Americans’ Top Four Healthcare Asks: Does the AHCA Deliver?

In the past month, C Space talked to dozens of American citizens across party lines and discovered that regardless of political beliefs, American share the same “Big Four” hopes for the future of healthcare. By listening to consumers – citizens – together we can share the burden and create something sustainable.

Kristin Masoud

VP, Client Services at C Space Health

With contributions from Prabha Kannan, Bethany Klaene, and Mallory Salerno.

In the past month, C Space talked to dozens of American citizens across party lines and discovered that regardless of political beliefs, American share the same “Big Four” hopes for the future of healthcare. On March 6, the Republicans released their replacement for the Affordable Care Act, presenting a different view for the way forward with healthcare.

Did Republicans listen to what Americans asked for when it comes to healthcare? Does the American Health Care Act deliver on the “Big Four” of what Americans want? Let’s take a look.

  1. Don’t deny coverage for those with pre-existing conditions
    • “I feel parts of Obamacare are good – not being able to deny pre-existing conditions primarily.” –Somewhat conservative, 48
    • YES, BUT – Pre-existing conditions are covered…unless you go more than two months without health insurance.
  2. Don’t issue a fine/penalty if someone doesn’t get health insurance.
    • “Do not tax Americans with a penalty if they couldn’t get coverage. It should be their choice whether or not to get coverage and using gross income as how much a person can pay is totally unfair.” –Somewhat liberal, 34
    • YES, BUT –There is no direct fine or penalty for not having health insurance – but there is a 30% surcharge on premiums if you go more than 63 days without health insurance.
  3. Keep premiums and drug costs affordably low for all.
    • “[We needSomething more up to standards, something actually affordable, not just premiums but all out of pocket expenses.” –Somewhat conservative, 30
    • YES AND NO. The AHCA eliminates the need to provide standard plans and the ability to offer “skinnier,” less benefit-rich plans that will be less expensive for younger, healthier people. But it also allows insurance plans to charge their oldest enrollees up to five times as much as younger enrollees (up from 3x under the current law). Tax credits replace subsidies, on a sliding scale that increases with age, but do not replace the current subsidy value.
  4. Any replacement plan should be available immediately, without a lapse in coverage.
    • “There needs to be a solution on day 1 after it is repealed. This is coming from someone that hates Obamacare. The worst thing that can happen is if you repeal and don’t replace. The damage has already been done to most Americans and there is no going back. The best you can do is try to ease the burden that has been dumped on the majority of Americans.” –Somewhat conservative, 34
    • TO BE DETERMINED. The Republicans hope for approval by mid-April, 2017 – but time will tell. Conservative Republicans, House Democrats, and interest groups such as the AARP are already taking stands against the AHCA – a detailed debate lies ahead.

There’s so much more to it, but these are the “Big Four” we heard when it comes to Americans and healthcare. There are fewer than 35 weeks until 2018 open enrollment. Overhauling our healthcare system is not an easy task and there will be many tradeoffs and concessions along the way. By listening to consumers – citizens – together we can share the burden and create something sustainable: a system that delivers on American’s expectations, while reducing unnecessary pain points and restrictions for companies that operate in this space.

All data for this piece from C Space sponsored research conducted in C Space’s HATCH community from January 20-30, 2017.

You may be interested in:

Managing Expectations

Managing Expectations

by Katie McQuater, Deputy Editor
Impact

Do management consultancies represent a threat, an opportunity, or simply a wake-up call to the market research industry? Katie McQuater takes a look.

What Are the Benefits of Online Communities?

What Are the Benefits of Online Communities?We live in a world where online communities are ubiquitous, with almost every global brand using some form of it to uncover insight that leads to business change. But how exactly do they add value, and what are...

21st Century Market Research

21st Century Market Research Advances in social media, the empowerment of everyday consumers, and the need for more actionable insights fuel a mandate for market research to do more, faster. But the use of social media-driven research also fuels the quality debate...

Healthcare Without Borders

Healthcare Without Borders How Millennials are Reshaping Health and Wellness When it comes to managing their health, Millennials have more access to information, connectivity, and technology than any other generation. Yet, competing financial pressures and government...

Gen Z & the Future of Money

Gen Z & the Future of Money We invited a group of 27 Gen Zers, ages 13 to 20, and six executives from the banking, retail, electronics, and apparel industries, to participate in a full-day interactive session, Gen Z and the Future of Money. The goals for the day were...

Moving at the Speed of Business

Moving at the Speed of Business Or how a little quantification can go a long way The world we live in today comes with an unfamiliar set of demands. Companies, regardless of industry, must be as agile, swift, and decisive as possible. As researchers, we must generate...

Bluemercury’s Barry Beck: Luxe Beauty Meets Anthropology

Bluemercury’s Barry Beck: Luxe Beauty Meets Anthropology Subscribe to the Outside In podcast: It’s been called Macy’s “secret weapon,” its engine for innovation and growth. Since Barry Beck and his wife Marla Beck started Bluemercury in 1999, and sold it...

Nightingale’s Insightful Lessons

Nightingale's Insightful Lessons We all know Florence Nightingale as a British nurse who came to prominence during the Crimean War, and arguably the founder of modern nursing. But she was so much more than that. She was a 19th century insight manager....

Zuora CEO: The Subscription Economy

Zuora CEO: The Subscription Economy Subscribe to the Outside In podcast: Netflix. Spotify. Amazon Prime. These days, we don’t buy, we subscribe. Tien Tzuo, founder and CEO of Zuora, has a name for it: the Subscription Economy. Subscription models open up...

Microsoft Recovers From the Electric Slide

Microsoft Recovers From the Electric Slide In the fashion world, there’s a term that gets used from time to time: effortlessly chic. It’s about looking stylish and on-trend -- seemingly without even trying. In the brand world, I would say there’s a similar...