AMERICANS AND MEDICARE June 3-7, 2011

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CBS NEWS POLL For release: June 13, 2011 7:00 am (EDT) AMERICANS AND MEDICARE June 3-7, 2011 Americans see Medicare as a worthwhile program (68%), and while they think changes to the program may be necessary, 58% would prefer Medicare stay as it is rather than change to a program that would provide payments towards the purchase of private health insurance. Two-thirds are confused about how the Medicare changes proposed by Rep. Paul Ryan would work. 61% have an unfavorable opinion of the Republican party a record high in CBS News Polls. The Democratic party is viewed favorably by just 41% of Americans; the lowest level since 1994. Most Americans (68%) think the benefits from Medicare are worth the cost for taxpayers. Majorities across the political spectrum say that, and seniors are especially likely to think the program is worthwhile 81% think it is. Benefits from Medicare Worth the Cost for Taxpayers? All Reps Dems Inds 18-29 30-44 45-64 65+ Worth it 68% 63% 73% 68% 55% 63% 76% 81% Not worth it 21 25 18 21 28 28 16 10 At the same time, Americans think the Medicare system could be improved. Most would like to see changes made, but few want to completely rebuild the program. 53% say fundamental changes are needed, and a quarter thinks the program needs minor tweaks. Older Americans are less likely to think Medicare needs major changes. Views on Medicare Program All 18-29 30-44 45-64 65+ Minor changes 27% 20% 17% 32% 46% Fundamental changes 53 50 65 54 37 Rebuild it 13 19 13 11 10 While Americans think changes are needed to the Medicare program, they reject a proposal like the one put forth by Republican Rep. Paul Ryan. Only 31% of Americans think Medicare should be changed in the future to a program that gives seniors payments towards the purchase of private health insurance; while nearly six in 10 want to keep Medicare as it exists now. Most Democrats and independents would like Medicare to continue as it is, but Republicans are divided in their views. The Ryan Plan would impact only future Medicare beneficiaries, specifically those under age 55. Support for changing Medicare is higher in that age group than it is among those who are older; but even 53% of those under age 55 would like Medicare to continue as it is. Best Way to Set Up Medicare in the Future? All Reps Dems Inds < Age 55 Age 55+ Continue as it is now 58% 45% 70% 58% 53% 68% Change it to payment program 31 43 22 29 35 23

Even though a majority of Americans are opposed to Rep. Ryan s plan in theory, most say they have heard or read little or nothing about the changes to the Medicare system he has proposed. Older Americans are more likely to have heard or read at least some about it. Heard or Read about Rep. Paul Ryan s Proposed Changes to Medicare All < Age 55 Age 55+ A lot 11 7% 17% Some 27 26 31 Not much 28 27 30 Not at all 31 37 20 Furthermore, most don t have a good understanding about how the changes to Medicare would work. Two-thirds say they find it confusing, while just 19% say they have a good understanding of it. Only those who have read a lot about the proposed Medicare changes (just 11% of Americans) say they have a good understanding of it. Political Parties and 2012 Feelings on How the Proposed Medicare Changes Would Work Good understanding 19% Confusing 67 More than half of Americans hold negative views of the country s two major political parties. 61% have an unfavorable opinion of the Republican party a record high. 52% are unfavorable toward the Democratic party and only 41% hold favorable views; the lowest percentage since November 1994, shortly after a Republican takeover of Congress. Views of Political Parties Republican Party Democratic Party Now 4/2011 10/2008 Now 4/2011 11/1994 Favorable 30% 37% 36% 41% 44% 40% Unfavorable 61 56 60 52 49 52 While most partisans view their own political party positively, majorities of independents hold negative opinions of both the Republican and Democratic parties. Views of Republican Party All Reps Dems Inds Favorable 30% 64% 9% 21% Not favorable 61 30 87 64 Views of Democratic Party All Reps Dems Inds Favorable 41% 10% 80% 34% Not favorable 52 84 18 54 As the 2012 presidential campaign gets underway, voters want to hear presidential candidates discuss the economy and jobs 47% say so. The deficit, at 11%, is a distant second; followed by health care (7%). Republicans, Democrats and independents all think the candidates should be talking about the economy and jobs over any other issue.

Which One Issue Would You Most Like To Hear The Presidential Candidates Discuss? (among registered voters) Economy and Jobs 47% Budget Deficit 11 Health Care 7 This poll was conducted among a random sample of 1,024 adults nationwide, interviewed by telephone June 3-7, 2011. The error due to sampling for results based on the entire sample could be plus or minus three percentage points. The error for subgroups is higher. This poll release conforms to the Standards of Disclosure of the National Council on Public Polls.

CBS NEWS POLL June 3-7, 2011 q15 In general, is your opinion of the Republican Party favorable or not favorable? ** TOTAL RESPONDENTS ** *** Party ID *** Total Rep Dem Ind Apr11a % % % % % Favorable 30 64 9 21 37 Not favorable 61 30 87 64 56 DK/NA 9 6 4 15 7 q16 In general, is your opinion of the Democratic Party favorable or not favorable? Favorable 41 10 80 34 44 Not favorable 52 84 18 54 49 DK/NA 7 6 2 12 7 q38 Which one issue would you most like to hear the candidates for president discuss during the 2012 presidential? ** REGISTERED VOTERS ** Economy/Jobs 47 47 37 54 Budget Deficit/Nat l Debt 11 16 7 11 Health Care 7 5 12 5 War/Iraq/Afghanistan 3 1 3 3 Education 3 1 3 3 Immigration 2 3 2 2 Medicare/Medicaid 2 1 3 1 Foreign Policy 2 1 2 1 Defense / Military 2 3 2 0 Other 12 11 18 15 DK/NA 9 11 11 5 q48 Overall, do you think the benefits from Medicare are worth the cost of the program for taxpayers, or are they not worth the cost? ** TOTAL RESPONDENTS ** Apr11a Worth it 68 63 73 68 61 Not worth it 21 25 18 21 29 DK/NA 11 12 9 11 10 q59 Which of the following three statements comes closest to expressing your overall view of Medicare? 1. On the whole, Medicare works pretty well and only minor changes are necessary to make it work better. 2. There are some good things about Medicare, but fundamental changes are needed. 3. Medicare has so much wrong with it that we need to completely rebuild it. Aug09a Minor changes 27 22 36 25 25 Fundamental changes 53 63 43 53 52 Rebuild 13 10 14 15 16 No changes (Vol.) 2 1 4 1 1 Don't know/no answer 5 4 3 6 6

q60 Which of the following do you think is the best way for the Medicare program to be set up in the future? Should the Medicare program 1. Continue the way it is set up now, as a program that pays the doctors and hospitals that treat senior citizens. OR 2. Change the way it is set up, and instead become a program that gives senior citizens payments towards the purchase of private insurance. ** TOTAL RESPONDENTS ** *** Party ID *** Total Rep Dem Ind % % % % Continue as it is now 58 45 70 58 Change it 31 43 22 29 DK/NA 11 12 8 13 q61 How much have you heard or read about the changes to the Medicare system recently proposed by Congressman Paul Ryan and passed by House Republicans a lot, some, not much, or nothing at all? A lot 11 11 12 10 Some 27 30 24 28 Not much 28 33 28 25 Not at all 31 25 33 34 DK/NA 3 1 3 3 q62 Do you feel you have a good understanding of how the proposed Medicare changes would work or is it confusing to you? Good understanding 19 19 15 23 Confusing 67 71 70 61 DK/NA 14 10 15 16 UNWEIGHTED WEIGHTED Total Respondents 1024 Total Registered Voters 894 799 Total Republicans 310 329 (30%) Total Democrats 312 317 (30%) Total Independents 402 378 (40%)