Healthcare Healthcare Workers and the Workers and the 2008 Election 2008 Election Key findings from survey among 1,042 healthcare workers (606 nurses, 436 non-nurses conducted July 7 – 11, 2008 for HART HART RESEARCH RESEARCH P e t e r D P e t e r D ASSO TES C IA
Key findings from survey among 1,042 healthcare workers (606 nurses, 436 non-nurses) conducted July 7 – 11, 2008 for Healthcare United
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Healthcare Workers Healthcare Workers and the and the
2008 Election2008 ElectionKey findings from survey among
1,042 healthcare workers (606 nurses, 436 non-nurses) conducted July 7 – 11, 2008 for
HARTHARTRESEARCHRESEARCH
P e t e r DP e t e r D
AA SS SS OO TT EE SSCC II AA
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 2
Healthcare Workers Dissatisfied With Healthcare Workers Dissatisfied With Nation’s Health Care, Satisfied With OwnNation’s Health Care, Satisfied With Own
6%
31%23%
16%
Very satisfied Somewhat satisfiedVery dissatisfied Somewhat dissatisfied
Satisfaction with Nation’s Health Care System
Satisfaction with Cost/Quality of Own Health Care
34%
65%60%
37%
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 3
Strong Support For Strong Support For Healthcare United’s ThemesHealthcare United’s Themes
27%
38%
41%
50%
54%
58%
61%
67%
69%Put patients’ needs ahead of
insurance/drug companies
Ensure health care workers have staffing/resources
Ensure health care funding to patient care, not insurance
Reduce insurance co. power in patient care decisions
Fair wages/conditions to attract health care workers
Cut waste/inefficiency to control cost & maintain quality
Give individuals more control over their health care
More competition in insurance industry to lower costs
More competition in insurance industry for consumer choice
% rating each as an extremely important commitment (9-10 on zero-to-ten scale)
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 4
Healthcare Workers Split On Priority: Healthcare Workers Split On Priority: Reducing Costs Vs Covering UninsuredReducing Costs Vs Covering Uninsured
48%46%
Which should be the higher health care priority?
Reducing the cost of health care
Providing health
insurance to the
uninsured
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 5
25%
64%
Expectation Growing For Major Changes Expectation Growing For Major Changes In Health Care System In Next Few YearsIn Health Care System In Next Few Years
9%
32%
14%21%
Very likely Fairly likelyVery unlikely Fairly unlikely
Likelihood President/Congress Make Major Changes to Health Care System in Next Few Years
December 2007
34%
62%
July 2008
49% 47%
Bigger Worry about Changes to Health
Care System
President won’t be able to make needed changes
President will make wrong kinds of changes
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 6
Healthcare Workers’ Top Healthcare Workers’ Top Voting Issues In 2008Voting Issues In 2008
8%
9%
11%
15%
20%
34%
38%
58%
Two Most Important Issues in 2008 Presidential Election
Jobs/economy
Health care
War in Iraq
Energy prices
Terrorism/security
Environment
Taxes
Illegal immigration
Dec2007
34%
58%
37%
N/A
17%
N/A
13%
16%
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 7
Obama Leads Overall Among Health- Obama Leads Overall Among Health- care Workers; Nurses Are Split care Workers; Nurses Are Split
More likely to support Obama based on thisMore likely to support McCain based on this
Coverage for pre-existing conditions
Allowing Medicare to negotiate Rx prices
Overall plan contrasts
Expanding S-CHIP funding
Guaranteeing coverage for uninsured
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 12
Obama’s Health Care Record Seen Obama’s Health Care Record Seen As Reason to Support HimAs Reason to Support Him
28%
30%
34%
35%
36%
39%
Very convincing reason to support Obama Fairly convincing reason to support Obama
As state senator, led campaign for good
nurse-to-patient ratios
Worked for laws to improve women’s health
Fought for hospital/ health care funding for
patient care
Favors investing in health care info tech to
reduce errors/lower costs
Record of bringing people together on health
care issues
Bill to ban mandatory overtime for nurses
59%
54%
54%
54%
49%
44%
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 13
McCain’s Record Raises Doubts In McCain’s Record Raises Doubts In Minds Of Many Healthcare WorkersMinds Of Many Healthcare Workers
40%
34%
36%
39%
42%
43%
44%
46%
43%
Raises serious doubts about McCain Raises some doubts about McCain
Tax employer health benefits = $1000 tax hike
Spend billions in Iraq, cut funding for Medicare/caid
Repeatedly voted to cut, restrict Medicare/caid
Voted against tax credits for senior long-term care
His comprehensive coverage too expensive
Would give families $5K tax credit; real cost is $12K
Voted against small business tax credit for
covering employees30+ health care lobbyists
in his campaign
Four more years of BushCare=more uninsured
69%
64%
59%
66%
64%
64%
62%
59%
58%
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 14
After Information, Support For After Information, Support For Obama GrowsObama Grows
+34
+18
+43+25
+17-1
+33+17
Initial responseInformed response
For each question, Obama advantage over McCain
Nurses
Better health plan
Vote for president
Non-nursesBetter health plan
Vote for president
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 15
High Interest In National Organization High Interest In National Organization Of Healthcare WorkersOf Healthcare Workers
59%
20% 19%
How much interest would you have in receiving information about the presidential candidates’ positions and records on health care issues from such an organization?
“A national organization for people who work in the health care field, and its goal is to give healthcare workers a stronger voice in the national debate about health care issues”
Great deal/ fair amount of interest
Just some interest
Very little interest
Healthcare Workers & 2008 Election – July 2008 – Hart Research for 16
Preferred Approaches In Communi-Preferred Approaches In Communi-cating About Presidential Electioncating About Presidential Election
35%
48%
50%
31%
In each pair, which approach do you prefer?
Focus on how the candidates' records and proposals affect healthcare workers on the job, such as staffing levels and having the resources to do your job
Focus more broadly on how the candidates' records and proposals on health care might affect American families like yours
Remain completely nonpartisan and do not make a recommendation about whom to vote for
Act as a strong advocate for the candidate they think would make the most progress for health care in America and healthcare workers