This report draws on a Public Agenda/USA TODAY/Ipsos Hidden Common Ground nationally representative survey of American adults as well as four focus groups exploring the views and values of the American public on health care, including how much change people think the health care system needs, their goals and priorities for changing it, and their views on various proposals for doing so. The research finds that nearly all Americans across the political spectrum want the health care system to change. Even people who currently have what they consider to be satisfactory health insurance nonetheless think the system needs substantial change. Americans across party lines also largely agree on what the goals for the health care system ought to be--starting with making it more affordable and ensuring that people are not penalized for pre-existing conditions. Republicans and Democrats differ from each other on how to achieve those goals somewhat, while people who identify as Independents and those who have no political affiliation typically fall somewhere in between. Few of these differences involve huge or unbridgeable gaps. Moreover, for each of the four approaches to health care reform that this survey asked people to consider, around a quarter of Americans say they do not have enough information to give an opinion, suggesting that there is substantial room for public opinion to evolve as people learn more.
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