Majority in U.S. Still Say Gov’t Should Ensure Healthcare


Story Highlights

  • 57% say authorities ought to guarantee well being protection for all in U.S.
  • 53% favor well being system primarily based on personal insurance coverage; 43%, a government-run one
  • 72% of Democrats, 13% of Republicans assist government-run system

WASHINGTON, D.C. — A 57% majority of U.S. adults imagine that the federal authorities ought to guarantee all Individuals have healthcare protection. But practically as many, 53%, choose that the U.S. healthcare system be primarily based on personal insurance coverage fairly than run by the federal government. These findings are in keeping with latest attitudes in regards to the authorities’s involvement within the healthcare system, which have been comparatively regular since 2015.

Majority in U.S. Say Healthcare Is Authorities Accountability

In 2000, Gallup started monitoring the general public’s views of whether or not it’s the federal authorities’s duty to make sure all Individuals have healthcare protection and has discovered appreciable fluctuation. From 2000 by means of 2008, majorities starting from 54% to 69% believed the federal authorities ought to guarantee common protection within the U.S.

In 2009, then-President Barack Obama’s administration labored with Congress to move the Inexpensive Care Act (ACA), which expanded entry to non-public medical insurance by way of new authorities mandates and subsidies. The invoice was finally signed into legislation in March 2010, and till 2012, the general public was divided of their attitudes in regards to the authorities’s obligation for healthcare protection within the U.S. From 2012 by means of 2014, clear majorities stated this was not the federal government’s duty.

In 2015, the tide once more turned, and a slim majority felt healthcare protection was a authorities obligation. Since then, between 51% and 57% of Individuals have held this view. The most recent findings, from Gallup’s annual Well being and Healthcare ballot carried out Nov. 9-Dec. 2, 2022, present 57% suppose the federal government ought to be accountable to make sure protection for all Individuals, whereas 40% say it mustn’t.


Partisans’ views of the federal authorities’s duty in making certain healthcare for all Individuals diverge sharply, as they’ve over the previous 20 years. Presently, 88% of Democrats and 59% of independents however simply 28% of Republicans suppose the federal government is accountable.


Whereas a mean 79% of Democrats since 2001 have asserted the federal government’s obligation to make sure healthcare for all within the U.S., a mean 71% of Republicans over the identical interval have stated the alternative. A 56% common of independents have stated it’s a governmental obligation.

Desire for Non-public Healthcare System Over Authorities-Run Persists

On the identical time that Individuals see a authorities function in making certain common U.S. healthcare protection, they like that the nation’s healthcare system be primarily based on personal insurance coverage fairly than run by the federal government. Presently, 53% of U.S. adults choose a personal system, whereas 43% assist a government-run system. Since 2010, when the measure was first tracked, the general public has persistently favored personal insurance coverage, with only one exception: In 2017, U.S. adults have been evenly divided of their preferences.


Partisans’ preferences for the U.S. healthcare system differ sharply, with 72% of Democrats in favor of a government-run system and 83% of Republicans a personal system. Independents tilt barely towards a personal (50%) fairly than a government-run (46%) system.


Over the previous 13 years, the proportion of Republicans preferring personal insurance coverage has not fallen beneath 79%; it peaked at 91% in 2010, the yr the ACA grew to become legislation. On the identical time, between 52% (in 2013) and 77% (in 2021) of Democrats have favored a government-run system.

Majorities of independents backed a personal system from 2010 by means of 2015, however they’ve been extra divided since then, reaching a consensus solely as soon as — in 2021, when 55% favored personal insurance coverage.

Backside Line

Individuals proceed to carry a nuanced view of the U.S. healthcare system, with a majority saying the federal government ought to be certain that all Individuals have protection however preferring that the system be funded privately. Partisans have basically differing views on how healthcare ought to be delivered within the U.S., with Democrats indicating assist for a system the place the federal government not solely ensures protection however offers healthcare, whereas Republicans stay wedded to the present system of personal protection and healthcare.

Notably, Democrats are extra unified of their perception that authorities is answerable for making certain all Individuals have healthcare than in wanting a real public well being system. Conversely, Republicans are extra unified towards such medical care than they’re towards the concept that it’s authorities’s job to ensure no American goes with out healthcare.

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