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CBS NEWS/NEW YORK TIMES POLL For release: December 18, 2013 6:30 PM ET The Uninsured and the

ACA December 4-15, 2013 The uninsured are more apt than those with insurance to expect the health care law will help them (33% vs. 15%). But 37% of the uninsured think the law will hurt them. Many uninsured have not yet explored their options under the new law, and most arent sure of its impact on their lives. 58% have not yet looked up information about applying for health insurance under the new exchanges, and 54% are confused about how the law will affect them. More than half - 57% - of the uninsured who have visited the healthcare.gov website found it difficult to use. A third of the uninsured says they will pay a fine rather than sign up by the March 2014 deadline. The top reason they wont sign up for insurance? Cost. And finances are a real concern for the uninsured. 57% of uninsured Americans expect the law will cause their health care costs to increase, and 59% think getting insurance will hurt them financially. They do see benefits though: 57% think health insurance will make their health better. At the same time, the uninsured arent particularly happy with their health care now. While 55% of those with insurance are very satisfied with the quality of the health care they currently receive, just 17% of the uninsured report the same. 55% report they or someone in their household has gone without needed care. 74% say affording basic medical care is a hardship for them. The Affordable Care Act: How Will it Affect You? Americans and those without insurance have real concerns about the impact of the health care law. 52% of Americans think the law will increase the cost of their health care, but just 17% think there will be an accompanying improvement in the quality of the health care they receive. For this poll, CBS News and The New York Times interviewed 702 adults who do not have health insurance. Like Americans overall, most uninsured think the cost of their health care will increase, and just 23% expect the quality to get better. There is more optimism about access to health insurance. Overall, 35% think the law will make it easier for them to obtain insurance, rising to 40% among the uninsured. How Will Health Care Law Affect? Total Insured The cost of your health care Increase 52% 52% Decrease 14 13 No effect 28 29

Uninsured 57% 19 18 1

How Will Health Care Law Affect? Total Insured The quality of your health care Get better 17% 16% Get worse 36 34 No effect 42 44 Your ability to get insurance Easier Harder No effect

Uninsured 23% 30 44

35% 27 31

35% 25 32

40% 31 26

Overall, by more than two to one Americans think the health care law will hurt them (34%) rather than help them (16%). While the uninsured are more positive than those with insurance about the laws impact, more think the law will hurt (37%) rather than help (33%) them. Personal Impact of Health Care Law Total Insured Uninsured 16% 15% 33% 34 32 37 46 49 27

Help Hurt No effect

For the first time since the law was passed, more Americans say they have a good understanding of how the law will affect them personally than find the law confusing. 52% say they understand it, while 45% say its confusing. But a majority of uninsured Americans are confused by the law. 54% of Americans without health insurance say they are confused about how the law will affect themselves and their family. Understand How Health Care Law Will Affect You? Total Insured Uninsured Yes, understand 52% 53% 44% No, its confusing 45 43 54 The Uninsured: Will They Sign Up? Under the Affordable Care Act, those without health insurance need to get insurance by March 2014 or pay a fine. More than half of uninsured Americans (56%) plan to get insurance by then, but 35% say they will pay a fine instead. Younger uninsureds are a bit more likely than those who are older to say theyll get insurance. Uninsured Americans who say they are in excellent or good health are just as likely as those with fair or poor health to say theyll get insurance. Are You Planning To ? (among Uninsured Americans) Total Age <30 56% 61% 35 32

Get insurance Pay a fine

Age 30+ 54% 37

Uninsured Americans dont see a financial benefit to having health insurance most (59%) say getting insurance will negatively impact their finances. Think Getting Health Insurance Would Mostly (among Uninsured Americans) Help financially 25% Hurt financially 59 No effect 13 But they do see a benefit to their health; 57% think having health insurance would improve their health. 40% think having insurance wont have much effect on their health. Think Getting Health Insurance Would Make Your Health (among Uninsured Americans) Better 57% Worse 2 No effect 40 Among uninsured Americans who plan to get health insurance, 38% say they will do so because insurance is a good thing to have, followed by 28% who will get insurance because the health care law requires it. Why Will You Get Insurance? (among Uninsured Americans who plan to get insurance) Health insurance is a good thing to have 38% The law requires it 28 Health insurance is now more affordable 10 Have a health condition, now eligible for insurance 8 Employer is now offering it 6 Those who dont plan to buy health insurance cite cost as the main reason, followed by their objection to the government making it mandatory. Why Wont You Get Insurance? (among Uninsured Americans who plan to pay the fine) The cost is too high 50% Object to the government requiring it 29 Feel you dont need it 11 Dont know how to get it 4 Experience with the Exchanges More than two months after the health care exchanges opened, most uninsured Americans 58% - say they have not looked up information about applying for insurance, while four in 10 have done that. Looked Up Information About Applying For Health Insurance Under New Exchanges? (among Uninsured Americans) Yes 42% No 58 3

49% of uninsured Americans who looked up information were able to get the information they needed, but about as many 48% - were not. Were You Able To Get The Information You Needed? (among Uninsured Americans who have looked up info) Yes 49% No 48 24% of the uninsured have turned to Healthcare.gov, the federal governments health care web site, and 13% have visited a state-run web site. Where Did You Look Up Information? (among Uninsured Americans) Healthcare.gov 24% State-run web site 13 Phone 6 Havent looked up info 58 A majority of uninsureds who visited Healthcare.gov (57%), say they found it difficult to use. 41% said it was at least somewhat easy to use. Using HealthCare.Gov Website Was (among Uninsured Americans who have visited site) Easy 41% Difficult 57 10% of uninsured Americans in the poll say they have applied for insurance under the exchanges. 32% say they have looked up information about the exchanges but have not applied; 58% have not looked up information about health insurance exchanges. Did You Apply For Health Insurance Under New Exchanges? (among Uninsured Americans) Yes 10% No 32 Havent looked up info 58 Some insured Americans have been affected by the rollout of the new exchanges as well: they have learned that they will not be able to keep their insurance. In the poll, 13% of Americans covered by private insurance say theyve received a notice that their health insurance plan is being cancelled or changed because it does not meet the minimum coverage requirements under the 2010 health care law. Health Care Experiences: Insured vs. Uninsured Whether its the financial cost, satisfaction with the health care they receive or even where they receive their care, those without health insurance have vastly different experiences with health care compared to those with insurance.

Satisfaction with Health Care While 55% of Americans with insurance report they are very satisfied with the quality of the health care they receive, just 17% of those without insurance say the same. Satisfied with Quality of Health Care You Receive? Total Insured Uninsured Very satisfied 49% 55% 17% Somewhat satisfied 32 33 31 Somewhat dissatisfied 6 6 15 Very dissatisfied 8 5 22 Medical Care Uninsured Americans are more likely than those who are insured to have gone without medical treatment, postponed preventative health services, or not filled a prescription because of the cost. Far fewer of those with insurance report they have gone without medical care. Because Of Costs, Have You Or Someone In Your Household Total Insured Uninsured Gone without medical treatment you needed 32% 26% 55% Postponed preventive health services 36% 28% 65% Not filled a prescription/skipped doses of medicine 24% 20% 40% The poll finds health insurance status also affects where people seek medical treatment. Most insured Americans (73%) say they receive their basic health care at a doctors office but only 32% of uninsured Americans say the same. The uninsured are far more likely than the insured to receive their basic health care at a clinic or health center, or a hospital emergency room. Where Do You Usually Receive Your Basic Health Care? Total Insured Uninsured Doctors office 67% 73% 32% Clinic or health center 20 18 36 Hospital emergency room 7 4 22 The Financial Burden Most insured Americans say basic medical care is affordable for themselves and their family, but for 74% of those without insurance, being able to afford medical care is a hardship. Basic Medical Care for You and Your Family Is Total Insured Uninsured 61% 68% 24% 36 29 74

Affordable Hardship

In fact, six in 10 uninsured Americans say they or someone in their family have had problems paying medical bills in the last five years. But thats the case for just 28% of insured Americans.

In the Past Five Years, Has Your Family Had Problems Paying Medical Bills? Total Insured Uninsured Yes 34% 28% 61% No 65 70 38 Four in 10 uninsured Americans say paying medical bills has had a major impact on their finances, compared to just 16% of those with insurance. Financial Impact of Medical Bills Have On Household? Total Insured Uninsured Major impact 21% 16% 40% Minor impact 11 11 18 No impact at all 2 2 3 No problems paying bills 65 70 38 In contrast, most privately insured Americans are satisfied with the cost of their insurance. 72% of insured Americans are satisfied with the cost of their insurance, including 33% who are very satisfied. Fully 55% of uninsured Americans in the poll say they have been uninsured for more than three years. 44% have been uninsured for a shorter amount of time. When asked why they dont have health insurance, uninsured Americans choose cost as the top reason (47%), far ahead of their employer not offering it (16%), or feeling they dont need it (10%). 8% volunteer that it is because they are unemployed or looking for work. Main Reason You Do Not Have Health Insurance? (among Uninsured Americans) Cost too high 47% Job doesnt offer it 16 Dont need it 10 Unemployed 8 Dont know how to get it 5 Health condition 3 According to the poll, more than half of uninsured Americans have household incomes below $30,000, a third are under age 30, and four in 10 are between 30 and 44. A quarter are currently unemployed. The Affordable Care Act: The Larger Picture Although there has been some improvement from a month ago, as reported in a CBS News/New York Times Poll last week more Americans continue to disapprove than approve of the 2010 health care law. Americans without health insurance (53%) are as likely as those with insurance (51%) to disapprove of the law. Views of the Health Care Law Total Insured 39% 40% 50 51

Approve Disapprove

Uninsured 38% 53

But most dont think it should be repealed: 53% of Americans think that while there are some good things in the law, changes are needed to make it work better. 37% think the law should be repealed entirely. Again, there are few differences between those with and without health insurance. What Should Happen to the Health Care Law? Total Insured Uninsured Working well, kept as is 6% 6% 4% Needs some changes 53 54 60 Should be repealed 37 36 33 Views are mixed on the impact the health care law will have on the nations health care system. A third of uninsured Americans think the law will improve the health care system, but just as many say it will make the system worse. Insured Americans are not especially optimistic either. The Health Care Law Will Make The Health Care System Total Insured Uninsured Better than before 36% 37% 33% Worse than before 39 39 33 No difference 21 20 32 In particular, most Americans -- and even more of the uninsured -- dont approve of one important provision that many think is the key to making the entire health care law financially viable: the individual mandate. 68% of Americans do not approve of requiring nearly all Americans to have health insurance coverage by 2014 or pay a penalty, and that figure rises to 77% among uninsured Americans the vast majority of whom the mandate will apply to. The Individual Mandate in the 2010 Health Care Law Total Insured Uninsured Approve 31% 34% 21% Disapprove 68 65 77 Americans of all ages disapprove of the individual mandate: from those under the age of 30 (66%) to those 65 and older (66%). Even 69% of Americans who say they have a pre-existing medical condition disapprove of the individual mandate. Nevertheless, many individual provisions of the 2010 health care law are popular with both insured and uninsured Americans alike some very much so: 86% of Americans approve of requiring health insurance companies to cover those who may have an existing medical condition, and 84% approve of giving tax credits to small businesses for providing coverage to their employees. 76% of Americans approve of providing financial help to low and moderate income Americans to help them purchase coverage on the individual market. 70% approve of allowing young people to stay on their parents health insurance policies until the age of 26.

65% of Americans approve of requiring existing policies to meet higher standards of coverage, and 60% approve of increasing the Medicare payroll tax on earnings for higher income Americans. 56% approve of requiring employers with 50 or more employees to pay a fine if they dont offer health insurance to their employees. Approval of Provisions of the 2010 Health Care Law Total Uninsured Coverage of pre-existing conditions 86% 87% Tax credits to small businesses 84% 87% Financial aid for individual coverage 76% 81% Coverage on parents plan to age 26 70% 67% Higher standards for health insurance plans 65% 63% Increasing Medicare tax on higher earners 60% 63% Fining businesses not offering coverage 56% 54% As reported in a CBS News/New York Times Poll last week, 58% think the sign-up for the exchanges is not going well. Just 16% think it is. How is the Sign-up on the Health Care Exchanges Going? Well 16% Not well 58 Dont know enough 26 The Politics of the Health Care Law Though they remain divided, Americans are showing a little more confidence in the Obama administrations ability to implement the 2010 health care law. Now 48% are at least somewhat confident up from 45% last month while the percentage who are not confident has dropped from 53% in November to 49% now. Most Democrats (78%) are confident, while most Republicans (82%) and just over half of independents (52%) are not. Confidence in Administration Implementing the Health Care Law Now 11/2013 Confident 48% 45% Not confident 49 53 There is widespread disapproval for how Republicans in Congress are handling health care; 73% disapprove, and just 19% approve. Approval is somewhat higher for Democrats in Congress on this issue, but still a 59% majority disapproves. The public is more positive, but still divided, on how their state government is handling health care. Handling of Health Care Approve Disapprove Republicans in Congress 19% 73 Democrats in Congress 34% 59 Your state government 43% 45

Looking ahead to the 2014 midterm elections, most Americans say their own member of Congress position on health care will have at least some effect on their vote, though just 35% say it will matter a lot. Just 37% of Americans think employers should have to cover the full cost of birth control in the insurance plans they offer to their female employees a provision in the health care law. Over half think that employers should be allowed to opt out of covering birth control based on moral or religious grounds. Women and Democrats are most likely to say employers insurance plans should have to cover birth control. Should Employers Health Insurance Have to Cover Birth Control? Total Men Women Reps Dems Inds Yes 37% 33% 41% 18% 54% 35% No 55 58 52 74 38 55 The Role of Government and Effect on the Country The poll also explored what Americans perceive the role of government to be when it comes to health care. Three out of four Americans think that providing health care to the elderly is the responsibility of the federal government; just 23% disagree. While majorities also say providing health care to the poor and access to affordable health care for everyone are the governments responsibility, sizable percentages say those are not the federal governments responsibility. Is Providing the Responsibility of Federal Government? Yes No Health care to the elderly 74% 23 Access to affordable care for all 54% 43 Health care to the poor 53% 41 However, there are large partisan differences on these questions, especially on whether the government should provide health care to the poor and affordable care for all. Most view lack of health insurance as having a negative impact on the country overall: seven in 10 Americans think it hurts the country when individuals dont have health insurance. Lack of Health Insurance: Effect on Country Helps country 4% Hurts country 70 No effect 22 Even though most Americans disapprove of the 2010 health care law, 63% still think their own state should accept federal money to expand health insurance coverage. Most Democrats (88%) and independents (61%) think so, while most Republicans (57%) do not. Should Your State Accept Federal Money to Expand Health Care Coverage? Total Reps Dems Ind 63% 34% 88% 61% 30 57 8 29 9

Yes No

Although it has been reported that health care costs are growing at a slower rate over the past three years than they did previously, 50% of Americans think costs are growing at a faster rate than they have in the past, and just 5% think they are growing at a slower rate. 34% dont know enough to say. --------------------------------------------------------------------------------------------------------------------------The general population portion of this poll was conducted by telephone December 5-8, 2013 among 1,000 adults nationwide. The error due to sampling for this portion of the poll could be plus or minus 3 percentage points. An additional sample of people age 19-64 without health insurance was also interviewed, for a total of 702 interviews with the uninsured. Those interviews were conducted by telephone December 4-15. 2013. The data was weighted to reflect the demographic and regional distribution of the uninsured according to the U.S. Census Bureau. The margin of error for the sample of the uninsured is plus or minus 5 percentage points. The sample size for those with health insurance is 895; the margin of error for this group is plus or minus percentage 3 points. For both the general population and uninsured portions of the poll, phone numbers were dialed from samples of both standard land-line and cell phones. Interviews were conducted in English and Spanish. Data collection was conducted on behalf of CBS News and the New York Times by Social Science Research Solutions of Media, PA. This poll release conforms to the Standards of Disclosure of the National Council on Public Polls.

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CBS NEWS/NEW YORK TIMES POLL The Uninsured and the Affordable Care Act December 4-15, 2013 Q1-Q20 PREVIOUSLY RELEASED Q21. Do you think providing health care coverage for the poor is the responsibility of the federal government, or is this not the responsibility of the federal government? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 53 52 65 41 43 31 6 5 4 Apr11a % 56 38 6

Responsibility of fed government Not responsibility of fed government Don't know/No answer

Q22. Do you think providing health care coverage for the elderly is the responsibility of the federal government, or is this not the responsibility of the federal government? Responsibility of federal government Not responsibility of federal government Don't know/No answer 74 23 3 74 23 3 77 21 2 76 22 2

Q23. Do you think that providing access to affordable health care coverage for all Americans is the responsibility of the federal government, or is this not the responsibility of the federal government? Responsibility of federal government Not responsibility of federal government Don't know/No answer 54 43 3 54 43 3 64 33 3

Q23A. Do you think health insurance plans for all employers should have to cover the full cost of birth control for their female employees, or should employers be allowed to opt out of covering that, based on religious or moral objections? Feb13b 45 50 1 3

Cover birth control Allowed to opt out Depends (vol.) Don't know/No answer

37 55 3 6

38 53 3 6

36 56 2 5

Q24. Are you generally satisfied or dissatisfied with the quality of the health care you receive? Mar11a 43 35 7 9 6

Very satisfied Somewhat satisfied Somewhat dissatisfied Very dissatisfied Don't know/No answer

49 32 6 8 4

55 33 6 5 2

17 31 15 22 16

12 Q25. When individuals dont have health insurance, how do you think that affects the country overall does it (help) the country, (hurt) the country, or does it have no effect on the country? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 4 4 7 70 69 66 22 23 24 4 4 3

Help the country Hurt the country No effect on the country Don't know/No answer

Q27. From what you've heard or read, do you approve or disapprove of the health care law that was enacted in 2010? Nov13c % 15 16 15 46 8

Strongly approve Somewhat approve Somewhat disapprove Strongly disapprove Don't know/No answer

16 23 13 37 11

17 23 14 37 10

15 23 20 33 10

Q28. Does the 2010 health care law go too far in changing the U.S. health care system, not far enough, or is it about right? Too far Not far enough About right Don't know/No answer 42 23 27 8 41 23 28 8 41 28 22 9 45 24 25 6

Q29. Which comes closest to your view about the 2010 health care law? 1. The law is working well and should be kept in place as is. 2. There are some good things in the law, but some changes are needed to make it work better. 3. The law has so much wrong with it that it needs to be repealed entirely. Working well and kept in place Good things but changes needed Needs to be repealed entirely Don't know/No answer 6 53 37 3 6 54 36 4 4 60 33 2 7 48 43 2

Q30. In the long run, do you think the 2010 health care law will make the health care system in the U.S. better than it was before, worse than it was before, or dont you think there will be much of a difference either way? Better than before Worse than before No difference Don't know/No answer 36 39 21 4 37 39 20 4 33 33 32 2 30 44 22 5

13 Q31. From what you've heard or read, do you think the 2010 health care law will mostly help you personally, will mostly hurt you personally, or don't you think it will have much of an effect on you personally? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 16 15 33 34 32 37 46 49 27 3 4 3

Help Hurt No effect Don't know/No answer

Nov13c % 15 39 43 3

Q35. Do you feel you have a good understanding of how the 2010 health care law will affect you and your family, or is it confusing to you? Understand Confusing Don't know/No answer 52 45 4 53 43 4 44 54 2 48 48 4

Q32. Do you think the 2010 health care law will eventually increase your own health care costs, will eventually lower your own health care costs, or don't you think it will have much effect on your own health care costs? Oct13d 53 14 27 6

Increase Decrease No effect Don't know/No answer

52 14 28 6

52 13 29 6

57 19 18 6

Q33. Do you think that the 2010 health care law will make the quality of health care you receive better, will make the quality of health care you receive worse, or don't you think it will have much effect on the quality of your health care?
Better

Worse No effect Don't know/ No answer

17 36 42 5

16 34 44 6

23 30 44 4

16 40 40 4

Q34. Do you think that the 2010 health care law will make it easier for you to obtain health insurance in the future if you are lacking insurance, harder to obtain insurance, or don't you think it will have much effect on your ability to obtain health insurance? Easier Harder No effect Don't know/No answer 35 27 31 8 35 25 32 8 40 31 26 3

14 Q36. Regardless of your overall opinion of the 2010 health care law, how confident are you in the Obama Administrations ability to implement the law very confident, somewhat confident, not very confident, or not at all confident? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 14 15 18 34 34 32 17 16 21 32 32 28 3 2 2

Very confident Somewhat confident Not very confident Not at all confident Dont know/No answer

Nov13c % 13 32 22 31 2

Q46. When you evaluate your own member of Congress, how much will his or her position on the 2010 health care law matter--will it matter a lot, somewhat, not much, or not at all? A lot Somewhat Not much Not at all Don't know/No answer 35 34 13 12 5 36 35 12 11 5 34 33 15 14 4

Q39. As you may know, as part of the 2010 health care law, health insurance exchanges have opened up so people can sign up for health insurance. Based on what youve heard or read, has the sign-up for the health care exchanges been going very well, somewhat well, not very well, not at all well, or dont you know enough to say? Very well Somewhat well Not very well Not at all well Dont know enough to say Don't know/No answer 3 13 25 33 26 1 3 13 27 32 24 1 3 13 21 28 34 1 3 8 26 41 23 *

Q39A. Do you think the sign-up for the health-care exchanges is getting better, getting worse, or staying about the same? Better Worse Same Dont know/No Answer 36 13 44 7 38 12 43 7 31 15 47 6

Q40. Which comes closest to your opinion about the problems affecting the federal governments health care website? 1. (They are isolated problems), or 2. (They are signs of more widespread problems to come.) Nov13c 31 63 7

Isolated problems Signs of widespread problems Dont know/No answer

36 55 9

39 53 9

35 56 9

15 Q41. Have you personally looked up information about applying for health insurance under the new exchanges that opened up this past October under the 2010 health care law, or not? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 23 20 42 76 79 58 1 1 *

Yes No Dont know/No Answer

Nov13c % 22 78 *

Q42 When you looked up information about applying for health insurance, did you visit the federal governments health care website Healthcare.gov, or did you visit a state-run website that offered health insurance exchanges, or did you call by phone? Healthcare.gov State agency Phone Visited website not sure which (vol.) In person (vol.) None of these (vol.) Something else (vol.) Didnt look up information Don't know/No answer 15 5 2 1 * 1 * 76 1 13 5 2 1 * 1 * 79 1 24 13 6 1 * 1 1 58 * 11 7 4 * NA 1 * 78 *

Q43. Would you say the health exchange website you visited was very easy to use, somewhat easy, somewhat difficult, or very difficult to use? *** VISITED HEALTHCARE.GOV *** 17 20 16 21 23 25 29 24 25 32 33 32 0 0 2

Very easy Somewhat easy Somewhat difficult Very difficult Don't know/No answer

Q44. When you looked up information about applying for health insurance under the new federal or state exchanges, were you able to get the information that you needed, or not? *LOOKED UP INFO ON HEALTH CARE EXCHANGES* 40 45 49 57 52 48 3 4 3

Yes No Don't know/No answer

37 62 1

16 Q45. Did you apply for health insurance under the new federal or state exchanges that opened up this past October, or not? **** UNINSURED AMERICANS **** % 3 7 32 58 0

Yes, applied and got insurance Yes, applied and did not get insurance No, did not apply Did not look info Dont know/No Answer

Q47. As part of the 2010 health care law, the federal government is providing money to state governments so they can expand health insurance coverage to people who cannot afford it. Some states are accepting the money, and others are not. Do you think your state should or should not accept this money from the federal government? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 63 62 76 30 31 20 8 7 4

State should accept this money State shouldnt accept this Don't know/No answer

Q48a. Do you approve or disapprove of the part in the 2010 health care law Requiring nearly all Americans to have health insurance coverage by 2014 or pay a penalty? Approve Disapprove Don't know/No answer 31 68 1 34 65 1 21 77 1

Q48b. Do you approve or disapprove of the part in the 2010 health care law Requiring health insurance companies to cover those who may have an existing medical condition or prior illness? Approve Disapprove Don't know/No answer 86 10 3 87 10 3 87 12 2

Q48c. Do you approve or disapprove of the part in the 2010 health care law Allowing children to stay on their parents' health insurance policies until the age of 26? Approve Disapprove Don't know/No answer 70 28 1 72 27 1 67 31 2

Q48d. Do you approve or disapprove of the part in the 2010 health care law Providing tax credits to small businesses that offer health insurance coverage to their employees? Approve Disapprove Don't know/No answer 84 14 2 84 14 2 87 12 1

17 Q48e. Do you approve or disapprove of the part in the 2010 health care law Providing financial help to low and moderate income Americans who dont get health insurance through their jobs to help them purchase coverage? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 76 75 81 21 22 17 3 3 1

Approve Disapprove Don't know/No answer

Q48f. Do you approve or disapprove of the part in the 2010 health care law Requiring employers with 50 or more employees to pay a fine if they dont offer health insurance? Approve Disapprove Don't know/No answer 56 42 2 56 43 2 54 43 2

Q48g. Do you approve or disapprove of the part in the 2010 health care law Increasing the Medicare payroll tax on earnings for higher income Americans? Approve Disapprove Don't know/No answer 60 36 4 62 34 4 63 35 2

Q48h. Do you approve or disapprove of the part in the 2010 health care law Requiring existing insurance policies to meet higher standards of health care coverage? Approve Disapprove Don't know/No answer 65 30 5 65 30 5 63 33 4

Q58. A premium is the monthly amount you pay for health care. Which do you prefer in an insurance plan: 1. (Paying lower premiums each month, but paying more for each doctors visit and prescription filled), OR 2. (Paying higher premiums each month, but paying less for each doctors visit and prescription filled?) Lower monthly premium, pay more Higher monthly premium, pay less Don't know/No answer 47 45 8 47 45 8 44 49 6

Q59 Which do you prefer in an insurance plan: 1. Paying lower monthly premiums, but having limited choices of doctors and health facilities, or 2. Paying higher monthly premiums, but having greater choices of doctors and health facilities? Lower monthly premium, less choice Higher monthly premium, more choice Don't know/No answer 23 69 8 22 70 8 31 62 7

18 Q60. Over the last three years, do you think that health care costs in the United States have been growing at a faster rate, a slower rate, or have health care costs grown at the same rate, or dont you know enough to say? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 50 51 45 5 4 3 10 11 6 34 32 45 1 1 1

Health care costs grew at faster rate Health care costs grew at slower rate Health care costs grew at same rate Dont know enough to say Don't know/No answer

Q60a. Do you think the 2010 health-care law has played a role in health care costs growing at a faster rate or has it not affected the rate of growing health care costs? *THINK HEALTH CARE COSTS GROWING FASTER* 60 60 62 33 34 30 7 6 8

Played a role in rate No effect Don't know/No answer

Q61. How would you describe the affordability of basic medical care for you and your family would you say basic medical care is affordable, or is it a hardship? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 61 68 24 36 29 74 3 3 2

Affordable Hardship Don't know/No answer

Q62. Where do you usually receive your basic health care--at a doctor's office, a clinic or health center, a hospital emergency room, or some other place? Mar11a 66 27 4 1 1

Doctors office Clinic or health center Hospital emergency room Some other place Don't know/No answer

67 20 7 5 1

73 18 4 4 1

32 36 22 6 3

Q63. In the past five years, have you or someone in your household gone without medical treatment you thought was needed because of the COST, or not? Yes, self Yes, other family member No Yes, both (vol.) Don't know/No answer 15 11 69 6 * 11 11 75 4 * 32 13 44 10 1

19 Q64. In the past five years, have you or someone in your household put off or postponed preventive health services, such as a yearly check-up or routine test because of the COST, or not? ******** TOTAL RESPONDENTS ******** Total Insured Uninsured % % % 19 13 40 9 9 10 63 71 34 8 6 15 * * 1

Yes, self Yes, other family member No Yes, both (vol.) Don't know/No answer

Q65. In the past five years, have you or someone in your household not filled a prescription, cut pills in half or skipped doses of medicine because of the COST, or not? Yes, self Yes, other family member No Yes, both (vol.) Don't know/No answer 11 7 75 6 * 9 6 80 5 * 25 8 58 7 1

Q67. In the past five years, did you or anyone in your immediate family have problems paying or were unable to pay any medical bills? Yes, self Yes, other family member No Yes, both (vol.) Don't know/No answer 15 12 65 7 1 12 11 70 5 1 32 15 38 14 1

Q68. And how much of a financial impact did these medical bills have on your household a major impact, a minor impact, or no impact at all? Major impact Minor impact No impact at all No problems paying bills in family Don't know/No answer 21 11 2 65 1 16 11 2 70 1 40 18 3 38 1

Q71. How satisfied are you with the cost of your health insurance? Are you very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied? * COVERED BY PRIVATE INSURANCE * 33 39 19 8 1

Very satisfied Somewhat satisfied Somewhat dissatisfied Very dissatisfied Don't know/No answer

20 Q72. In the last few months, did you receive any notice from your insurance company that your insurance plan was being cancelled or changed because it did not meet the minimum coverage requirements as required by the 2010 health care law, or not? * COVERED BY PRIVATE INSURANCE * % 13 86 1

Yes, received notice No, did not receive notice Don't know/No answer

Q74. How long have you been uninsured? Less than six months, seven months to less than a year, one year to less than three years, or three years or more? * UNINSURED AMERICANS * 12 8 24 55 1

Less than 6 months Seven to 12 months 1 to 3 years More than 3 years Don't know/No answer

Q75. What is the MAIN reason you do not currently have health insurance? Is it MAINLY because 1. (The cost is too high), 2. (Your job does not provide it), 3. (You have a health condition that has prohibited you from getting insurance), 4. (You feel that you dont need it), 5. (You dont know how to get it), or is there some OTHER reason? Cost too high Job doesnt offer it Health condition Dont need it Dont know how to get it Unemployed/looking for work (vol.) Other Don't know/No answer 47 16 3 10 5 8 10 2

Q76. Do you think that obtaining health insurance would mostly (help) you financially, mostly (hurt) you financially, or have no effect? Help financially Hurt financially No effect Don't know/No answer 25 59 13 3

Q77. Do you think that obtaining health insurance would make your health (better), make your health (worse), or have no effect? Better health Worse health No effect Don't know/No answer 57 2 40 1

21 Q78. By the end of March 2014, Americans without health insurance will either have to get health insurance or pay a fine. Given what you know, would you say you are (more likely to get health insurance) or (more likely to pay the fine)? * UNINSURED AMERICANS * % Get insurance 54 Pay the fine 35 Already signed up on exchange (vol.) 2 Depends (vol.) 3 Don't know/No answer 6 Q79. Do you plan to get health insurance for 2014 through the federal health insurance exchange, a state health insurance exchange, through an employer, or through some other way? * UNINSURED AMERICANS LIKELY TO GET INSURANCE* 18 20 28 4 9 21

Federal exchange State exchange Employer Medicare/Medicaid Some other way Don't know/No answer

Q80. What is the MAIN reason you will sign up (or have signed up) for health insurance? Is it because 1. (The law requires it,) 2. (Health insurance is now more affordable), 3. (You think health insurance is a good thing to have) 4. (You have a health condition and are now eligible to get health insurance), 5. (Your employer is now offering it), or is there some other reason? The law requires it Health insurance is more affordable Health insurance is good to have Have health condition & now eligible Employer is now offering it Other Aging into Medicare Don't know/No answer 28 10 38 8 6 * 8 2

Q81. What is the MAIN reason you do not plan to get health insurance? Is it MAINLY because 1. (You feel that you dont need it,) 2. (The cost is too high,) 3. (You dont know how to get it,) or 4. (You object to the government requiring it,) or is there some other reason? *UNINSURED AMERICANS LIKELY TO PAY FINE* Feel you dont need it 11 The cost is too high 50 Dont know how to get it 4 Object to the government requiring it 29 Other * Not eligible 6 Don't know/No answer *

22 Unweighted 1,000 895 702 Margin of error 3 pts. 3 pts. 5 pts.

Total general population Total insured Total uninsured ages 19-64