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Sheri and Allan Rivlin

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Public Opinion Will Swing Against Obamacare Repeal

Posted: 07/02/2012 12:07 pm

Remember when health care reform was widely popular? In 2008 and 2009 overwhelming majorities supported reform of the health care system, but CenteredPolitics.com warned that public opinion would swing against the effort based on an analysis of polls taken then, and polls taken during Bill Clinton's health reform effort.

If Republicans make re-litigating health care a major topic for this election, they will find that they are now pushing the health care boulder up the same hill that Clinton and then Obama tackled. They can't repeal without replacing but the public has no appetite for three more years of health care reform partisan squabbling.

The poll swung against ClintonCare for three predictable reasons, that were only stronger in 2009 when Obama started his effort, and all are still in effect today.

1) Complexity: Health care is far more complicated than the public's ability to engage public policy.

2) Inertia: The vast majority are satisfied with their own current arrangements.

3) Opportunity cost: Attention on health care takes attention away form the issue most people would like their leaders focused on like a laser beam, the economy and jobs.

Republican message discipline and repetition aside -- even Frank Luntz, Karl Rove and Fox News can't poison just any policy as the now popular auto industry bailout proves -- public opinion on health care dissipated for both Clinton and Obama due to these three elements. Both presidents saw support for health reform swing to opposition because they were not able to simply explain their proposals to a public that suspected they were trying to solve the wrong problem. Clinton's effort failed in Congress while Obama and the Democrats were able to drag their bill across the congressional finish line and reach an historic White House signing ceremony. But both presidents suffered historic defeats in the next congressional mid-term elections.

Repeal and Re-litigate?

The Supreme Court health care reform decision, by itself, offered a political boost to neither party. In our weekly handicapping of four wave election scenarios CenteredPolitics.com barely changed the chances for either party gaining the upper hand based on the ruling noting that Democratic policy gains were offset by a boost in Republican outrage. But this observation comes with a warning for Republican strategists: Their threat to make healthcare a rallying cry for the 2012 election would invite disaster.

The more Republicans dig in on "repeal" the more they invite questions about what they would replace the Affordable Care Act with and how they would go about passing a new health care reform bill. There are too many families benefiting from the Affordable Care Act today to suggest repeal without replace. Are Republicans really willing to kick millions of people under the age of 26 off of their parents health insurance coverage? Do Republicans really want to be the party that brought seniors the "doughnut hole" not once, but twice? [The "doughnut hole" is a very unpopular provision in Medicare Part D that you know nothing about unless you are a health policy wonk or one of the millions of seniors getting prescription medications covered under Medicare Part D.]

So "repeal" cannot stand without "replace" but Romney left himself open to ridicule by appearing to be reading from Obama's talking points as he promised his reform would allow people to keep their current coverage, extend access to affordable care for the uninsured, and cover families with pre-existing conditions. There is no reason to expect Republicans to benefit from points the Democrats were making for two years as their poll numbers plunged. Democrats should re-language the word "replace" as "re-litigate" because health care is complicated, and the past two efforts seemed to take forever.

The public wants a credible economic plan to get the economy moving in 2012 and 2013 and definitely does not want to re-live 2009 and 2010 battles all over again. If the Republicans believe the best way to jump start the economy is repeal of Obamacare, they will find this has partisan appeal but little broad support. Of course, the Chief Justice Roberts gave Republicans a talking point by labeling the penalties for not getting insurance a tax rather than a mandate. So Republicans may convince themselves that this strengthens their argument that Obama is a tax raiser, and makes repeal of Obamacare an economic issue. Realistically, there are not a lot of voters that have not heard Republicans accuse Obama of being a tax raiser that are likely to be moved by this supposedly fresh evidence.

The first polls that come out on the issue may or may not reflect this, but the more time Republicans spend on health care rather than the economy the greater the likelihood that the public will drift away as they did away from Clinton and Obama. The Democrats are already out with the correct talking points that to paraphrase say: Quit whining about issues that were settled in Congress and settled by the Supreme Court and lets come together to get Americans back to work.

This election is going to be won by the party that puts forward a comprehensive, credible, and convincing plan to get the economy moving. For right now that is still a jump ball.

 

Follow Sheri and Allan Rivlin on Twitter: www.twitter.com/CenteredPols

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Remember when health care reform was widely popular? In 2008 and 2009 overwhelming majorities supported reform of the health care system, but CenteredPolitics.com warned that public opinion would swi...
Remember when health care reform was widely popular? In 2008 and 2009 overwhelming majorities supported reform of the health care system, but CenteredPolitics.com warned that public opinion would swi...
 
 
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HUFFPOST SUPER USER
opus1dog
I'm anti-stupidity
09:05 PM on 07/07/2012
Why does Mitt Romney want to repeal a law he helped create? And don't use the old "its different between Federal & State" because Romney is on the record saying that his RomneyCare "would work for America, too."
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HUFFPOST SUPER USER
Lou on Vancouver Island
Allin, Lou: Mystery Author
07:06 PM on 07/07/2012
If I had worked in the US in the same capacity as I did in Canada, a college teacher, I would have had full coverage, too, and probably been "satisfied" with it. But since I know what it's like to have single payer at $65 a month, I'm happier here, especially when the rest of the country is covered and there is no such thing as copays or pre-existing conditions clauses. It's immoral to make PROFITS from other people's illnesses. Refusing coverage increases the profit margin. What an outrage.
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HUFFPOST SUPER USER
Abraham1771
Polymath Rationalist
12:09 AM on 07/06/2012
Penalties on Freeloaders? I am all for it.
What, Republican call it taxes? It is taxes? What poppycock, who cares!
How many freeloaders are there? All the young people above 26 now unfortunately, who can not afford health insurance, are exempt from taxes/penalties.
The well-to-do who could afford health insurance, but freeload, they deserve more taxes. By any measure, the taxes/penalties are too low.
It should be 50%, just like for missing a minimum required distribution if you are older tham 10 1/2 years: 50%.
Actually, taxes sounds even better, and I hope the IRS can add more penalties to it.
the pariah
Author of "The Lean Pocket Diet"
09:12 AM on 07/03/2012
I am like the majority of people who think that there are some excellent and much needed components to the bill. It is very hard for me to believe that the cost structure will be advantageous for the aveage middle class family while maintaining the same level of health care.
HUFFPOST SUPER USER
bobWal
07:28 AM on 07/03/2012
If all Americans would read the facts they would understand the reform helps everyone. It would be great if the screaming stopped and rational heads prevailed.
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MemphisHopJack
Loving life--one dog at a time
01:39 AM on 07/03/2012
Unfortunately there are people like my mother that vote against there own self interest. She knew McCain would take away some of her Medicare but still voted for him because she was and is a republican. Granted she is a Goldwater republican but they keep lying to her and she keeps voting.
I am still very much confused why the "right" considers themselves the "Christian-evangelical" group, but does not want to help other people. "If you don't have health insurance, it is your own fault," is exactly what evangelical christian republicans say. Where is any compassion or caring. So it costs you a few extra dollars. If your religion means anything, your Christ paid the ultimate price, what are you then , a bargaining pimp looking for the best deal. We all live in this society together. Get a heart and try to see fit to help others in need. Thank God, Roberts voted in favor of Obama's health care act.
HUFFPOST SUPER USER
Jim1657
09:49 PM on 07/02/2012
So next time Romney says he wants to repeal Obamacare, someone needs to ask him how he would take care of his wife, who has MS, if he wasn't a millionaire, and didn't have insurance. Congress is made up of millionaires who don't have a clue about the lives of average American. Many of them seem to have lost the capacity to care.
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HUFFPOST SUPER USER
alientotech
Twilight Zoning on "Bermuda Grass"
09:31 PM on 07/02/2012
the court ruling should have mooted the health debate and now the politicians should be focusing on unemployment, the troop withdrawals, jobs creation, taxes.we need to force them on these courses
Goaheadmakemyday
Tennessee tuxedo will not fail
09:11 PM on 07/02/2012
I find it funny/sad that at 26 years old people still need mommy and daddy to take care of them.

At 26 my grandfather had fought in a world war, went from draft to sgt. in 2 years, got shot, came home. Started a building company in 1946 got married, and by the time he was 26 had 2 kids and a 3rd months away.

Today you are lucky to find a kid 26 not living in the basement playing xbox and smoking dope.
And then we wonder why China and India are flying past us.
10:40 PM on 07/02/2012
My daughter was badly injured in an accident less than six weeks after she was dropped from our insurance because of her age and three weeks before the insurance that she had signed up for with her job would kick in. Thanks to huge medical bills and long litigation, she's started her marriage to a young military man with a terrible credit rating. If the ACA had been in place at the time, she still would have been covered under our insurance, and this would have been much less devastating for her. Before you judge people, consider that there are many sides to the story.
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HUFFPOST BLOGGER
Sheri and Allan Rivlin
05:44 PM on 07/03/2012
We are sorry to hear this story, and hope the newlyweds find financial stability and health. That said, we strongly agree that political arguments can get very far from the lives of the real people they affect. Your last line gets an "amen" from CenteredPolitics.com!
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HUFFPOST SUPER USER
billw8017
History looks like this
08:02 AM on 07/03/2012
There was a time when each generation expected to do better than their parents. High School education was more than enough for a good factory job that might put you into the middle class. Ordinary people bought new cars and maintained a summer home (probably with primitive facilities) on a lake.

These times came to an end in the Nixon administration and the income of the poorer half of Americans has been declining ever since. The top 10% have more or less held even while the top 1% has increased its wealth about 400x. The relative security of the earlier times supported a baby boom while the US population has gone into a decline except immigration at the present. This is how the US is becoming a minority/majority country: The basic population can't afford big families.

Your grandfather had it easy once he came home from the war. Today you would find more people unsympathetic to young people who face two tier wage policies and unaffordable higher education.
Goaheadmakemyday
Tennessee tuxedo will not fail
08:33 PM on 07/03/2012
I understand why people are unsympathetic to young people too, I work for a big brown delivery company and we have had 20 year old kids working for us that cry when they get told they are not doing a good job, we as a nation have got very weak.
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HUFFPOST SUPER USER
Lou on Vancouver Island
Allin, Lou: Mystery Author
07:14 PM on 07/07/2012
My dad and his siblings, born from 1910-16, all were grade ten dropouts to go to work to support their mom, a widow, who ran a boarding house in Toronto. In those days, few had a college education. They all did well for themselves because they learned on the job. One was a movie booker, one a meatpacking exec, one ran a theatre, and one was a bricklayer.
HUFFPOST SUPER USER
Beth Schindler
Fundamentalists worship the same gods--themselves.
09:11 PM on 07/02/2012
The GOP has no real plan to REPLACE Obamacare.

PATIENT-CENTERED SOLUTIONS? That's all the GOP are talking about currently, but they offer NO details.

That's because these obstructionist, robotic GOP are just using doublespeak found in their 2009 guide to fight Obamacare. They've just dusted it off and now they are following its script!

Check it out: http://wonkroom.thinkprogress.org/wp-content/uploads/2009/05/frank-luntz-the-language-of-healthcare-20091.pdf?mobile=nc

Hey, GOP, it's 2012! What healthcare plan are YOU offering to us? You have to offer a replacement and you can't honestly offer one pleasing to your corporate masters that the people will accept. And, say, isn't it about time you move beyond hiding behind the author of your script, your DOUBLESPEAK KING, Dr. Frank Luntz?

Luntz, the man who developed language designed to promote preemptive war in Iraq and distract from the severity of global warming, is the genius behind the GOP disinformation/confusion strategy.

Yeah, invading Iraq worked out really well for the American people.

Seems ignoring global warming is working out really well for us, too.

Thanks, Luntz. Thanks, GOP.

P.S. Climate change is real. In fact, Exxon's CEO just recently acknowledged as much!
oilfield
large employer per obamacare
08:37 PM on 07/02/2012
its funny that the left thinks this bill isnt universal healthcare.
under 9x,000 per year in income is subsidized so they dont care what it cost for insurance....the max they will pay is 10%....the median income is in the 40s so most folks are going to be subsidized.....another great program for the middle class to pay for. i guess those nice beachfront properties will be affordable again....folks that make 100k plus will have cadillac plans with a high deductable because of the extremely high cost to insure everyone....
oilfield
large employer per obamacare
08:32 PM on 07/02/2012
the majority of americans were against this bill when it passed....its a bad bill that does nothing to reduce costs.
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HUFFPOST SUPER USER
billw8017
History looks like this
08:05 AM on 07/03/2012
Really O'Reilly? What does Fox News say about that?

http://www.foxnews.com/opinion/2012/03/28/5-reasons-obamacare-is-already-good-for/
This user has chosen to opt out of the Badges program
07:05 PM on 07/02/2012
Will my opinion change? Absolutely not. The health policy that I have for my family (not for myself mind you I cancelled my own policy), regardless of if I CAN keep him on it, my son knows that at age 18 he must go out into the world and start living his own life. If he decides to go to college then I will let him stay on until he is 22 or until he graduated, whichever occurs first.

I have guided my son to ensure that he will be ready to live his own life when the time comes. Not try to hinder him by keeping us all under the same 'roof'. I want him to go out and be his own man and I am fully confident that he has all the tools and knowledge at his disposal to make sure that happens.
Jamgrae
Aliyah
07:37 PM on 07/02/2012
So, in an economy that is struggling for jobs and has an 8% unemployment rate, you plan to shove your son under the bus because of a conservative ideology? Your view is different than the majority of most Americans who care for their kids and want them to have healthy lives. This is not the 50s where a guy can find a job just like that, or a college grad could get a more high paying job.....this is 2012...POST GW BUSH and the economic explosion of 2008. Health care costs are skyrocketing, they have been rising since before the present administration, your son will have to not only attain high cost insurance, but will be lucky to find a decent paying job to afford it. Many people in this day and age are deciding whether to pay for their mortgage or pay for medicines.....and that's the world you're sending your kid out to? Most people will protect their children no matter how old they are to compete with the millions already looking for jobs. And every bit of help they can get will be welcomed. Even a full grown man who retires from the military will have the extra help needed for them to survive in this economy in money and government health care.
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HUFFPOST SUPER USER
billw8017
History looks like this
08:09 AM on 07/03/2012
You think you're tough? You're not tough.

Jean Jacques Rousseau would put his children into orphanages once they were weaned. While he was highly regarded as a social philosopher, the people of his neighborhood would throw rocks at him as he strolled along.
This user has chosen to opt out of the Badges program
08:52 AM on 07/03/2012
I never said I was tough. I said I was being fair and making sure that my son wasn't hindered by staying at home when he didn't need to.

In nature, when adult birds feel their young are old enough to learn how to fly, they toss them out of the nest. As they fall they either learn to fly, or they hit the ground and die.

When forced to perform without safety nets, the vast majority of people rise up and perform. Those that don't rejoin the ecosystem. Either way our collective gene pool becomes better because of it.
This user has chosen to opt out of the Badges program
08:54 AM on 07/03/2012
If the Liberals wanted to get rid of all of the 'unintelligent', 'stupid', 'mindless', and everything else they call Republicans ... get rid of all the safety nets of life and merely let them all die out ...

The end result is that ultimately the gene pool becomes better because of it :-)
This user has chosen to opt out of the Badges program
04:27 PM on 07/02/2012
Wait till they realize our power hungry president has a new police IRS enforcement team of 16000 to make sure there is enough money to pay for his and the supreme courts and all the politicians healthcare plan while the rest of us are ruled by obamascare.
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BuckCarson
Life outside the ObamaSphere
05:57 PM on 07/02/2012
16000? They just hired 21000 UNDER THE STIMULUS.

I
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Footwarrior
Progressive Apparatchik
06:28 PM on 07/02/2012
FactCheck didn't find much evidence supporting that GOP talking point.

http://www.factcheck.org/2010/03/irs-expansion/
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HUFFPOST SUPER USER
billw8017
History looks like this
08:10 AM on 07/03/2012
Didn't they call it "the lie of the year?"
This user has chosen to opt out of the Badges program
DianneinCA
running forward, laughing...
03:37 PM on 07/02/2012
Republicans are so encased in the Fox echo chamber they can not help themselves. Why ask if they would use ACA as their main issue when they went after women when all polls showed it was a losing argument. They went after minorities when all data showed those same minorities as becoming a huge voting block. Republicans are locked into their shrinking old, white, evangelical base and appear incapable of expanding it.
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HUFFPOST SUPER USER
billw8017
History looks like this
08:16 AM on 07/03/2012
Their base votes while they are working hard to take away the right of others to vote. Also, recently in California Republican money persuaded people to vote in favor of cancer.

Well, we can live for a while with cancer, but can the United States really survive with Republican direction?