Morning ConsultNational Healthcare Tracking Poll:

April 2014

Topline Results

Methodology:This poll was conducted from April 3-6, 2014, among a national sample of 1,906 likely 2014 vot-ers. The interviews were conducted online by Survey Sampling International, Inc. The data wereweighted to approximate a target sample of likely voters based on age, race/ethnicity, gender,educational attainment, region, annual household income, home ownership status and marital sta-tus. Results from the full survey have a margin of error of plus or minus two percentage points.In addition to sampling error, there are many common sources of error and bias such as varia-tion in question order, question wording, respondent attentiveness and survey attrition that mayinfluence the overall results.

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1: Do you approve or disapprove of the health care legislation passed by Barack Obama and Congress in 2010?

Stronglyapprove

Somewhatapprove

Somewhatdisapprove

Stronglydisapprove

Don’tKnow /

No opinion

N

Likely Voters 19 24 16 35 6 1906Males 21 22 15 36 6 889Females 17 25 17 35 7 1017Age: 18-29 14 31 14 30 11 313Age: 30-44 19 22 19 31 9 466Age 45-64 20 24 15 37 5 719Age: 65+ 20 20 15 42 3 407Republicans 3 6 20 68 3 540Democrats 36 39 11 7 7 730Independents 12 21 18 40 9 636Hispanic 21 27 16 26 9 170African American 44 36 7 6 8 245White 15 21 17 41 6 1552ACA will make things better 53 38 4 2 3 434ACA will have no effect 16 34 22 18 10 760ACA will make things worse 1 4 17 74 5 712State based exchanges 23 25 16 29 8 589Federally managed exchanges 17 23 16 38 6 1268Insurance: Uninsured 14 21 16 39 9 201Insurance: Purchased on Own 23 20 16 36 5 160Insurance: Employer-based 19 25 16 35 4 854Insurance: Gov’t Plan 19 22 15 37 7 5742010 Vote: Democrat 37 34 11 12 6 7462010 Vote: Republican 2 7 17 70 3 6062012 Vote: Democrat 35 40 12 7 6 9052012 Vote: Republican 1 5 18 73 3 6822014 Vote: Democrat 34 34 12 14 6 8682014 Vote: Undecided 7 20 28 28 17 3032014 Vote: Republican 6 12 16 64 3 731

Stronglyapprove

Somewhatapprove

Somewhatdisapprove

Stronglydisapprove

Don’tKnow /

No opinion

N

2013-08-31 19 25 16 33 7 19892013-09-29 21 25 14 33 7 19762013-11-18 17 24 14 39 6 20082013-12-18 19 23 13 40 5 19642014-01-31 20 25 14 36 5 21582014-03-10 16 25 17 36 6 21922014-04-06 19 24 16 35 6 1906

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2: How do you think the healthcare law will affect you and your family? Will it make things

A lotbetter

A littlebetter

Have noeffect

A littleworse

A lotworse

N

Likely Voters 11 12 40 17 20 1906Males 11 14 40 15 20 889Females 10 11 40 19 20 1017Age: 18-29 14 22 31 20 13 313Age: 30-44 12 13 41 16 17 466Age 45-64 8 12 39 18 23 719Age: 65+ 10 3 47 18 23 407Republicans 4 5 28 27 37 540Democrats 18 20 49 9 4 730Independents 8 9 40 19 24 636Hispanic 18 17 36 20 9 170African American 23 21 44 6 5 245White 8 10 40 19 23 1552ACA will make things better 46 54 0 0 0 434ACA will have no effect 0 0 100 0 0 760ACA will make things worse 0 0 0 47 53 712State based exchanges 12 14 43 19 12 589Federally managed exchanges 10 12 38 16 24 1268Insurance: Uninsured 10 20 21 26 24 201Insurance: Purchased on Own 15 19 22 12 31 160Insurance: Employer-based 10 11 44 17 19 854Insurance: Gov’t Plan 11 8 46 16 19 5742010 Vote: Democrat 19 19 47 9 6 7462010 Vote: Republican 3 4 27 26 40 6062012 Vote: Democrat 18 19 51 8 4 9052012 Vote: Republican 2 3 26 27 42 6822014 Vote: Democrat 18 19 46 11 6 8682014 Vote: Undecided 4 8 44 25 19 3032014 Vote: Republican 5 6 30 22 36 731

A lotbetter

A littlebetter

Have noeffect

A littleworse

A lotworse

N

2013-07-26 11 20 29 19 21 21802013-08-31 12 19 26 22 23 19892013-09-29 14 21 25 20 21 19762013-11-18 9 15 34 20 22 20082013-12-18 14 13 32 18 24 19642014-01-31 14 15 32 18 22 21582014-03-10 10 14 35 20 21 21922014-04-06 11 12 40 17 20 1906

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3: In the long run, how do you think the health care law will affect how much you pay in total healthcare costs, suchas appointment co-payments, monthly premiums, deductibles and drug co-payments? Will it make health care

Muchmore

expensive

Somewhatmore

expensive

About thesame

Somewhatless

expensive

Much lessexpensive

N

Likely Voters 27 30 29 10 4 1906Males 26 31 27 12 3 889Females 27 30 31 8 4 1017Age: 18-29 22 30 32 11 4 313Age: 30-44 26 33 24 10 6 466Age 45-64 29 30 27 11 3 719Age: 65+ 28 28 35 7 2 407Republicans 46 34 16 3 1 540Democrats 9 27 41 18 6 730Independents 32 31 26 8 3 636Hispanic 30 29 20 12 9 170African American 9 31 33 20 7 245White 29 31 28 8 3 1552ACA will make things better 10 20 31 27 12 434ACA will have no effect 7 35 48 9 1 760ACA will make things worse 59 31 8 1 1 712State based exchanges 24 31 29 10 5 589Federally managed exchanges 29 30 28 10 3 1268Insurance: Uninsured 39 19 22 9 10 201Insurance: Purchased on Own 34 22 20 19 5 160Insurance: Employer-based 29 34 25 10 2 854Insurance: Gov’t Plan 21 30 38 7 4 5742010 Vote: Democrat 15 26 39 16 5 7462010 Vote: Republican 49 33 15 2 1 6062012 Vote: Democrat 9 27 41 17 6 9052012 Vote: Republican 50 33 14 2 1 6822014 Vote: Democrat 12 28 36 17 6 8682014 Vote: Undecided 29 31 34 4 2 3032014 Vote: Republican 44 33 18 4 1 731

Muchmore

expensive

Somewhatmore

expensive

About thesame

Somewhatless

expensive

Much lessexpensive

N

2013-07-26 28 29 31 9 2 21802013-08-31 28 29 29 9 4 19892013-09-29 28 29 29 10 4 19762013-11-18 29 32 27 8 3 20082013-12-18 32 27 28 8 5 19642014-01-31 30 27 31 8 3 21582014-03-10 29 31 28 8 3 21922014-04-06 27 30 29 10 4 1906

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4: In the long run, how do you think the health care law will affect the availability of medical benefits you receivefrom your health insurance, such as doctor’s appointments, medical treatments and prescription drugs? Will it makehealthcare

Muchmore

available

Somewhatmore

available

About thesame

Somewhatless

available

Much lessavailable

N

Likely Voters 7 14 41 23 15 1906Males 9 15 38 24 15 889Females 6 13 43 22 15 1017Age: 18-29 12 24 34 19 11 313Age: 30-44 10 14 42 20 14 466Age 45-64 6 12 43 24 15 719Age: 65+ 4 9 40 29 19 407Republicans 3 6 27 39 25 540Democrats 14 21 53 10 3 730Independents 4 13 39 25 20 636Hispanic 11 17 35 25 11 170African American 18 24 49 7 2 245White 6 12 40 25 17 1552ACA will make things better 24 31 37 7 1 434ACA will have no effect 4 13 62 17 3 760ACA will make things worse 1 5 20 39 36 712State based exchanges 8 15 42 25 10 589Federally managed exchanges 7 14 40 22 17 1268Insurance: Uninsured 8 16 31 26 19 201Insurance: Purchased on Own 9 13 33 18 27 160Insurance: Employer-based 8 13 43 22 14 854Insurance: Gov’t Plan 5 12 44 25 14 5742010 Vote: Democrat 13 19 52 11 5 7462010 Vote: Republican 3 6 25 36 30 6062012 Vote: Democrat 12 20 54 12 3 9052012 Vote: Republican 2 5 25 37 31 6822014 Vote: Democrat 12 20 49 15 5 8682014 Vote: Undecided 3 11 50 21 14 3032014 Vote: Republican 4 8 28 33 27 731

Muchmore

available

Somewhatmore

available

About thesame

Somewhatless

available

Much lessavailable

N

2013-07-26 9 17 37 19 18 21802013-08-31 10 16 37 21 17 19892013-09-29 10 13 39 20 17 12442013-11-18 8 14 40 20 18 20082013-12-18 10 13 37 19 21 19642014-01-31 11 14 38 19 17 21582014-03-10 8 15 40 23 14 21922014-04-06 7 14 41 23 15 1906

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5: In the long run, how do you think the health care law will affect the quality of the medical care you receive? Willit make health care

Muchhigherquality

Somewhathigherquality

About thesame

Somewhatlower

quality

Muchlower

quality

N

Likely Voters 6 11 46 22 15 1906Males 8 11 46 22 13 889Females 5 10 46 22 17 1017Age: 18-29 8 16 45 16 14 313Age: 30-44 7 14 47 16 15 466Age 45-64 6 8 47 24 16 719Age: 65+ 4 7 44 29 15 407Republicans 3 5 29 37 26 540Democrats 12 16 59 11 2 730Independents 2 9 46 22 21 636Hispanic 12 16 43 18 12 170African American 17 22 50 7 5 245White 4 8 45 25 17 1552ACA will make things better 21 29 43 5 1 434ACA will have no effect 3 8 67 18 3 760ACA will make things worse 1 2 25 36 36 712State based exchanges 7 11 51 21 10 589Federally managed exchanges 6 10 44 23 18 1268Insurance: Uninsured 5 12 43 17 23 201Insurance: Purchased on Own 7 11 41 20 21 160Insurance: Employer-based 7 10 47 21 15 854Insurance: Gov’t Plan 5 10 47 25 13 5742010 Vote: Democrat 11 15 58 12 4 7462010 Vote: Republican 2 4 27 36 31 6062012 Vote: Democrat 10 16 62 10 2 9052012 Vote: Republican 2 4 26 37 31 6822014 Vote: Democrat 10 16 54 14 5 8682014 Vote: Undecided 2 6 59 15 19 3032014 Vote: Republican 3 6 31 34 26 731

Muchhigherquality

Somewhathigherquality

About thesame

Somewhatlower

quality

Muchlower

quality

N

2013-07-26 7 14 41 20 18 21802013-08-31 7 12 44 21 17 19892013-09-29 8 13 44 19 17 12442013-11-18 7 13 43 21 16 20082013-12-18 8 12 40 20 20 19642014-01-31 8 12 39 21 19 21582014-03-10 7 11 46 21 16 21922014-04-06 6 11 46 22 15 1906

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6: What would you like to see Congress do when it comes to the health care law?

Congressshouldexpandthe law

Congressshould letthe law

take effect

Congressshouldmake

changes toimprovethe law

Congressshould

delay anddefund the

law

Congressshould

repeal thelaw

N

Likely Voters 10 21 36 5 28 1906Males 11 20 35 5 29 889Females 10 22 36 6 26 1017Age: 18-29 13 21 39 5 23 313Age: 30-44 11 20 37 6 25 466Age 45-64 11 20 34 5 29 719Age: 65+ 6 24 34 5 32 407Republicans 4 4 29 11 52 540Democrats 17 39 35 2 6 730Independents 7 15 42 4 32 636Hispanic 16 22 34 5 24 170African American 19 41 34 0 7 245White 8 18 36 6 31 1552ACA will make things better 27 43 27 1 2 434ACA will have no effect 9 27 48 4 13 760ACA will make things worse 1 2 28 9 59 712State based exchanges 12 22 38 5 23 589Federally managed exchanges 9 20 35 5 30 1268Insurance: Uninsured 8 12 40 4 36 201Insurance: Purchased on Own 11 25 28 3 33 160Insurance: Employer-based 14 20 33 6 26 854Insurance: Gov’t Plan 6 24 38 5 27 5742010 Vote: Democrat 20 35 33 1 10 7462010 Vote: Republican 3 5 29 11 52 6062012 Vote: Democrat 17 37 38 2 6 9052012 Vote: Republican 3 3 28 11 55 6822014 Vote: Democrat 16 35 36 3 10 8682014 Vote: Undecided 4 13 54 5 24 3032014 Vote: Republican 5 8 28 9 50 731

Congressshouldexpandthe law

Congressshould letthe law

take effect

Congressshouldmake

changes toimprovethe law

Congressshould

delay anddefund the

law

Congressshould

repeal thelaw

N

2013-07-26 12 21 33 4 30 21802013-08-31 11 22 32 6 30 19892013-09-29 12 25 29 7 27 19762013-11-18 11 18 32 6 33 20082013-12-18 11 20 32 4 32 19642014-01-31 13 20 30 5 31 21582014-03-10 12 19 35 5 29 21922014-04-06 10 21 36 5 28 1906

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7: Now thinking about Medicare, the government health insurance program for seniors, do you think Medicare willrequire major changes or minor changes? If you think Medicare is fine the way it is and does not require any changesat all, please say so.

Major changes Minor changes No changes NLikely Voters 27 46 27 1906Males 27 50 23 889Females 28 41 31 1017Age: 18-29 36 46 18 313Age: 30-44 33 45 22 466Age 45-64 27 46 27 719Age: 65+ 15 45 40 407Republicans 32 47 22 540Democrats 23 46 31 730Independents 29 44 27 636Hispanic 41 39 20 170African American 28 44 28 245White 26 46 27 1552ACA will make things better 27 47 27 434ACA will have no effect 19 50 31 760ACA will make things worse 36 41 23 712State based exchanges 26 49 25 589Federally managed exchanges 28 45 28 1268Insurance: Uninsured 36 37 27 201Insurance: Purchased on Own 23 44 33 160Insurance: Employer-based 32 48 20 854Insurance: Gov’t Plan 18 44 38 5742010 Vote: Democrat 23 46 30 7462010 Vote: Republican 32 45 23 6062012 Vote: Democrat 23 47 29 9052012 Vote: Republican 31 43 26 6822014 Vote: Democrat 24 46 30 8682014 Vote: Undecided 29 43 28 3032014 Vote: Republican 31 46 23 731

Major changes Minor changes No changes N2013-11-18 30 43 27 20082013-12-18 35 40 25 19642014-01-31 34 43 23 21582014-03-10 31 45 25 21922014-04-06 27 46 27 1906

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8: Have you visited an online health insurance exchange, such as healthcare.gov, where you can shop for healthinsurance and compare plans?

Yes No NLikely Voters 24 76 1906Males 25 75 889Females 24 76 1017Age: 18-29 31 69 313Age: 30-44 32 68 466Age 45-64 25 75 719Age: 65+ 9 91 407Republicans 21 79 540Democrats 28 72 730Independents 24 76 636Hispanic 35 65 170African American 30 70 245White 23 77 1552ACA will make things better 48 52 434ACA will have no effect 13 87 760ACA will make things worse 22 78 712State based exchanges 25 75 589Federally managed exchanges 24 76 1268Insurance: Uninsured 49 51 201Insurance: Purchased on Own 53 47 160Insurance: Employer-based 21 79 854Insurance: Gov’t Plan 15 85 5742010 Vote: Democrat 29 71 7462010 Vote: Republican 23 77 6062012 Vote: Democrat 28 72 9052012 Vote: Republican 22 78 6822014 Vote: Democrat 28 72 8682014 Vote: Undecided 18 82 3032014 Vote: Republican 23 77 731

Yes No N2014-01-31 23 77 21582014-03-10 27 73 21922014-04-06 24 76 1906

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9: Did you go to the exchanges to look at purchasing health insurance options for you and your family? (Amongrespondents who visited an online health insurance exchange)

Yes No NLikely Voters 78 22 465Males 76 24 219Females 80 20 247Age: 18-29 82 18 97Age: 30-44 77 23 151Age 45-64 78 22 180Republicans 79 21 110Democrats 80 20 205Independents 76 24 150White 80 20 356ACA will make things better 85 15 206ACA will have no effect 65 35 103ACA will make things worse 78 22 156State based exchanges 75 25 148Federally managed exchanges 80 20 308Insurance: Uninsured 89 11 98Insurance: Purchased on Own 89 11 84Insurance: Employer-based 70 30 176Insurance: Gov’t Plan 75 25 842010 Vote: Democrat 78 22 2192010 Vote: Republican 79 21 1412012 Vote: Democrat 79 21 2512012 Vote: Republican 75 25 1472014 Vote: Democrat 77 23 2412014 Vote: Republican 80 20 168

Yes No N2014-01-31 81 19 4822014-03-10 81 19 5912014-04-06 78 22 465

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10: How would you rate your overall experience when you visited an online health insurance exchange? (Amongrespondents who visited an online health insurance exchange)

Very positive Somewhatpositive

Somewhatnegative

Verynegative

N

Likely Voters 20 35 25 21 464Males 22 38 18 23 219Females 18 32 31 19 246Age: 18-29 28 35 24 12 97Age: 30-44 22 32 27 19 151Age 45-64 13 36 22 28 179Republicans 18 18 28 36 110Democrats 27 48 21 4 205Independents 11 29 27 33 150White 15 33 27 25 355ACA will make things better 40 45 13 2 206ACA will have no effect 7 54 27 12 103ACA will make things worse 2 8 38 51 156State based exchanges 20 36 27 17 148Federally managed exchanges 19 34 24 22 307Insurance: Uninsured 8 27 33 33 98Insurance: Purchased on Own 23 39 23 16 84Insurance: Employer-based 23 34 22 22 176Insurance: Gov’t Plan 22 40 25 14 842010 Vote: Democrat 28 44 17 10 2192010 Vote: Republican 11 17 33 39 1412012 Vote: Democrat 28 47 17 8 2512012 Vote: Republican 9 12 37 42 1472014 Vote: Democrat 28 43 19 10 2412014 Vote: Republican 12 24 29 36 167

Very positive Somewhatpositive

Somewhatnegative

Verynegative

N

2014-01-31 25 31 19 24 4852014-03-10 20 37 22 22 5942014-04-06 20 35 25 21 464

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11: Did you experience technical difficulties on an online health insurance exchange website? (Among respondentswho visited an online health insurance exchange)

Yes No NLikely Voters 56 44 462Males 58 42 218Females 54 46 244Age: 18-29 64 36 96Age: 30-44 60 40 149Age 45-64 51 49 179Republicans 62 38 109Democrats 48 52 203Independents 62 38 149White 55 45 354ACA will make things better 56 44 204ACA will have no effect 41 59 103ACA will make things worse 66 34 156State based exchanges 58 42 147Federally managed exchanges 55 45 306Insurance: Uninsured 64 36 98Insurance: Purchased on Own 53 47 83Insurance: Employer-based 57 43 175Insurance: Gov’t Plan 46 54 842010 Vote: Democrat 53 47 2182010 Vote: Republican 61 39 1402012 Vote: Democrat 50 50 2492012 Vote: Republican 64 36 1462014 Vote: Democrat 49 51 2392014 Vote: Republican 63 37 167

Yes No N2014-01-31 55 45 4822014-03-10 50 50 5842014-04-06 56 44 462

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12: Have you already purchased insurance from an online health insurance exchange?(Among respondents who visitedan online health insurance exchange)

Yes No NLikely Voters 37 63 463Males 38 62 216Females 36 64 247Age: 18-29 44 56 97Age: 30-44 40 60 150Age 45-64 29 71 178Republicans 35 65 110Democrats 42 58 205Independents 30 70 147White 34 66 354ACA will make things better 57 43 205ACA will have no effect 22 78 101ACA will make things worse 19 81 156State based exchanges 40 60 148Federally managed exchanges 35 65 307Insurance: Uninsured 14 86 97Insurance: Purchased on Own 60 40 84Insurance: Employer-based 35 65 175Insurance: Gov’t Plan 40 60 842010 Vote: Democrat 43 57 2182010 Vote: Republican 28 72 1402012 Vote: Democrat 43 57 2512012 Vote: Republican 31 69 1462014 Vote: Democrat 40 60 2412014 Vote: Republican 32 68 166

Yes No N2014-01-31 33 67 4762014-03-10 27 73 5822014-04-06 37 63 463

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13: Why didnt you purchase a plan?(Among respondents who visited an online health insurance exchange)

Technicalproblemswith theweb site

The priceof healthinsurancepolicies

Limiteddoctor orunknownhospitalnetworks

Otherreason

Stillweighingoptions

N

Likely Voters 11 30 3 43 13 293Males 11 30 4 40 16 135Females 10 31 3 46 10 158Age: 30-44 9 33 2 39 17 90Age 45-64 12 31 1 44 11 126Democrats 8 23 2 52 15 119Independents 12 36 5 35 12 102White 11 33 2 41 13 234ACA will make things better 11 10 6 49 24 88ACA will have no effect 3 24 3 58 12 78ACA will make things worse 15 49 2 30 5 126State based exchanges 10 24 3 56 6 88Federally managed exchanges 11 33 4 38 15 198Insurance: Uninsured 21 43 0 22 13 83Insurance: Employer-based 4 29 4 51 12 1142010 Vote: Democrat 9 22 5 54 9 1242010 Vote: Republican 13 37 2 35 12 1002012 Vote: Democrat 9 23 2 54 12 1422012 Vote: Republican 16 34 3 38 9 1012014 Vote: Democrat 8 26 4 47 15 1442014 Vote: Republican 15 31 3 41 10 113

Technicalproblemswith theweb site

The priceof healthinsurancepolicies

Limiteddoctor orunknownhospitalnetworks

Otherreason

Stillweighingoptions

N

2014-01-31 12 28 5 23 33 3182014-03-10 11 30 3 32 24 4222014-04-06 11 30 3 43 13 293

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14: Are you going to visit one of these state or federal online insurance exchanges again in the next few months, ornot? (Among respondents who visited an online health insurance exchange)

Yes No NLikely Voters 41 59 463Males 42 58 219Females 40 60 245Age: 18-29 55 45 97Age: 30-44 44 56 151Age 45-64 34 66 178Republicans 37 63 110Democrats 46 54 203Independents 37 63 150White 36 64 354ACA will make things better 57 43 206ACA will have no effect 26 74 101ACA will make things worse 30 70 156State based exchanges 37 63 148Federally managed exchanges 43 57 306Insurance: Uninsured 52 48 97Insurance: Purchased on Own 32 68 84Insurance: Employer-based 41 59 176Insurance: Gov’t Plan 36 64 842010 Vote: Democrat 48 52 2192010 Vote: Republican 28 72 1412012 Vote: Democrat 49 51 2492012 Vote: Republican 26 74 1472014 Vote: Democrat 48 52 2392014 Vote: Republican 28 72 168

Yes No N2014-01-31 57 43 4852014-03-10 51 49 5852014-04-06 41 59 463

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15: As you may know, the health insurance exchanges opened for enrollment on October 1. Just your impression, howwell have the online health insurance exchanges been working?

Extremelywell

Very well Fairly well Not toowell

Not wellat all

N

Likely Voters 4 12 27 34 23 1906Males 4 12 27 32 24 889Females 3 13 27 35 22 1017Age: 18-29 8 14 32 30 17 313Age: 30-44 8 13 27 32 20 466Age 45-64 1 10 26 37 26 719Age: 65+ 1 15 25 33 26 407Republicans 3 4 11 39 42 540Democrats 5 23 39 26 6 730Independents 2 7 26 38 27 636Hispanic 11 13 27 30 19 170African American 7 37 37 14 5 245White 3 9 25 37 27 1552ACA will make things better 13 31 39 15 2 434ACA will have no effect 1 11 36 37 14 760ACA will make things worse 1 2 10 41 46 712State based exchanges 4 13 28 37 18 589Federally managed exchanges 4 12 27 32 25 1268Insurance: Uninsured 6 14 27 30 24 201Insurance: Purchased on Own 5 14 24 31 26 160Insurance: Employer-based 4 11 25 36 24 854Insurance: Gov’t Plan 2 14 29 33 23 5742010 Vote: Democrat 5 23 36 29 7 7462010 Vote: Republican 3 3 12 39 43 6062012 Vote: Democrat 5 21 38 29 6 9052012 Vote: Republican 2 3 10 41 44 6822014 Vote: Democrat 5 20 38 29 8 8682014 Vote: Undecided 4 7 26 38 25 3032014 Vote: Republican 2 5 15 37 40 731

Extremelywell

Very well Fairly well Not toowell

Not wellat all

N

2014-01-31 5 10 22 27 36 21582014-03-10 5 10 26 30 30 21922014-04-06 4 12 27 34 23 1906

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