AFL-CIOFindsBroadHealthCareProblems
EvenAmongEmployed,Insured,CollegeEducated
8in10SayHealthCareIsPriorityVotingIssue
SurveyResultsInclude7,500PersonalStories
America’shealthcaresystemisfailingeventhosewhohaveinsurance,anunprecedented26,419-personsurveysponsoredbytheAFL-CIOandWorkingAmericaconfirmedtoday.Oneinthreesaytheirfamilieshadtoskipmedicalcarebecauseofcost,aquarterhadseriousproblemspayingforthecaretheyneededandahugemajority—79percent—sayshealthcareisatopvotingissue.Thesurveyresults,oneofthelargestopinionpoolsavailableonhealthcare,includes7,500personalstories.ConductedbetweenJanuary14andMarch3,2008,itisavailableatwww.healthcaresurvey.aflcio.org.ResponsesweretabulatedandanalyzedbyPeterD.HartResearchAssociates.
Ofthemorethan26,000peoplewhotookthesurvey,mostareinsuredandemployed.Mostarecollegegraduates.Morethanhalfareunionmembers.
“ThesearethepeopleyouwouldexpecttohavepositiveexperienceswithAmerica’shealthcasesystem…theluckyones—exceptthey’renot,”saidJohnSweeney,presidentofthe10millionmemberAFL-CIO.“They’rehurting…strugglingtopaymedicalbills,skippingdoctorvisitsandprescriptionsbecauseofcosts...andtheyareextremelypessimisticaboutthefutureofourcountry.Theythinkhealthcareisoneoftoday’smostimportantissues—andtheyarereadytovoteaboutit,”Sweeneysaid.
Healthcareconcernsvotersofallages.Seventy-fourpercentofthe18-29yearoldswhotookthesurveycounthealthcareaveryimportantvotingissue,asdo80percentof50-to64-yearolds.Ninety-fivepercentofrespondentsoverall—including94percentoftheinsured—sayhealthcareinAmericaneedsfundamentalchangeortobecompletelyrebuilt.
Morethanhalfofpeopleininsuredfamiliessaytheirinsurancedoesnotcoverallthecaretheyneedatapricetheycanafford.Despitehavinginsurance,theyreportnotbeingabletoaffordprescriptiondrugs,follow-upcareandevenpreventivecare,whichareeithernotcoveredorcoveredinsufficiently.Peoplewhobuytheirowninsuranceintheprivatemarketaremorelikelythanthosewithemployer-providedhealthcaretoreportthatcriticalneedsarenotcoveredornotaffordable.
One-thirdofcollegegraduatesreporttheyorafamilymemberskippedmedicalcarebecauseofcost.Forty-sixpercentofrespondentsreporthavingtospendbetween$1000-$5000outofpocketforhealthcareinthelastyear,andanother17percentspentmorethan$5000.
ProblemsarealsoreportedbyMedicarerecipients,53percentofwhomsaytheirprescriptionsarenotcoveredorareunaffordable,despitethemuchhypedPARTDlegislationthatwassupposedtochangethat.
Peoplewholackinsurance—andthosewhohavechildrenyoungerthan18whoarenotcovered—reportparticularlytroublingproblemsgettingthecaretheyneedbecauseofcost.Inthepastyear,76percentofpeoplewholackinsurancethemselvesand71percentofpeoplewithuninsuredchildrensaysomeoneintheirfamilydidnotvisitadoctorwhensickbecauseofcost.Fifty-sevenpercentoftheuninsuredand61percentofpeoplewithuninsuredchildrenhadtochoosebetweenpayingformedicalcareorprescriptionsandotheressentialneeds(suchastherentormortgageandutilities).
ThefailuresofAmerica'shealthcaresystem,thesurveyreveals,areasignificantfactorinthepervasiveeconomicdistressfacingworkingfamiliestoday:
-Eighty-threepercentofrespondentssaytheirfamilies"havejustenoughtogetby"orare"fallingbehind."
-84percentpredictthestandardoflivingwillbeevenworseforthenextgeneration.
-Nearlyhalfoftherespondents(48percent)and60percentofLatinossaytheyorafamilymemberhasstayedinajobjusttoholdontohealthcarebenefits.
Familiesarealsoworriedaboutthefuture—andwithgoodreason:
-95percentare"somewhat"or"very"concernedaboutbeingabletoaffordhealthinsuranceinthecomingyears.
-Almosttwo-thirds(61percent)ofrespondentswithemployer-providedcoveragesaytheircostshavegottenworseinthepastcoupleyears.
“Whatwouldyoudoifyouhadtochoosebetweenfoodormedicine?”wroteMarie,fromMadison,Wis.“Iworkfulltimeandhavehealthcarethroughmyemployer,butonlyapercentageispaidbythem…Irecentlyneededmedication,butdidnotgetthemedicine.Icouldn’t….WhatwouldIchoose?Ichoosemychildrenandwhattheyneed….”Thestoriessubmittedareavailableatwww.healthcaresurvey.aflcio.org.
Healthcarequalityisalsoabigconcern.Peopleofcolor,including75percentofAfricanAmericansand76percentofLatinos,areespeciallylikelytovoicedissatisfactionwithhealthcarequality,asare64percentoverall.
HealthcareisoneofthetopissuesfortheAFL-CIO,theumbrellafederationof56nationalunions,whichisalsoworkingtowingoodjobs,astrongeconomy,fairtradeandthefreedomofworkerstoorganizetogetherforbetterlives–allpartofabroadelectionyearcampaignto“turnaroundAmerica.”
TheAFL-CIOanditscommunityaffiliate,WorkingAmerica,launchedtheseven-weeksurveyinJanuarytobetterunderstandthelandscapeofthehealthcarecrisisinAmericaandprovidethatinformationtocandidatesrunningforpublicofficein2008.Thesurvey,promotedbymorethan35organizationsonline,wasopentoanyone.
Respondentstothehealthcaresurveysaytheyarereadytoputtheirdissatisfactiontowork.Ninetypercentsaytheyarereadytotakesomeactiontoimprovehealthcare,suchassigningpetitions,writingelectedofficialsorattendingrallies.
Pledgingtosendtheresultsofthesurveytocandidatesforofficein2008atalllevels,Sweeneysaid,“TheAFL-CIOwillmakesurethatvotersunderstandwhichcandidatesarecommittedtorealhealthcarereformandwhichonesarejustpayinglipservice.”
Statebreakoutfiguresareavailableforthefollowingstatesatwww.healthcaresurvey.aflcio.org:Arizona,California,Florida,Illinois,Indiana,Massachusetts,Maryland,Michigan,Minnesota,Missouri,NewJersey,NewYork,Ohio,Oregon,Pennsylvania,Tennessee,Texas,WashingtonandWisconsin.
--AFL-CIO;courtesyofFrankLeidermann,ActingEditor