Public Has High Concerns About What Health Overhaul Means to Them

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An overwhelming majority of Americans are concerned the efforts to overhaul the current health care system will reduce the quality of care they receive, reduce coverage, increase costs, limit choice of doctors and inject an unwelcome dose of more government bureaucracy, according to a Washington Post/ABC News poll conducted June 18-21.

At the same time, a clear majority - 58 percent to 39 percent - say action by government is necessary to control costs and extend coverage. Americans are dissatisfied with the overall health system by 57 percent to 43 percent. President Obama's proposal to create a public plan to compete with private insurers is supported by 62 percent to 33 percent, although 41 percent would want that plan to be run by an independent organization compared to 21 percent who favor it being a government agency.

The poll underlines a dynamic, also evident in a New York Times/CBS News poll conducted June 12-16, that bedeviled former President Bill Clinton's 1993 effort to tackle health care - namely, the concerns of average Americans on how it will affect their own care.

But while polls indicate that the public believes changes in the system are necessary, 88 percent in the Post/ABC poll and 77 percent in the Times/CBS poll said they were satisfied with the quality of health care they personally receive now.

More than 80 percent are very or somewhat worried that big changes will affect that quality, reduce the extent of their coverage, increase costs and sharply increase the federal deficit. Seventy-eight percent expressed the concern about more government bureaucracy and 79 percent were worried about having less choice of doctors or treatments. Of those numbers, a majority put themselves in the "very concerned" category.

The public is split on proposals to require all Americans to have health care, with 49 percent in support and 47 percent against.

However, that support rises if such a requirement is accompanied by a requirement that all employers either offer health coverage or pay into a government health insurance fund, or includes a tax credit or other aid to low-income Americans for coverage or a rule that health insurers must sell coverage to people even if they have pre-existing conditions. But opposition rises to 52 percent to 44 percent if the health insurance requirement comes along with a rule that Americans who don't get insurance through an employer or on their own would have to pay money into a government insurance fund.

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