Occasional musings too long to fit in my facebook status updates

Monday, March 29, 2010

Has Opinion on Health Care Shifted?

For months leading up to the passage of health care, the pollster.com average found a net plurality of around 5-12 percentage points disapproved of the plan.  The first poll taken after passage, however, found the public in favor of the plan by a 49-40 margin.  Was that just an outlier, or has opinion actually shifted?

There have been five polls polls taken after passage of the bill.  Here's how they stack up:



Favor Oppose Net
WaPo 46 50 -4
CBS 42 46 -4
Quinnipiac 40 49 -9
USA Today-Gallup 49 40 9
YouGov 50 50 0
average 45.4 47 -1.6

Across these five polls, a plurality still disapprove of health care -- but only a very slight one.  Let's compare them to the last five polls released before passage:



Favor Oppose Net
Bloomberg 38 50 -12
CNN 39 59 -20
CBS 37 48 -11
Quinnipiac 36 54 -18
Rasmussen 41 54 -13
average 38.2 53 -14.8

The last five polls were among the most negative of the past year.  Whether this is due to the build-up before passage or simply the five that happened to be last, I can't quite say.  Comparing these 10, we see a 13 point swing in net approval of the health care bill.  But this might not be the right comparison groups.  Given the different questions and samples of the polls, it might be better to compare polls taken by the same organization before and after.  There have been three of these:



After
Before

Favor Oppose Net Favor Oppose Net
CBS 42 46 -4 37 48 -11
Quinnipiac 40 49 -9 36 54 -18
YouGov 50 50 0 48 53 -5
average 44 48.33 -4.33 40.33 51.67 -11.33

Looking at only these three, we find a 7 point swing in net approval -- and we still see a small plurality (though not majority) opposed to the bill.

The trend could be just a blip, could be based on a few faulty polls, or could be a genuine shift in how Americans view the health care bill (or at least how they report they feel).  If the first two are true, new polls will pretty quickly bear this out.  But there are two fairly good reasons to believe that the last one is, in fact, happening:

1.) The initial results were misleading.  Take the these results from a Bloomberg poll taken right before the vote in which 38% favored the bill and 50% were opposed

Health care is so complicated it is hard for the average American to understand the proposals that are currently being discussed
75% Agree, 23% Disagree

The cost of doing nothing on health care will be greater than the cost of the proposed plan to overhaul it
51% Agree, 40% Disagree

The health care system is fine the way it is
20% Agree, 79% Disagree

In short, people don't know much about the health care bill but they want to do something to fix the broken health care system.

2.) As 538 points out, a small but meaningful number of people opposed the bill b/c it wasn't liberal enough.  The approval numbers among Independents and Republicans in the new USA Today/Gallup poll is roughly similar to other previous polls, but the approval numbers among Democrats are much higher.

In the last poll before the bill passed (and outlier in terms of negativity toward the bill), conducted by CNN, 59% reported that they were opposed to the bill -- but 13% reported opposing the bill b/c it wasn't liberal enough.  In other words, 52% of the population either favored the bill or thought it wasn't liberal enough while 43% opposed the bill b/c it was too liberal.

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Buffalo, New York, United States