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NATIONWIDE SURVEY ON HEALTH CARE REFORM REVEALS PEOPLE FEAR TWO-TIER HEALTH CARE SYSTEM

 NEW YORK, Sept. 22 /PRNewswire/ -- A new national study indicates that the majority of people believe that the Clinton administration's new health care reforms will set forth dramatic change but not necessarily for the better. Ketchum Communications' Healthcare Network released findings of a national survey of 1,000 adults in which most Americans (59 percent) believe that the Clinton administration's healthcare reforms will be far-reaching and dramatic to create a very different health care system for the future. Only about one in four (28 percent) believe that health care costs will probably be lower than they are today as a result of the reforms.
 Most Americans (71 percent) anticipate the emergence of a two-tiered medical system in which the wealthy will receive care from their own private physicians and lower income households will only be able to afford managed care through organizations such as HMOs. At the same time, an overwhelming majority (nearly nine out of 10 Americans) said that people receive the best quality of healthcare when they are able to choose their own doctors.
 "The public appears to have resigned itself to a `havn?d have-not' situation where lower income households may continue to suffer from an exclusionary system in which they will not have access to quality health care. The results of this survey clearly indicate that the Clinton administration is faced with a major marketing communications challenge in trying to convince the American public about the overall positive effectiveness of their Healthcare Reform proposal," remarked Paul Alvarez, chairman and CEO of Ketchum Communications Inc., parent company of the Ketchum Healthcare Network.
 Sin Taxes on Tobacco and Alcohol/Cost and
 State of Today's Healthcare
 Few Americans think that the cost of health care will be more affordable in the future than today (less than three in 10) and 66 percent believe that the idea of a "sin tax" on tobacco and liquor is a good means to financing health care reform.
 Most Americans (65 percent) agreed that quality healthcare is currently available to very few people and more than half (58 percent) believe that many other countries have better health care systems in place than in the United States. Less than two out of 10 (16 percent) Americans strongly agree that in the future high quality health care will be available to larger segments of the U.S. population in the future.
 Credibility of Information Sources and Advice on Health Care
 Four in 10 Americans feel that cable television news programming will provide the most credible information about health care reform. Public television news programming, weekly news magazines, and national newspapers follow closely with one-third of respondents relying on that media for information on health care reform. The higher the respondent's income and education level, the more he/she pointed to one of these four media as credible information sources.
 Most Americans (91 percent) consider advice from doctors or nurses on health issues or concerns to be the most reliable. A majority also believed that health care providers such as HMOs or insurance companies provide reliable health care advice. Two-thirds of Americans turn to family, friends, or neighbors for advice and 58 percent rely on advertisements from drug manufacturers.
 The Ketchum Healthcare Network conducted this omnibus telephone survey among a nationally representative sample of 1,000 adults in the continental United States during Sept. 2-5, 1993.
 The Ketchum Healthcare Network is a unit of Ketchum Communications, Inc., a $1 billion, international marketing communications company.
 KCI HEALTH CARE ISSUES SURVEY QUESTIONS
 Responses of 1,000 adults to a survey conducted Sept. 2-5, 1993
 1. As you may know, the Clinton administration is planning to introduce its health care reform plan to the general public in the near future. I'd like to read you a list of possible sources of information about the new health care plan. For each, please tell me how believable you think that information source will be, when reporting news about these reforms. First (insert first item). Do you think that (repeat) will be a very believable, somewhat believable, somewhat unbelievable, or a not at all believable source of information? (Repeat for each).
 Very Somewhat Somewhat Not at all DK/
 Believable Believable Unbelievable Believable NA
 a. Network TV news
 or local TV news
 programs 22 pct. 63 7 5 3
 b. Cable news
 programs,
 such as CNN 41 pct. 45 3 3 8
 c. Public TV news
 programs, such
 as the "MacNeill/
 Lehrer"
 Report 33 pct. 50 5 4 7
 d. Local radio
 news summaries 13 pct. 67 10 7 3
 As you may know, the Clinton administration is planning to introduce its health care reform plan to the general public in the near future. I'd like to read you a list of possible sources of information about the health care plan. For each, please tell me how believable you think that information source will be, when reporting news about these reforms. First (insert first item). Do you think that (repeat) will be a very believable, somewhat believable, somewhat unbelievable, or a not at all believable source of information? (Repeat for each).
 Very Somewhat Somewhat Not at all DK/
 Believable Believable Unbelievable Believable NA
 e. Public radio news
 programs, and or
 radio talk shows,
 such as Rush
 Limbaugh 14 pct. 46 14 19 8
 f. Local news-
 papers 14 pct. 67 11 7 2
 g. Nationally circulated
 newspapers, such as
 The New York Times
 and The Wall Street
 Journal 30 pct. 54 5 4 7
 h. News magazine, such
 as Time, Newsweek, or
 U.S. News and World
 Report 33 pct. 53 5 4 5
 i. Direct announcements
 from such groups as
 the American Medical
 Association and the
 American Association
 of Retired
 Persons 28 pct. 52 10 7 3
 j. Direct announcements
 from drug
 manufacturers 11 pct. 46 18 21 4
 k. Direct announcements
 from health insurance
 companies 10 pct. 47 21 19 3
 2. Some people believe that the health care system in the United States will be quite different in the future than it is today, while others disagree. I'd like to next read you a list of statements. For each I read, please tell me how strongly you agree, or disagree with it. First, (read first statement), do you strongly agree, somewhat agree, somewhat disagree, or strongly disagree that (repeat). (Read each statement.)
 Strongly Somewhat Somewhat Strongly DK/
 Agree Agree Disagree Disagree NA
 a. Health care provider
 organizations, such as
 HMOs and PPOs, generally
 offer high quality health
 care service to their
 patients 11 pct. 33 26 17 13
 b. On the whole, people
 receive the best quality
 health care when they are
 able to choose their own
 private physicians
 for care 63 pct. 25 9 3 1
 c. In the U.S. today,
 relatively few people
 have access to high
 quality health care
 services 38 pct. 27 18 15 2
 d. In the future, high
 quality health care
 services will be
 available to larger
 segments of the
 American public 16 pct. 47 19 15 4
 e. That the administration's
 health care reforms
 will be far reaching
 and dramatic 21 pct. 37 23 12 6
 f. There is a good chance
 that the U.S. will
 soon end up with a
 two-tiered medical
 system, where the
 wealthy will receive
 private care, and those
 with lower incomes
 will only be able to
 receive the managed
 care provided by
 organizations such
 as HMOs and PPOs 39 pct. 32 11 14 4
 2. Some people believe that the health care system in the United States will be quite different in the future than it is today, while others disagree. I'd like to next read you a list of statements. For each I read, please tell me how strongly you agree, or disagree with it. First, (read first statement), do you strongly agree, somewhat agree, somewhat disagree, or strongly disagree that (repeat). (Read each statement.)
 Strongly Somewhat Somewhat Strongly DK/
 Agree Agree Disagree Disagree NA
 g. At the present time,
 many other countries
 have better health care
 systems in place than
 we do in the U.S. 31 pct. 26 16 20 6
 h. That in the future, the
 cost of health care in
 the United States will
 probably be lower than
 it is today 9 pct. 19 23 46 3
 i. That the idea of a "sin
 tax" on tobacco and
 liquor to help finance
 health care reform would
 be a good idea 45 pct. 21 8 24 2
 3. I'd like to next read you a list of different information sources that people turn to when they need to receive educational information about health care issues or concerns. For each I read, please tell me how reliable you believe information provided by that source to be. First, (read first item), do you believe information provided by (repeat) is very reliable, somewhat reliable, somewhat unreliable, or not at all reliable? (Repeat for each.)
 Not
 Very Somewhat Somewhat at All DK/
 Reliable Reliable Unreliable Reliable NA
 a. Print or broadcast
 advertisements from
 drug manufacturers 7 pct. 51 26 14 2
 b. Information provided by
 insurance companies and
 by HMOs or PPOs 8 pct. 62 18 9 4
 c. Advice of health care
 providers, such as
 doctors and nurses 34 pct. 57 6 2 2
 d. Advice from friends,
 family, neighbors, and
 co-workers 10 pct. 56 21 11 2
 4. Are you, yourself, currently covered by any form of medical insurance?
 86 pct. Yes
 14 No
 1 Don't know/Not sure/No answer
 -0- 9/22/93
 /CONTACT: Jan Sneed of Ketchum Communications Inc., 212-907-9307/


CO: Ketchum Communications Inc. ST: New York IN: HEA SU:

TW -- NY064 -- 4766 09/22/93 14:09 EDT
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Date:Sep 22, 1993
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