• Polling

Three in Five Americans Are Favorable to the Affordable Care Act

Tuesday, February 13, 2024 By Rachael Russell
Download Full Report

Poll: Health Care in the U.S.

This Navigator Research report contains polling data on how Americans evaluate a variety of proposed progressive and conservative health care policies in the country, how Americans view the Affordable Care Act, and which party Americans trust most to handle the issue of health care. 

Vast majorities are opposed to conservative proposals that would cut Social Security and Medicare.

Conservative health care proposals, especially those that take away coverage, discriminate because of age or illness, or raise costs for insurance premiums or prescription drugs, are deeply unpopular. The most opposed conservative health care policies include “cutting Social Security and Medicare” (net -78; 9 percent support – 87 percent oppose), “letting insurance companies charge seniors five times more for the same medical coverage” (net -75; 10 percent support – 85 percent oppose), “letting insurance companies stop covering the costs of prescription drugs and maternity care” (net -73; 10 percent support – 83 percent oppose), “taking away health care coverage for 40 million Americans” (net -71; 11 percent support – 82 percent oppose), and “allowing insurance companies to charge more or deny coverage to the 135 million Americans with pre-existing conditions” (net -71; 11 percent support – 82 percent oppose).

  • By contrast, progressive proposals earn strong support from Americans, including expand[ing] Medicare’s power to negotiate lower prescription drug prices with the pharmaceutical industry, so more Americans will benefit” (net +73; 83 percent support – 10 percent oppose), “cap[ping] the price of insulin at $35 per month for everyone, not just seniors” (net +65; 78 percent support – 13 percent oppose), and “requir[ing] states to provide 12 months of postpartum Medicaid coverage for new mothers on Medicaid to tackle the maternal mortality crisis” (net +41; 64 percent support – 23 percent oppose).
  • While majorities oppose both, framing the conservative proposal of “banning Medicare from negotiating lower prices for prescription drugs” generates more opposition (77 percent) than framing it as “repealing legislation that allows Medicare to negotiate lower prescription drug prices” (57 percent). Opposition to “banning” over “repealing legislation” grows substantially across partisanship, including among Democrats (from net -37 to net -69), independents (from net -25 to net -64), and Republicans (from net -12 to net -55).
Bar graph of polling data from Navigator Research. Title: Expanding Medicare’s Power to Negotiate, Capping Insulin Prices for Everyone Most Popular Health Care Policies
Bar graph of polling data from Navigator Research. Title: “Banning” Medicare from Lowering Prescription Drug Prices Generates More Opposition Than “Repealing Legislation”

President Biden and Democrats have a double-digit trust advantage over Republicans on handling health care.

By a 12-point margin, Americans trust Biden and the Democratic Party to handle health care (49 percent Biden/Democrats – 37 percent Republicans), including Black Americans by 59 points, Hispanic Americans by 31 points, and Asian American and Pacific Islanders by 26 points. However, while Biden and Democrats maintain a trust advantage, it is generally smaller than the level of support for progressive-oriented policies: While progressive health care policies garner support across partisanship by double-digit margins, a plurality of Americans say they are unsure who they trust more on the issue of health care (34 percent Biden/Democrats – 25 percent Republicans – 41 percent not sure). 

  • Reminder: In a December survey, three in five Americans were favorable toward the Affordable Care Act (net +37; 61 percent favorable – 24 percent unfavorable) and a majority were favorable toward Obamacare (net +15; 54 percent favorable – 39 percent unfavorable). Both have gained favorability among Americans since 2020 by at least 10 points (from net +23 in February 2020 to net +37 now for the Affordable Care Act; from net +5 in February 2020 to net +15 now).
Bar graph of polling data from Navigator Research. Title: Biden and the Democratic Party Hold an Advantage on Health Care Generally
Bar graph of polling data from Navigator Research. Title: Both the ACA and Obamacare Are Broadly Popular, With More Positive Views of ACA; Both Have Improved Since 2020

Americans Describe Impacts to Rights and Freedoms As The Most Concerning Outcomes for Project 2025 Implementation

Polling data on Project 2025, including what impact messaging has on Americans’ perceptions of the plan’s impact on their personal lives.

The Policies of Project 2025: A Guide for Progressives

Polling data on how Americans view Project 2025, its proposed policies, and how those policies will impact the American people.

A Guide for Progressives on How to Brand Project 2025

Branding and messaging guide on Project 2025, including the most resonant language to describe it and polling data on Americans’ top concerns.

About The Study

Global Strategy Group conducted public opinion surveys among a sample of 1,000 registered voters from January 25-January 29, 2024. 100 additional interviews were conducted among Hispanic voters. 75 additional interviews were conducted among Asian American and Pacific Islander voters. 100 additional interviews were conducted among African American voters. 100 additional interviews were conducted among independent voters. The survey was conducted online, recruiting respondents from an opt-in online panel vendor. Respondents were verified against a voter file and special care was taken to ensure the demographic composition of our sample matched that of the national registered voter population across a variety of demographic variables.

Like the info here?

Get it directly in your inbox when new polls are released.

About Navigator

In a world where the news cycle is the length of a tweet, our leaders often lack the real-time public-sentiment analysis to shape the best approaches to talking about the issues that matter the most. Navigator is designed to act as a consistent, flexible, responsive tool to inform policy debates by conducting research and reliable guidance to inform allies, elected leaders, and the press. Navigator is a project led by pollsters from Global Strategy Group and GBAO along with an advisory committee, including: Andrea Purse, progressive strategist; Arkadi Gerney, The Hub Project; Joel Payne, The Hub Project; Christina Reynolds, EMILY’s List; Delvone Michael, Working Families; Felicia Wong, Roosevelt Institute; Mike Podhorzer, AFL-CIO; Jesse Ferguson, progressive strategist; Navin Nayak, Center for American Progress Action Fund; Stephanie Valencia, EquisLabs; and Melanie Newman, Planned Parenthood Action Fund.

For press inquiries contact: press@navigatorresearch.org