
More Americans support creation of a new government-run health insurance plan to compete with the private insurance market, a new Associated Press poll finds, but the level of enthusiasm depends on how the question is asked.
Tell people that letting the government sell insurance would be cheaper for them, and a majority is in favor.
Tell them the government would be making decisions about what medical care they could get, and support sinks.
The findings from an Associated Press poll come as lawmakers struggle to advance President Barack Obama's signature health care overhaul, with the final shape of any government insurance plan very much in doubt. The issue has been the biggest flash point in the health care debate, and the poll results underscore that how it is defined can make a big difference in the public's response.
Politicians know that. It's why when Republicans talk about letting the government sell health coverage in competition with private carriers, they cast it as a government takeover that would destroy private industry. Democrats talk about choice, competition and "keeping health insurance companies honest."
The AP poll, conducted by Stanford University with the Robert Wood Johnson Foundation, suggests that when such messages are heard, they have an effect.
Half of the 1,500 participants in the AP poll were told that a government insurance plan "would be less expensive than other insurance plans, because the government would not need to make a profit the way businesses do and because the government is able to negotiate lower prices with doctors and hospitals than insurance companies can."
Fifty-two percent said they favored such a plan, while 35 percent were opposed and 12 percent neither favored nor opposed it.
"I fundamentally feel that the private insurance industry basically holds all the market power" and could use some competition from a nonprofit alternative, said Robert Baulch, 58, of North Chatham, Mass.