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Will Americans support the individual mandate?

Tara Sussman¹, Robert J Blendon, Andrea Louise Campbell

¹Program in Health Policy, Harvard University in Cambridge, Massachusetts, USA. tsussman@fas.harvard.edu

Health Affairs (Project Hope)

|April 23, 2009

Summary

An individual mandate alone lacks broad public support for universal health insurance. Policymakers can increase backing by adopting a shared-responsibility approach involving employers and government.

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Area of Science:

Health Policy
Public Opinion Research
Health Insurance Economics

Background:

Achieving universal health insurance coverage in the US is a persistent policy challenge.
Individual mandates are a key component of several proposed health reform plans.
Current healthcare system structures influence public acceptance of new policies.

Purpose of the Study:

To assess public support for individual health insurance mandates.
To identify demographic and partisan factors influencing support for mandates.
To explore strategies for broadening support for health insurance reform.

Main Methods:

Analysis of national public opinion survey data.
Statistical examination of support across various sociodemographic and political groups.
Comparative analysis of mandate-only versus shared-responsibility plan support.

Main Results:

Individual mandates, when considered in isolation, do not garner widespread public approval.
Support for individual mandates varies significantly across different partisan and sociodemographic segments of the population.
A 'shared-responsibility' framework, including employer and government contributions, shows potential for increased public acceptance.

Conclusions:

Policymakers face challenges in implementing standalone individual health insurance mandates due to limited public support.
Integrating individual mandates into broader shared-responsibility plans may be a more viable strategy for achieving universal coverage.
Future health policy design should consider public opinion and the framing of reform proposals to enhance political feasibility.