Americans don’t actually want to repeal the Affordable Healthcare Act even if they say they do

According to a new Gallup poll Americans are pretty much split evenly on whether or not we should repeal the new healthcare law. But as with any other government program, Americans are only against it in the abstract. Americans hate the mandate, largely because it’s called a mandate, but love parts of the bill that end pre-existing condition clauses. Of course, you can’t really have a system of private insurance that allows anybody to get a plan at any time without a mandate, so we’re stuck with the good and the bad.

The healthcare law is a mixed bag. It doesn’t go as far as many wanted it to go – something like single payer, preferably. It changes rather than expands the role of government in providing access to healthcare. It’s inefficient in some ways; in other ways it improves upon the status quo. One thing that sort of irks me about it is how politics forces us to make do with something as ad hoc as all of this. We have Medicaid – administered by the states – and Medicare – administered by the federal government – and now the ACA – administered by the states – and rather than just save tons of money and increase efficiencies enormously by combining all these programs into one federal healthcare program, we have to leave this expensive patchwork in place and then just build upon it (and the patchwork is much worse once you think about how the private insurance system is designed, and the entrenched inefficiencies baked into healthcare writ large including hideously opaque prices…)

In any case, take away the parts that people dislike about the bill and of course people suddenly love it. Talk about it being struck down, and most Americans still imagine that their favorite parts will remain.

If you took away all the fearmongering surrounding the bill, they’d probably be fine with it also. But a steady diet of death panels and threats about tax-hikes has everyone much more frightened than they would otherwise be about a bill that basically just opens up non-employer-based insurance exchanges so that people have just a tiny bit more access to reliable healthcare than they did before. It’s neither a panacea or a government take over. It’s just sort of a step in the right direction and a step in the wrong direction all at the same time, and better – certainly – than doing nothing.

The ACA hurts Obama in swing states, even if people like the bill in pieces; but as James Joyner notes, if Romney gets the GOP nod it may be a moot point anyways.

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Every sperm is sacred

Now that death panels are a thing of the distant past, the real threat to liberty in this country is apparently the pill, something that we’ve had for over half a century and that a majority of us thought was a fairly settled debate. Of course, since the right is adamantly opposed to providing life-saving universal access to healthcare we instead get yet another front in the culture wars.

Now the administration has changed course in the right direction on the contraception mandate:

Today, the White House did the right thing for women, public health and human rights.  Despite deep concerns, including my own, based on what transpired in the past under health reform, the White House has decided on a plan to address the birth control mandate that will enable women to get contraceptive coverage directly through their insurance plans without having to buy a rider or a second plan, and without having to negotiate with or through religious entities or administrations that are hostile to primary reproductive health care, including but not limited to contraception.

Under this plan, every insurance company will be obligated to provide contraceptive coverage. Administration officials stated that a woman’s insurance company “will be required to reach out directly and offer her contraceptive care free of charge.  The religious institutions will not have to pay for it.”

This is the right move. A smart, effective way to get past the objections on the right. And it pushes us one tiny step closer to shedding employer coverage altogether.

Even before the changed policy, public opinion was squarely behind the administration:

A solid 56 percent majority of voters support the decision to require health plans to cover prescription birth control with no additional out-of-pocket fees, while only 37 percent are opposed. It’s particularly noteworthy that pivotal independent voters support this benefit by a 55/36 margin; in fact, a majority of voters in every racial, age, and religious category that we track express support. In particular, a 53 percent majority of Catholic voters, who were oversampled as part of this poll, favor the benefit, including fully 62 percent of Catholics who identify themselves as independents.

It will be interesting to see how Republicans respond to this latest move by the president. The reason it’s an issue at all is simple: just as the economy starts to heat up, Republicans panic and pick a fight over something bound to whip up the fervor of the angriest of culture warriors: no death panels this time, no, this time it’s contraception. But actually that’s not quite right either. That’s just a code word for abortion.

Of course, we’re not talking about a mandate to cover abortions, we’re talking about a mandate to cover birth control. Some people on the fringe of this debate equate the two, but a huge majority of Americans disagree. A majority of Catholics disagree, for that matter.

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