{"id":12355,"date":"2017-01-13T12:30:22","date_gmt":"2017-01-13T17:30:22","guid":{"rendered":"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/%year%\/%monthnum%\/%day%\/more-americans-say-government-should-ensure-health-care-coverage\/"},"modified":"2024-04-14T03:17:00","modified_gmt":"2024-04-14T08:17:00","slug":"more-americans-say-government-should-ensure-health-care-coverage","status":"publish","type":"short-read","link":"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2017\/01\/13\/more-americans-say-government-should-ensure-health-care-coverage\/","title":{"rendered":"More Americans say government should ensure health care coverage"},"content":{"rendered":"<p class=\"wp-block-paragraph\">As the debate continues over <a href=\"https:\/\/www.washingtonpost.com\/politics\/whitehouse\/gop-hesitancy-grows-on-health-law-repeal-without-substitute\/2017\/01\/09\/ffc6698e-d6d7-11e6-a0e6-d502d6751bc8_story.html?utm_term=.8880665828a8\">repeal of the Affordable Care Act<\/a> and what might replace it, a growing share of Americans believe that the federal government has a responsibility to make sure all Americans have health care coverage, according to a new <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/politics\/2017\/01\/10\/negative-views-of-trumps-transition-amid-concerns-about-conflicts-tax-returns\/\">Pew Research Center survey<\/a>.<\/p>\n\n<figure class=\"wp-block-image alignright\"><a class=\"image-box\" href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2017\/01\/13\/more-americans-say-government-should-ensure-health-care-coverage\/ft_17-01-13_healthcoverage_responsibility\/\" rel=\"attachment wp-att-286829\"><img data-dominant-color=\"f2f2f0\" data-has-transparency=\"false\" style=\"--dominant-color: #f2f2f0;\" loading=\"lazy\" decoding=\"async\" width=\"310\" height=\"457\"  srcset=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthCoverage_responsibility.png?resize=310,457 310w\" sizes=\"(max-width: 480px) 480px, (max-width: 782px) 782px, 640px\" class=\"wp-image-23327 not-transparent\" src=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthCoverage_responsibility.png\" alt=\"\" ><\/a><\/figure>\n\n<p class=\"wp-block-paragraph\">Currently, 60% of Americans say the government should be responsible for ensuring health care coverage for all Americans, compared with 38% who say this should not be the government\u2019s responsibility. The share saying it is the government\u2019s responsibility has increased from 51% last year and now stands at its highest point in nearly a decade.<\/p>\n\n<p class=\"wp-block-paragraph\">Just as there are wide differences between Republicans and Democrats about <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2016\/10\/27\/health-care-law-partisan-divide\/\">the 2010 health care law<\/a>, the survey also finds partisan differences in views on whether it\u2019s the government\u2019s responsibility to make sure all Americans have health care coverage. More than eight-in-ten Democrats and Democratic-leaning independents (85%) say the federal government should be responsible for health care coverage, compared with just 32% of Republicans and Republican leaners.\u00a0<!--more--><\/p>\n\n<p class=\"wp-block-paragraph\">The survey also finds continued differences on this question by race and ethnicity as well as income. A large majority of blacks and Hispanics (85% and 84%, respectively) say the government should be responsible for coverage, while non-Hispanic whites are split on the issue (49% agree, 49% disagree). And while about three-quarters of those with family incomes of less than $30,000 per year (74%) say the government should ensure coverage, only about half (53%) of those with incomes of $75,000 or higher say the same.<\/p>\n\n<figure class=\"wp-block-image alignright\"><a class=\"image-box\" href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2017\/01\/13\/more-americans-say-government-should-ensure-health-care-coverage\/ft_17-01-13_healthcoverage_govtrole\/\" rel=\"attachment wp-att-286827\"><img data-dominant-color=\"eeeadd\" data-has-transparency=\"false\" style=\"--dominant-color: #eeeadd;\" loading=\"lazy\" decoding=\"async\" width=\"310\" height=\"547\"  srcset=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthCoverage_govtRole.png?resize=310,547 310w\" sizes=\"(max-width: 480px) 480px, (max-width: 782px) 782px, 640px\" class=\"wp-image-23323 not-transparent\" src=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthCoverage_govtRole.png\" alt=\"\" ><\/a><\/figure>\n\n<p class=\"wp-block-paragraph\">The belief that the government has a responsibility to ensure health coverage has increased across many groups over the past year, but the rise has been particularly striking among lower- and middle-income Republicans.<\/p>\n\n<p class=\"wp-block-paragraph\">Currently, 52% of Republicans with family incomes below $30,000 say the federal government has a responsibility to ensure health coverage for all, up from just 31% last year. There also has been a 20-percentage-point increase among Republicans with incomes of $30,000-$74,999 (34% now, 14% last year). But there has been no significant change among those with incomes of $75,000 or more (18% now, 16% then).<\/p>\n\n<p class=\"wp-block-paragraph\">Those who think government should ensure health coverage for all are divided on a follow-up question about whether health insurance should be provided through a mix of private insurance companies and the government (29% of the overall public), or if the government alone should provide insurance (28% of the public).<\/p>\n\n<figure class=\"wp-block-image aligncenter\"><a class=\"image-box\" href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2017\/01\/13\/more-americans-say-government-should-ensure-health-care-coverage\/ft_17-01-13_healthcare\/\" rel=\"attachment wp-att-286826\"><img data-dominant-color=\"ece9df\" data-has-transparency=\"false\" style=\"--dominant-color: #ece9df;\" loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"468\"  srcset=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthcare.png?resize=480,351 480w, https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthcare.png?resize=640,468 640w\" sizes=\"(max-width: 480px) 480px, (max-width: 782px) 782px, 640px\" class=\"wp-image-23317 not-transparent\" src=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/sites\/20\/2017\/01\/FT_17.01.13_healthcare.png\" alt=\"\" ><\/a><\/figure>\n\n<p class=\"wp-block-paragraph\">Overall, 43% of Democrats and Democratic leaners support a so-called single payer approach, but this approach is more popular among liberal Democrats (51%) than among conservative and moderate Democrats (38%).<\/p>\n\n<p class=\"wp-block-paragraph\">Most of those on the other side of the issue \u2013 people who say the government does <em>not <\/em>have a responsibility to ensure health coverage \u2013 say on a subsequent question that the government should continue Medicare and Medicaid (32% of the overall public), while just 5% of the public says the government should have no role in health care.<\/p>\n\n<p class=\"wp-block-paragraph\">Among Republicans and Republican leaners, most of whom (67%) say the government does not have a responsibility for ensuring health coverage, there is very little support for the government not being involved in health care at all. Just 10% of Republicans favor no government involvement, while 56% say it should continue Medicare and Medicaid.<\/p>\n\n<p class=\"wp-block-paragraph\">While Republicans in Congress have already <a href=\"https:\/\/www.washingtonpost.com\/business\/republican-led-senate-to-move-forward-on-obamacare-repeal\/2017\/01\/11\/6370597e-d87a-11e6-a0e6-d502d6751bc8_story.html?utm_term=.da0eca2dcf10\">taken the first steps<\/a> toward repealing the ACA, Americans remain largely divided on what Congress should do with the health care law. Overall, in a Pew Research Center survey in December, 39% said it <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2016\/12\/08\/partisans-on-affordable-care-act-provisions\/\">should be repealed<\/a>, while an equal share (39%) said the law should be expanded. Just 15% of Americans said the law should be left as is. Although the public is divided on the future of the law, there is bipartisan <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2016\/12\/08\/partisans-on-affordable-care-act-provisions\/\">support for a number of ACA provisions<\/a>. Regardless of their personal views of the law, a small majority (53%) expects its major provisions <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/politics\/2016\/12\/08\/low-approval-of-trumps-transition-but-outlook-for-his-presidency-improves\/\">will likely be eliminated<\/a>.<\/p>\n\n<p class=\"wp-block-paragraph\">A <a href=\"http:\/\/kff.org\/health-costs\/poll-finding\/kaiser-health-tracking-poll-health-care-priorities-for-2017\/\">December Kaiser Family Foundation survey<\/a> shows repealing the law is not the public\u2019s top health care priority for President-elect Donald Trump and the next Congress. Lowering the amount individuals pay for health care tops the list, with 67% of Americans saying it should be a top priority for the next administration. This is followed by lowering the cost of prescription drugs (61%) and dealing with the prescription-painkiller addiction epidemic (45%). Only 37% of the public says repealing the law should be the administration\u2019s top priority, though views differ widely by party.<\/p>\n\n<p class=\"wp-block-paragraph\"><em>Note: Survey topline is available <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/wp-content\/uploads\/2017\/01\/Healthcare_topline_for_release.pdf\">here (PDF)<\/a>. Methodology can be found <a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/politics\/2017\/01\/12\/the-world-facing-trump-public-sees-isis-cyberattacks-north-korea-as-top-threats\/2\/#methodology\">here.<\/a><\/em><\/p>\n\n<p class=\"wp-block-paragraph\"><em>Related posts:<\/em><\/p>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2017\/06\/23\/public-support-for-single-payer-health-coverage-grows-driven-by-democrats\/\"><em>Public support for \u2018single payer\u2019 health coverage grows, driven by Democrats<\/em><\/a><\/p>\n\n<p class=\"wp-block-paragraph\"><em><a href=\"https:\/\/beta.pewresearch.org\/pewresearch-org\/short-reads\/2017\/08\/02\/most-patients-in-u-s-have-high-praise-for-their-health-care-providers\/\">Most patients in U.S. have high praise for their health care providers<\/a><\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>As the debate continues over repeal of the Affordable Care Act and what might replace it, a growing share of Americans believe that the federal government has a responsibility to make sure all Americans have health care coverage.<\/p>\n","protected":false},"author":386,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"sub_headline":"","sub_title":"","_prc_public_revisions":[],"_ppp_expiration_hours":0,"_ppp_enabled":false,"ai_generated_summary":"","apple_news_api_created_at":"","apple_news_api_id":"","apple_news_api_modified_at":"","apple_news_api_revision":"","apple_news_api_share_url":"","apple_news_cover_media_provider":"image","apple_news_coverimage":0,"apple_news_coverimage_caption":"","apple_news_cover_video_id":0,"apple_news_cover_video_url":"","apple_news_cover_embedwebvideo_url":"","apple_news_is_hidden":false,"apple_news_is_paid":"","apple_news_is_preview":false,"apple_news_is_sponsored":"","apple_news_maturity_rating":"","apple_news_metadata":"\"\"","apple_news_pullquote":"","apple_news_pullquote_position":"","apple_news_slug":"","apple_news_suppress_video_url":false,"apple_news_use_image_component":false,"apple_news_api_pending":"1713063694","relatedPosts":[],"datacite_doi":"","datacite_doi_citation":"","_prc_seo_qr_attachment_id":0,"spoken_article_player_enabled":true,"displayBylines":true,"footnotes":"","prc_watchers":[],"_prc_fork_parent":0,"_prc_fork_status":"","_prc_active_fork":0},"categories":[235,80,249,427,106,38,114],"bylines":[828],"collection":[],"datasets":[],"_post_visibility":[],"formats":[467],"_fund_pool":[],"languages":[],"regions-countries":[515],"research-teams":[520],"workflow-status":[],"class_list":["post-12355","short-read","type-short-read","status-publish","hentry","category-economic-policy","category-federal-government","category-government-spending-the-deficit-1","category-government-spending-deficit-2","category-health-care","category-political-issues","category-social-security-medicare","bylines-kristen-bialik","formats-short-read","regions-countries-united-states","research-teams-politics"],"label":"Short 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