallen to just

    43 percent, while disapprovalhas risen to 54 percent. And 45percent strongly disapprove.

    Depending on how you ask thequestion, voters say Obama isdoing either a bad job or a reallybad job. When grading him,only 12 percent o voters say

    Obama Has Lostthe MiddleDozens of national surveys, including this one, showthat the presidents approval ratings are under

    water. This one shows that health care appears to

    be the biggest drag. Many voters now view Obama

    through the lens of Obamacare negatively.

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    8

    support. O the nine geographicregions o the country,disapproval exceeds approval bydouble digits in ive and singledigits in two:

    Mountain = -39 pointsSW Central = -52 points

    NW Central = -14 pointsNE Central = -19 pointsSE Central = -18 pointsPaciic = -2 pointsSouth Atlantic = -1 point

    In just two regions does thepresidents performance enjoymore approval than disapproval:

    Mid-Atlantic = +19 pointsNew England = +3 points

    (Note: The individual states ineach region are listed at the endo this report.)

    Women and minorities arekeeping Mr. Obama aloat. While39 percent o men approve o his

    job performance and 59 percentdisapprove, the respectiveigures for women are 47 percentapproving versus 49 percentdisapproving. For whites, theigures are 31 percent approve,67 percent disapprove. ForHispanics: 75 percent approve, 23

    percent disapprove. For blacks:85 percent approve, 12 percentdisapprove.

    Voers view o he Presidenjob perormance is verysrongly correlaed wih heirview o Obamacare.Among

    those who favor the law, 91percent approve and just 6percent disapprove the job thepresident is doing. Among thoswho oppose Obamacare, thenumbers are very nearly thereverse: just 9 percent approve,while 89 percent disapprove ohis performance.

    A solid majority of voters

    including the laws

    supporters support a

    delay of the ACA.

    Among all voters, 60 percentfavor a delay to make surethe law is fair and workablefor everyone. 64 percent oObamacare opponents support

    a delay; so do 54 percent o thelaws supporters.

    Partisan affiliation

    makes no difference

    on this question. More

    than 50 percent of

    Both Sides AgreeDelay Is Prudent

    Republicans, Democrats

    and independents all

    support a delay. (The

    figure for independents

    58 percent.)

    Similarly, a solid majority suppoa delay o the laws least populaprovision, the individual mand

    to purchase health insurance,which took effect January 1.

    The House has passed a one-yedelay o the ACA several times,only to see it die in the Senate aearn a veto threat from PresideObama. These results suggest ththe House has the publics back the delay issue.

    From he FocusGroup

    I like giving people

    access to health

    care, but not the

    way they did it. It

    should be repealed.

    The idea of this

    law is good, but the

    practice needs some

    major changes.

    Wailun C., 29-year-oldwoman, Independent

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    96

    Favor

    Oppo

    All Voers

    All Voers

    Favor

    Obamacare

    FavorObamacare

    Oppose

    Obamacare

    OpposeObamacare

    60%

    57%

    36%

    49%

    45%

    63%

    31%

    54%

    38%

    64%

    28%31%

    The Obama Adminisraion has given

    ou emporary waivers rom pars o

    he healh care law o hundreds o

    companies and labor unions, and has

    also announced long-erm delays o a

    leas 19 major provisionsincluding

    he employer mandae and he small

    business exchangewhich will delay

    hese provisions or one year.

    Do you favor or oppose delaying

    the overall implementation of

    Obamacare for one year, in order

    to give Congress more time to

    make sure the law is fair and

    workable for everyone?

    Support delaying the whole law

    Support delaying the individual mandate

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    7

    voters to be our best analogue fpersuadables on Obamacare those who arent completely onboard with repeal and replace,but are open to new ideas.)

    We also tested ive messages

    relating to speciic criticisms othe law:

    Congressional hypocrisy

    Medicare Par C cus

    Ideniy hef / healhcare.goprivacy and securiy

    Premium hikes

    Insurance plan cancellaionsAll ive o these messages testwell. The most effective arethose relating to congressionalhypocrisy and Medicare Part Ccuts.

    Dialing down on MedicarePart C, we also tested two

    versions o a potential argumen

    regarding the 500,000 seniorswho are losing their MedicarePart C coverage as a result oObamacare. The results show than argument emphasizing senioright to choose their plan is moeffective (61 percent o voters)than one focused on oppositionto government-run health car(51 percent).

    merely ix the law holds for allsubcategories o voters. Even theuninsured say start over!

    Persuadable voters, i.e., thosewho think the law will make nodifference to them personally,

    were almost evenly split amongthese four messages. 50 percento them support getting rid o thelaw.

    (Note on persuadables: Weasked respondents whetherthey and their family wouldbe better or worse of underObamacare, or i it wont makemuch o a difference. Those who

    answered no difference arenot as likely to be hard critics oObamacare, but are not ardentdefenders either. This group hasmore self-identiied Democratsand liberals than average, butcontains a fair amount o self-identiied Republicans andconservatives. We consider these

    Voters are more open thanever to replacing Obamacare, asopposed to ixing it.

    Among tested messages regardingwhat to do with Obamacareoverall, start over and reform

    health care and repeal andreplace Obamacare beat ix it orgive it a chance to work andrather decisively.

    Voters said the start over andreform health care message madethem 34 percent more likely tovote for a hypothetical candidate,while the give it a chance towork message made them 16

    percent lesslikely to do so.

    While the usual partisan anddemographic patterns are visiblein the data (e.g., Republicansand Independents tending tofavor repeal, Democrats andminorities tending to favor ix),the preference against trying to

    Test Messages:

    Replace Beats Fix

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    118

    ToalMoreLikely

    ToalLess

    Likely

    NeMoreLikley

    MucMoLike

    We need o learn rom he lessons o he pas our years and sar over and

    reormhealh care wih a new law ha allows people o keep heir docorand ocuses on policies mos Americans can agree wih, such as allowingincreased ax exempions or medical expenses and allowing paiens opurchase insurance across sae lines.

    63% 29% +34% 38%

    We need o repealObamacare and replace iwih marke-based soluionsha enable everyoneincluding people wih preexising medical condiionso obain he healh care hey need a a price hey can afford.

    63% 31% +32% 44%

    We need o fix Obamacareby keeping he hings ha work, such as is policyon pre exising condiions, finding a new soluion or problems like heindividual mandae and he increased governmen involvemen in healhcare.

    46% 45% +1% 22%

    We need o givehe Presidens healh care law a chanceo work. 40% 56% -16% 28%

    ToalMoreLikely

    ToalLess

    Likely

    Ne LessLikley

    MuLe

    Lik

    Despie Congress passing he law ha resuls in some oher people losing heircare, Members o Congress sill keep heir healh benefis ha allow hem oreceive a 75% discoun or he healh care hey buy on he exchanges, a benefino available o any o heir consiuens.

    11% 70% -59% 60

    Par o he way ha he law pays or isel is by cuting $200 billion in undingor Medicare Par C, also known as Medicare Advanage, which is an opionunder which seniors can receive all o heir Medicare benefis, plus addiionalbenefis, rom a privae healh insurer, ofen a no addiional cos o hesenior. These cus mean over 500,000 seniors are losing heir healh plansand in some cases are also losing benefis or access o heir preerred docors,and will be orced o pick anoher privae insurance opion or rever o regularMedicare.

    13% 69% -56% 57

    Some people rying o sign up or healh care on he new exchanges are beingargeed by scam ariss, and he Deparmen o Healh and Human Servicesown Inspecor General said ha he healh care websie does no provideadequae proecion o privacy or he people ha sign up.

    11% 67% -56% 56

    In a sae-by-sae analysis, 41 saes and he Disric o Columbia saw averagehealh insurance premiums rise since he new law was passed. Premiumshave increased an average o 41% naionwide.

    16% 65% -49% 54

    As you may know, he Presiden repeaedly promised over a number o years,I you like your healh care, you can keep i. Afer 5.5 million Americans hadheir plans cancelled, he Presiden apologized ha wha he said was no rue.

    19% 62% -43% 50

    Consider a hypoheical campaign or Congress beween our candidaes. Im

    going o read you our posiions on he new healh care law; or each one,

    please ell me i ha saemen makes you more likely or less likely o voe or

    ha candidae or Congress?

    Does ___________________ make you more likely or less likely tosupport the Affordable Care Act, also known as Obamacare?

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    9

    Republican

    Whie

    Independen

    No Insurance

    Age: 65+

    Men

    Age: 30-39Gov Insur.

    All Voers

    Age: 40-49

    Employer Insur.

    Women

    Age: 18-29

    Age: 50-64

    Sel-Purchase Insur.Hispanic

    Black

    Democra

    85%

    66%

    65%

    65%

    61%

    59%

    58%58%

    57%

    57%

    57%

    56%

    56%

    55%

    55%30%

    28%

    27%

    GOVERNMENT-RUN:

    Do you agree or disagree

    wih he ollowing

    saemen: I believeMedicare Advanage

    was argeed or cus,

    o help pay or he new

    healh care law, because

    proponens o he new

    healh care law wan

    o push seniors ino

    he governmen-run

    Medicare Pars A and B,

    and away rom privaeinsurers.

    Agree Disagree

    51%

    31%

    61%

    30%

    SENIORS CHOICE:

    Do you agree or disagree

    wih he ollowing

    saemen: I believei is wrong or he

    governmen o orce

    seniors away rom

    plans hey have chosen,

    wih heir docors and

    specialized benefis ha

    mee heir individual

    needs, ino generic

    Medicare in order o pay

    or he new healh carelaw.

    Medicare

    Part-C Cuts

    - Much Less

    Likely

    Oppose (Governmen-Run) Oppose (Seniors Choice

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    1310

    The comparable igures forpersuadable voters (i.e., thosewho think the law will make ndifference to them personally)tend to fall somewhere betweenthe two foregoing sets o igure

    Notably, majorities o votersfavor less involvement in healthcare by lawyers, insurers, and thgovernment.

    One alternative voters

    do not support: single-

    payer. Among focus

    group participants, thisidea found almost no

    supporters, perhaps

    because the idea of

    government-run healt

    care has taken on a bad

    odor.

    Among all voters, the mostpopular ideas are:

    Individual / small businesspurchasing groups (78 percen)

    Porabiliy (67 percen)

    Tor reorm (64 percen)

    Purchasing across sae lines(62 percen)

    Reduce insurance companyinererence (62 percen)

    100% ax deducions ormedical expenses (61 percen)

    Among Obamacare supporters,the most popular ideas are:

    Individual / small businesspurchasing groups (72 percen)

    Porabiliy (59 percen)

    Reduce insurance companyinererence (60 percen)

    100% ax deducions or

    medical expenses (58 percen)

    Tor reorm (52 percen)

    Purchasing across sae lines(48 percen)

    Obamacare defenders

    are open to alternative

    health care reforms.

    Both our focus group and surveyindings conirm that those

    who call for repeal are expectedby voters to have their ownplan. The plan must be easy tounderstand, workable, and notbe seen as moving backwardon items people value, such ascovering people with preexistingmedical conditions.

    We tested a large number

    of possible health care

    reform ideas that would

    replace or supplement

    Obamacare.

    Voters Are Open toAlternatives

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    11

    Mean % o 10 - Srongly Suppor % o 8-

    Le individuals, small businesses, and oher groups join ogeher oge healh insurance a lower prices, he same way large businessesand labor unions do

    8.6 56% 78%

    Make healh insurance porable rom job o job by allowingworkers o buy individual coverage ha mees heir needs wihouhaving o pay a ax penaly

    8.0 46% 67%

    Ge lawyers ou o healh care by reorming medical malpraciceor law and discouraging rivolous lawsuis

    7.8 47% 64%

    Promoe compeiion by allowing consumers o buy healhinsurance across sae lines

    7.7 44% 62%

    Grealy reduce he abiliy o insurance companieso inerere inindividuals ree choice o insurance, docors, and herapies

    7.7 42% 62%

    Help make healh care more affordable by allowing all Americans

    o receive a 100% ax deducion or legiimae medical expenses

    7.7 42% 59%

    Grealy reduce he abiliy o he governmeno inerere inindividuals ree choice o insurance, docors, and herapies

    7.6 50% 63%

    Le employees become consumers o healh care by allowing hemo pu money, ax ree, ino a Healh Savings Accoun (HSA) hahey own and conrol or healh expenses

    7.3 39% 58%

    Creae new ederal grans o saes ha reduce he number ouninsured in heir sae, puting he responsibiliy in he hands ohe sae governmens, which are closer o he people

    6.1 20% 38%

    Im going o read you some policy ideas or how o reorm healh care. For each one, please rae i on a scale o 1 o 10

    wih 1 being do no suppor ha idea a all and 10 being srongly suppor ha idea.

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    1512

    is neutralize it by changing thesubject.

    Last years government shutdowight over Obamacare fundinghas dropped from votersminds, as GOP warnings aboutObamacares failings have beendramatically validated.

    In the current environment, themidterm elections are likely tobe won by those candidates whturn out their motivated basesupporters, rather than those wfollow a more play it safe, runto the center strategy.

    Finally, throughout the surveywe ind that on questions opolicy voters tend to favor lessgovernment and more freedom

    willing to give Mr. Obamathe beneit o the doubt. Buttoday, the public no longerbelieves Obamacare can work aspromised.

    As a result, voters across thespectrum think a delay is prudentand are also willing to considersensible alternatives that canplausibly improve health care,assuming no harm comes tothose with preexisting medicalconditions.

    Democrats ind themselves onthe defensive on Obamacare,

    and there appears to be noplausible way for them to makeit a winning issue by November.The best they can hope to do

    The results o this surveystrongly suggest health care willbe a dominant perhaps thedominant issue in 2014.

    Regardless o where voters standon Obamacare, they are veryconcerned about health care.

    Health care is simply a bigissue for voters, especiallyamong women and seniors,and therefore one that the GOPshould be addressing head-on.

    Obamacares rocky rollout,premium hikes, and insurance

    cancellations have measurablydepressed support for the law and the president.

    Previously, some voters were

    Conclusion

    Health

    Care:WhereNext

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    13

    plans, job cutbacks andeconomic uncertainty foremployers).

    3) Figh or principledchanges o he law hawill help expedie isulimae repeal. Forexample:

    Delay the individualmandate.

    Apply the law fairly toMembers o Congress andtheir staff.

    Repeal the laws built-in bailouts for the healthinsurance companies.

    1) Keep fighing o ge rido he law.

    Giving up on repeal nowwould be a mistake.

    Replace beats ix, anddelay beats both.

    2) Say on offense.

    Continue aggressiveoversight o the lawsimplementation.

    Educate the public on thelaws unfairness (waivers,exemptions, congressionalhypocrisy, burdens on youngpeople) and personal impacts(higher premiums, cancelled

    In light of theseresults, our advice

    for congressionalsupporters of a market-oriented, patient-centered approach is:press your advantage.

    4) Naionalize hemiderm elecions wiha unified healh carereorm message:

    Begin a nationalconversation on alternativideas for making health cabetter.

    Coalesce around a commoplatform o bold, thoughtfand sensible health carereform ideas one thatpromotes less governmentand more freedom.

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    1714

    Here is a list o the nine regions, with theirrespective percentages o the U.S. populatioand their individual states:

    5% | New England (CT, ME, MA, NH, RI, VT)

    13% | Mid-Atlantic (NJ, NY, PA)

    16% | East North Central (IN, IL, MI, OH, W

    7% | West North Central (IA, KS, MN, MO, NND, SD)

    20% | South Atlantic (DE, DC, FL, GA, MD, NCSC, VA, WV)

    6% | East South Central (AL, KY, MS, TN)

    11% | West South Central (AR, LA, OK, TX)

    7% | Mountain (AZ, CO ID, NM, MT, UT, NV, W

    14% | Paciic (AK, CA, HI, OR, WA)

    36 percent o respondents self-identiiedas Republican, while 39 percent self-identiied as Democrats and another 19percent considered themselves IndependenRespondents who initially answeredIndependent were asked i they lean in thedirection o either party, and i so, thoseleaners were included as Republican orDemocrat.

    44 percent o respondents self-identiiedas conservative, while 29 percent calledthemselves moderate and 19 percent callethemselves liberal.

    The polling company, inc./WomanTrend, on behal oFreedomWorks, conducted interviews for the nationwidesurvey o 1,000 registered voters between December15 and 18, 2013. The sample was drawn using lists oregistered voters. All interviews included 85 percentlandlines and 15 percent cell phone interviews. The dual-frame survey was conducted using live interviewers ata Computer-Assisted Telephone Interviewing facility.Sampling controls were used to ensure a proportionateand representative number o interviews across gender,

    age, racial/ethnic, and regional lines. Survey data wereweighted by party self-identiication. The margin oerror (MoE) for this survey is 3.0% overall at the 95%conidence interval. MoEs for subgroups are larger.

    Demographics

    52 percent female, 48 percent male.

    12 percent between the ages o 18-29, 15 percentbetween the ages o 33-39, 21 percent between the

    ages o 40-49, 42 percent between the ages o 50-64,and 20 percent over the age o 65.

    71 percent o the base survey were white/Caucasian,11 percent black, 11 percent Hispanic, 2 percentAsian, and 5 percent other.

    A 9-region geographic break was used, separatingthe states into New England, Mid-Atlantic, SouthAtlantic, East and West North Central, East andWest South Central, Mountain, and Paciic. Usinga more traditional, four-way geographic split, 18percent o those surveyed were from the Northeast,23 percent from the Midwest, 37 percent from theSouth, and 21 percent from the West.

    About the ReportMethodology

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    69 percent o respondents were married, 8 percent weredivorced. 1 percent separated, and 7percent widowed,while 13 percent were single and had never been married.

    33 percent o respondents had children living with themat home, another 48 percent had children who are nolonger living at home, and 16 percent have never hadchildren.

    10 percent o the base survey described their yearlyincome as below $25,000, 11 percent from $25,000 to$39,999, 11 percent from $40,000 to $49,999, 8 percentfrom $50,000 to $59,999, 7 percent from $60,000 to

    $69,999, 5 percent from $70,000 to $74,999, 11 percentfrom $75,000 to $99,999, 11 percent from $100,000 to$149,999, and 9 percent as $150,000 and above.

    43 percent o the base survey receive their healthinsurance through their employer, 35 percent receive itthrough a government program like Medicare, Medicaidor the VA, 12 percent have purchased it on their ownthrough the individual market, and 6 percent areuninsured.

    Demographicscon.