Thousands of comments [Shared Experiences] submitted by citizens and interested organizations reveal the realities of the present day health care system in the United States. Citizen comments address rising drug costs, exclusions and premium hikes for health insurance, affordability of health insurance by the self employed, health care quality, loss of health insurance, and more. Comments are classic.
Gallup Poll found 36% of people had a Great Deal or Quite a Lot of confidence in the medical system in 2019. This compares to high confidence levels for the military (73%), small business (68%) and police (53%). By contrast, public schools had a 29% confidence level; the Presidency had 38%, and Congress had an 11% level.
October 2016 survey of adults shows Americans concerned with rising costs for drugs, and ready to put price caps in place. Eight of 10 (81%) supported price controls on drugs, pharmaceutical and medical device manufacturers…supported by both democrats (85%) and republicans (77%). Published by HealthDay/Harris Poll
On their most recent visit to a health care provider, 88% said they were satisfied with the experience. This compares to 91% satisfied with their last visit to a restaurant, for example, 63% satisfied with their last interaction with their health insurance company, and 59% satisfied visiting a mobile phone store. The doctor’s overall knowledge, training and expertise ranked the highest of the Very Important factors contributing to a positive experience. Overall, 62% of consumers ranked an online cost estimator as the number one technology they would like, with only 7% of doctors already having this in place. Harris Poll during September 2015, was published January 2016.
Kaiser Health Tracking Poll from July 2019 shows 48% of the public had a favorable view of the Affordable Care Act (ACA) passed in 2010. While a substantial majority (80%) of Democrats continue to support ACA, and 80% of Republicans do not support it, slightly less than half (49%) of Independents have a favorable opinion of the law (39% of Independents are unfavorable). Health care is the top issue (followed by climate change) mentioned by Democrat voters when asked what they want to hear Democrat candidates discuss in 2019 debates
Kaiser Health Tracking Poll (KFF survey) shows a number of high priority health care concerns. The top four priorities were lowering prescription drug costs (named as a top priority by 70% of survey respondents), maintaining the ACA’s pre-existing condition protections (69%), lowering the amount people pay for health care (64%), and protecting patients from having to pay surprise high out-of-network medical bills (56%). A slight majority (~53%) had a very or somewhat favorable view of the Affordable Care Act. Survey also asked about support for Medicare-for-all, and a public option. Political party affiliation was identified for each respondent. Telephone survey of 1205 adults, by the Kaiser Family Foundation in September 2019.
79% of Americans are dissatisfied with the total cost of healthcare in Gallup poll Nov. 2018. No surprise, then, that Cost topped the 2018 list of most urgent health problems facing this country, named by 25% of those surveyed. Second place was Access (named by 22%). In most recent results, more people were very or somewhat negative on the healthcare industry, than were very or somewhat positive; (48% negative vs. 38% positive.) Most (57%) see healthcare (insurance) coverage as a federal government responsibility, up one point from 2017. Trends back to 2000 are shown. Running list of results from Gallup polls
Survey of adults (patients) who recently used physician services reports patient opinions on many healthcare issues. About 95% were satisfied with their primary doctor. More patients thought health insurance companies, drug companies and Congress each have more impact on treatment options than physicians do. More than 3/4 of patients believe that technological advances will improve quality of care. They also wish doctors would listen more. Extensive and interesting survey on a wide range of topics. Survey of 1700 patients, ages 27 to 77, conducted in June 2017 for The Physicians Foundation, a nonprofit organization that supports physicians.
Employee Benefit Research Institute (EBRI) released findings of its 2018 Health and Workplace Benefits Survey, conducted online in June. Key findings: Half (50%) rated America’s health care system as fair or poor. About half (49%) were extremely or very satisfied with their health plans. Further, almost two thirds (65%) expressed confidence in their current health plan. Only 22% were extremely or very satisfied with the cost of their health insurance; just 47% were very or extremely satisfied with the quality of medical care received. Workers ranked health care as the most critical issue in the nation, with 26% ranking it #1. Next in line was immigration (ranked top by 18%). Jobs was 4th (13%). Published September 2018
Are you enrolled in a high deductible health plan (HDHP)? This December 2019 PowerPoint PPT presentation from EBRI summarizes findings from the Annual (2019) Consumer Engagement in Health Care Survey. Past surveys have defined high deductible health plans as having an annual deductible of at least $1,350 individual ($2,700 for a family plan). This year’s survey summary confirms HDHPs are growing. Last year’s survey showed that an estimated 46% of the adult population under age 65 were enrolled in HDHPs. As in past years, HDHP enrollees continue to be less satisfied than those in traditional plans. They are modestly less satisfied with Quality of Care, but dramatically less satisfied with what they pay for out of pocket care, including prescription drugs. They also report higher dissatisfaction with choices of plans. HDHP enrollees rate lower cost of monthly premium in their top 3 considerations in choosing a health plan. Traditional members put low out of pocket costs in their top 3.
HDHP enrollees checked quality ratings for doctors or hospitals more often than those in traditional plans did (45% vs 36%). They also were more likely to check prices than traditional plan members (46% vs 35%), but more often said they couldn’t find useful and timely cost information. Health Savings Account (HSA) users are described in this survey summary. Hopefully, a full issue brief will be posted, as in past years. Survey was conducted in August-September 2019. Published December 2019. As an aside, the IRS definition will raise the definition of a HDHP in 2020 to $1,400 individual and $2,800 family.
Survey report from California “Final Chapter: Californians’ Attitudes and Experiences with Death and Dying” is based on a survey of 1669 people in 2011. Describes people’s beliefs about end of life care, preparations, ICU use, and more. California Healthcare Foundation, 31 pages, Feb. 2012