contraception data

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					CCMC/Herndon Women and ACA Survey
August 2011
800 likely voters nationwide (400 men and 400 women) with an oversample of 200 women



7.       Now I am going to read you a list of health care services covered by the new health care reform
         law, the Affordable Care Act. Does including each service as part of insurance coverage make
         you more or less favorable toward the new health care reform law, using a 0 to 10 scale where a
         0 means you are much less favorable and a 10 means you are much more favorable. A 5 means
         it makes no difference to you. You can use any number between 0 and 10.
         [Every third item ask: Does including this service as part of insurance coverage make you
         more or less favorable toward the new health reform law, using a 0 to 10 scale where a 0
         means you are much less favorable and a 10 means you are much more favorable. A 5
         means it makes no difference to you. You can use any number between 0 and 10.]
     A. [Split Sample A] No deductible and no co-pay for basic preventive care for women and their
        families.
            Mean................................................................................................ 7.0         6.5   7.6
            10 - Much more favorable ................................................................. 39                     31    46
            8 - 9 ................................................................................................... 19      20    17
            6 - 7 ................................................................................................... 10      10    10
            5 - Neutral ......................................................................................... 12          15     9
            0 - 4 - Less favorable ........................................................................ 19                24    14
          (Don't know) 2                   1            4

     A. [Split Sample B] No deductibles and no co-pays on contraception and birth control
              Mean................................................................................................ 5.7       5.2   6.2
              10 - Much more favorable ................................................................. 27                   25    29
              8 - 9 ................................................................................................... 13    11    15
              6 - 7 ................................................................................................... 10     8    11
              5 - Neutral ......................................................................................... 18        17    19
              0 - 4 - Less favorable ........................................................................ 30              37    24
               (Don't know) ...................................................................................... 3           2     3
     B. [Split Sample A] Birth control and contraception at no cost
              Mean................................................................................................ 6.2       5.6   6.7
              10 - Much more favorable ................................................................. 34                   29    39
              8 - 9 ................................................................................................... 13    12    13
              6 - 7 ................................................................................................... 10    10     9
              5 - Neutral ......................................................................................... 13        13    13
              0 - 4 - Less favorable ........................................................................ 28              35    22
               (Don't know) ...................................................................................... 2           1     3
     C. [Split Sample B] Birth control and contraception at no additional cost
              Mean................................................................................................ 6.0       5.2   6.7
              10 - Much more favorable ................................................................. 31                   24    37
              8 - 9 ................................................................................................... 15    14    16
              6 - 7 ................................................................................................... 10    11    10
              5 - Neutral ......................................................................................... 13        12    15
              0 - 4 - Less favorable ........................................................................ 29              37    21
               (Don't know) ...................................................................................... 2           3     2
Some/ other people say free contraceptives is another government mandate and now we have
       government micro-managing people's health care.
       OR
       Some/other people say birth control is basic preventive care because it respects others to make
       important life decisions and gives people more options over when and whether to have children.
       Which statement is closer to your own views? [If statement 1 or 2 ask: Is that much closer or
       only somewhat closer to your own views]

            Much closer - government mandate ............................................... 28                         33   24
            Somewhat closer - government mandate ......................................... 7                             8    6
            Somewhat closer - decisions and options ...................................... 17                           17   17
            Much closer - decisions and options .............................................. 39                       34   44
            Neither .............................................................................................. 4     5    4
            Both .................................................................................................. 1    0    1
             (Don't know) .................................................................................... 3         3    4
            Government mandate ..................................................................... 35                 41   30
            Decisions and options ................................................................... 56                51   60
12.   [SPLIT SAMPLE A] Some/ other people say that the coverage of birth control goes too far and
      will lead to abuse, overuse, and some irresponsible behavior.
      OR
      Some/ other people say covering contraception with no co-pay promotes taking responsibility,
      gives people more options, and respects women's personal decisions.
      Which statement is closer to your own views? [If Statement 1 or 2 ask: Is that much closer or
      only somewhat closer to your own views?]

           Much closer - lead to abuse ........................................................... 23                 26   21
           Somewhat closer - lead to abuse ................................................... 10                     11    9
           Somewhat closer - promotes taking
           responsibility ................................................................................... 16      16   15
           Much closer - promotes taking responsibility ................................. 41                          38   44
           Neither .............................................................................................. 4    5    4
           Both ................................................................................................. 1    1    2
            (Don't know) .................................................................................... 5        4    5
           Lead to abuse.................................................................................. 33         36   30
           Promotes taking responsibility ..................................................... 57                    54   59
13.   [SPLIT SAMPLE B]
      Some/ other people say that the coverage of birth control goes too far and will lead to abuse,
      overuse, and some irresponsible behavior.
      OR
      Some/ other people say covering contraception services helps families and businesses save
      money in these tough economic times and reduces the excess profits of insurance companies.
      Which statement is closer to your own views?
      [If Statement 1 or 2 ask: Is that much closer or only somewhat closer to your own views?]

           Much closer - lead to abuse ........................................................... 30                  30   29
           Somewhat closer - lead to abuse ..................................................... 9                      9    8
           Somewhat closer - helps families and
           businesses ...................................................................................... 19        18   20
           Much closer - helps families and businesses ................................. 32                            31   33
           Both .................................................................................................. 3    3    2
           Neither .............................................................................................. 4     5    3
            (Don't know) .................................................................................... 4         3    6
           Lead to abuse.................................................................................. 38          39   37
           Helps families and businesses ..................................................... 51                      49   52
14.   [SPLIT SAMPLE A]
      Some/ other people say coverage of so-called contraception services for free is a back door way
      to have tax payers pay for abortion-inducing drugs.
      OR
      Some/ other people say coverage of birth control and contraception services with no co-pay helps
      prevent unintended pregnancies and reduces the need for abortions.
      Which statement is closer to your own views?
      [If statement 1 or 2 ask: Is that much closer or only somewhat closer to your own views]

           Much more - back door to taxpayer funded
           abortions ......................................................................................... 23      27   19
           Somewhat more - back door to taxpayer
           funded abortions ............................................................................. 10            9   10
           Somewhat more - reduces need for abortions ............................... 15                               12   17
           Much more - reduces need for abortions ....................................... 42                           41   43
           Neither .............................................................................................. 6     7    5
           Both .................................................................................................. 1    0    2
            (Don't know) .................................................................................... 3         3    3
           Back door to taxpayer funded abortions ..................................... 32                             36   29
           Reduces need for abortions .......................................................... 57                    53   61
15.   [SPLIT SAMPLE B]
      Some/ other people say coverage of so-called contraception services for free is a back door way
      to have tax payers pay for abortion-inducing drugs.
      OR
      Some/ other people say coverage of birth control and contraception services helps and respects
      women to make their own personal decisions and gives them more options about when and
      whether to have children.
      Which statement is closer to your own views?
      [If statement 1 or 2 ask: Is that much closer or only somewhat closer to your own views]

           Much more - back door to taxpayer funded
           abortions ......................................................................................... 27      34   21
           Somewhat more - back door to taxpayer
           funded abortions ............................................................................... 8           7    9
           Somewhat more - respects women to make
           own decisions ................................................................................. 16          14   17
           Much more - respects women to make own
           decisions ......................................................................................... 38      32   45
           Neither .............................................................................................. 3     6    2
           Both .................................................................................................. 2    1    3
            (Don't know) ................................................................................... 4          5    4
           Back door to taxpayer funded abortions ..................................... 36                             42   30
           Respects women to make own decisions .................................... 54                                46   62
17.      Now I am going to read statements that people who oppose the new health care reform law have
         made about the Affordable Care Act. Please tell me whether this statement is very convincing,
         somewhat convincing, not too convincing or not at all convincing. If you are not sure, please say
         so.
         RANDOMIZE LIST
      A. [Split sample A] [Religion] Requiring health insurers to cover contraceptives violates the rights
         of people who belong to religions that don't believe in artificial contraception. The Catholic Church
         morally opposes birth control and Orthodox Jews and some Protestants find birth control
         objectionable. Forcing religious groups, individuals, health providers, and health plans to perform
         or pay for a service that they may find morally objectionable is wrong.
              Very convincing ................................................................................ 24      26   23
              Somewhat convincing ....................................................................... 18           17   18
              Not too convincing ............................................................................ 18       20   15
              Not at all convincing ......................................................................... 34       33   36
               (Not sure) ........................................................................................ 6    5    7
              Convincing ...................................................................................... 42     42   42
              Not convincing ................................................................................ 52       53   51

18.      Now I am going to read statements that people who support the new health care reform law have
         made about the Affordable Care Act. Please tell me whether this statement is very convincing,
         somewhat convincing, not too convincing or not at all convincing. If you are not sure, please say
         so.
         RANDOMIZE LIST
      A. [Split Sample A] [Broad Prevention] Starting this year, all new insurance plans must cover key
         prevention services, like contraception, well-woman exams, and breast and cervical cancer
         screenings, which many women have put off or sacrificed because of the cost involved. This will
         save thousands of lives every year and bring down costs because it is far more effective to
         prevent an unintended pregnancy and to detect cancer early. Covering preventive care as basic
         health care, including family planning services, contraception, and birth control, is important to
         good health care for women.
              Very convincing ................................................................................ 46      38   53
              Somewhat convincing ....................................................................... 25           28   22
              Not too convincing ............................................................................ 10       11    8
              Not at all convincing ......................................................................... 15       18   12
               (Not sure) ........................................................................................ 5    4    6
              Convincing ...................................................................................... 70     66   74
              Not convincing ................................................................................ 25       30   20
B. [Split Sample B] [Women's Issue] Before health care reform, insurance companies could
   discriminate against women by denying coverage to pregnant women, women who had C-
   sections, or women who had survived domestic violence on the grounds that these were quote
   "pre-existing conditions" end-quote. Health care reform makes these practices illegal, as well as
   saying birth control and contraception services are basic elements of preventive care. Let's not
   let a bunch of lobbyists and politicians allow insurance companies to discriminate against women
   anymore.
        Very convincing ................................................................................ 38      31   45
        Somewhat convincing ....................................................................... 29           29   30
        Not too convincing ............................................................................ 12       16    8
        Not at all convincing ......................................................................... 16       22   11
         (Not sure) ........................................................................................ 4    2    6
        Convincing ...................................................................................... 68     60   75
        Not convincing ................................................................................ 28       38   19
C. [Respect] We should respect people's ability to make important life decisions like when and if to
   have a baby. The average American couple wants two children. This means the average woman
   will spend three to five years of her life trying to get pregnant and the rest of her reproductive
   years trying to prevent pregnancy. Providing insurance coverage of contraception will give
   women the options they need to responsibly manage family planning throughout their lives.
        Very convincing ................................................................................ 38      33   42
        Somewhat convincing ....................................................................... 27           26   27
        Not too convincing ............................................................................ 13       15   11
        Not at all convincing ......................................................................... 19       23   15
         (Not sure) ........................................................................................ 4    4    5
        Convincing ...................................................................................... 64     59   69
        Not convincing ................................................................................ 31       37   26
D. [Split Sample A] [Cost] Prevention saves dollars, which is why the new health reform law
   requires coverage for preventive care, including contraception with no co-pays. Private insurance
   coverage of contraception is cost effective. The National Business Group on Health estimated
   that it saved employers about 15 percent when contraceptives were covered as well as saving
   many families as much as $26 a month. Access to these basic and essential preventive services
   for women will give hardworking families a greater sense of security, as well as real savings.
        Very convincing ................................................................................ 35      29   40
        Somewhat convincing ....................................................................... 27           26   27
        Not too convincing ............................................................................ 15       20   11
        Not at all convincing ......................................................................... 20       24   17
         (Not sure) ........................................................................................ 3    1    5
        Convincing ...................................................................................... 62     56   67
        Not convincing ................................................................................ 36       44   28
E. [Split Sample B] [Cost 2] The new health reform law helps families by covering preventive
   services, such as annual well-woman exams and birth control. This, along with the new health
   reform laws' reduction in waste and fraud and its improvement in competition among health
   insurance plans, gives us a real opportunity to save money on health care. Covering prevention
   creates real savings for real people.
        Very convincing ................................................................................ 34      28   39
        Somewhat convincing ....................................................................... 28           25   31
        Not too convincing ............................................................................ 12       15    9
        Not at all convincing ......................................................................... 20       26   15
         (Not sure) ........................................................................................ 5    5    6
        Convincing ...................................................................................... 62     54   70
        Not convincing ................................................................................ 32       42   24
    F. [Split Sample A] [Secure/Congress with preventative] The new healthcare law will provide
       basic preventive services including birth control, and make health care coverage more secure by
       ensuring that working families cannot be denied coverage due to a pre-existing condition, or lose
       their coverage or be forced into bankruptcy when someone gets sick. It will also require that
       members of Congress get their health care coverage from the same plans as millions of
       Americans.
            Very convincing ................................................................................ 43      36   51
            Somewhat convincing ....................................................................... 28           29   27
            Not too convincing ............................................................................ 11       14    9
            Not at all convincing ......................................................................... 14       18    9
             (Not sure) ........................................................................................ 4    3    5
            Convincing ...................................................................................... 71     65   77
            Not convincing ................................................................................ 25       32   18
    G. [Split Sample B] [Secure/Congress with no co-pay] The new healthcare law will provide basic
       preventive health care and women's health services with no co-pay, and make health care
       coverage more secure by ensuring that working families cannot be denied coverage due to a pre-
       existing condition, or lose their coverage or be forced into bankruptcy when someone gets sick. It
       will also require that members of Congress get their health care coverage from the same plans as
       millions of Americans.
            Very convincing ................................................................................ 48      45   50
            Somewhat convincing ....................................................................... 26           23   29
            Not too convincing .............................................................................. 8       9    8
            Not at all convincing ......................................................................... 14       20    9
             (Not sure) ........................................................................................ 3    3    4
            Convincing ...................................................................................... 74     69   79
            Not convincing ................................................................................ 23       29   17




Support for the Affordable Care Act
Informed Views:
    • After hearing information about a number of health care services offered under the ACA, voters
       support the new reform law by 20 points. Promoting the services to women is the single most
       important thing to do. These services set up the messages and tap into key values for women.
    • After this information, a quarter of voters move toward favoring the new law. These shifters are
       more likely to be under age 40, non college grads, particularly older non college grads, voters
       who lean Democratic, Latinos, non religiously affiliated, those without health insurance, and
       voters in the West, particularly Pacific men.

    •   Coverage of birth control is popular, though on a second tier overall. It is a first tier service for
        women under 40, along with prenatal care.

Positioning the Affordable Care Act
   • Voters also reject the opposition’s argument that covering birth control will lead to abuse,
       overuse and irresponsible behavior. Saying that covering contraception promotes
       responsibility, provides options, and respects women’s personal decisions soundly beats this
       attack and works with both men and women. This is especially strong with independent women.
       This works much better than an argument that pivots to cost.
   • Voters reject the assertion that covering contraception is a back door way of funding
       abortion-inducing drugs. The stronger response to this attack focuses on coverage with no co-
       pay helping to prevent unintended pregnancies and reducing the need for abortion. This
       response leads by double digits among both men and women. Women also respond well to a
 response about how birth control respects women to make their own personal decisions;
 however, this response is not as strong among men.



Support for the ACA increases among women across age and
party lines. There is continued growth in support with
services and messages, except among older women who are
reminded of some of their doubts with the attacks.
                         Support for the ACA (Strongly Favor)

                                                                                Increase in
                      Initial          Informed                 Final
                                                                              Overall Support

Women under age
                    35% (24%)          55% (34%)           61% (36%)            +26 points
45
Women ages 45-59    35% (22%)          53% (31%)           58% (36%)            +23 points
Women age 60 and
                    25% (18%)          50% (31%)           47% (31%)            +22 points
older


Democratic women    53% (37%)          79% (55%)           83% (62%)            +30 points
Independent
                    32% (20%)          56% (27%)           59% (29%)            +27 points
women
Republican women     6% (2%)           20% (7%)            19% (5%)             +13 points

                                                                                                71




Support for the new health care law also increases across religious lines.




                     Support for the ACA (Strongly Favor)
                                                                        Increase in Overall
                       Initial                     Final                     Support
Protestants         27% (19%)                 44% (28%)                    +17 points
Catholics           35% (21%)                 60% (35%)                    +25 points
Other religion      31% (15%)                 51% (28%)                    +20 points
None                38% (26%)                 73% (49%)                    +35 points




                                                                                                72
          The majority of voters say the US Conference of Catholic Bishops’
          position does not make a difference in their views of the ACA.




Now for something different.... The United States Conference of Catholic Bishops has sharply criticized
the new rule requiring private health plans to cover contraception and birth control with no co-pays or
                                                                                                          92
deductibles saying, quote - pregnancy is not a disease, and children are not a health problem - end
quote. Does this make you more favorable toward the new health reform law, less favorable, or does it
not make a difference?




          Similarly, among Catholics, over half say the US Conference of Catholic
          Bishops’ position does not make a difference in their views of the ACA.




                            Half or more women across age groups and partisan lines say the Catholic
                            Bishops’ position does not make a difference to them.

Now for something different.... The United States Conference of Catholic Bishops has sharply criticized
the new rule requiring private health plans to cover contraception and birth control with no co-pays or
                                                                                                          93
deductibles saying, quote - pregnancy is not a disease, and children are not a health problem - end
quote. Does this make you more favorable toward the new health reform law, less favorable, or does it
not make a difference?
          Coverage of birth control is popular, though on a second tier. Voters are more favorable
          toward no deductibles or co-pays for basic preventive care for women and their families vs.
          the more specific no deductibles and no co-pays on contraception and birth control.
          Attitudes are similar on birth control and contraception at no cost vs. birth control and
          contraception at no additional cost, although Republican women respond slightly stronger
          to the language of no additional cost.
                                                                                                                      Mean

                                                                                                                      7.0

                                                                                                                       7.0

                                                                                                                       6.9

                                                                                                                       6.2

                                                                                                                       6.0

                                                                                                                       7.0

                                                                                                                       5.7
*Split sampled questions
Now I am going to read you a list of health care services covered by the new health care reform law, the
Affordable Care Act. Does including each service as part of insurance coverage make you more or less                         96
favorable toward the new health care reform law, using a 0 to 10 scale where a 0 means you are much less
favorable and a 10 means you are much more favorable. A 5 means it makes no difference to you. You can use
any number between 0 and 10.




          Similarly, women express greater intensity in response to the
          other elements of the health care reform legislation.

                                          Impact on Favorability Toward ACA

          Mean Rating (% Rating “10”)                                         Men             Women          Margin
          No deductible and no co-pay for basic preventive
                                                                            6.5 (31%)         7.6 (46%)       +15
          care for women and their families*
          Full maternity coverage                                           6.5 (32%)         7.5 (46%)       +14

          Domestic violence screening and counseling                        6.2 (27%)         7.4 (42%)       +15

          Birth control and contraception at no cost*                       5.6 (29%)         6.7 (39%)       +10
          Birth control and contraception at no additional
                                                                            5.2 (24%)         6.7 (37%)       +13
          cost*
          Small business tax credits to help them provide
                                                                            6.5 (25%)         7.4 (34%)        +9
          health insurance to their employees
          No deductibles and no co-pays on contraception
                                                                            5.2 (25%)         6.2 (29%)        +4
          and birth control*

                                                                                                                             98


*Split sampled questions
          Younger women show greater intensity around birth control at no cost,
          no deductibles and co-pays for birth control, and domestic violence
          screening and counseling compared to their older counterparts.



                                    Impact on Favorability Toward ACA
                                                          Women under
     Mean Rating (% Rating “10”)                             45         Women 45-59   Women 60+
     Domestic violence screening and counseling            7.8 (49%)     7.2 (41%)    7.2 (36%)
     Birth control and contraception at no cost*           7.5 (49%)     6.4 (39%)    6.3 (33%)
     Birth control and contraception at no additional      7.8 (49%)     6.5 (33%)    5.8 (31%)
     cost*
     Small business tax credits to help them provide       7.8 (38%)     7.2 (30%)    7.1 (33%)
     health insurance to their employees
     No deductibles and no co-pays on contraception and    7.0 (35%)     6.8 (35%)    5.0 (19%)
     birth control*




                                                                                                  102


*Split sampled questions

				
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