Deep divisions linger on health care

As the Senate prepares to take up legislation aimed at overhauling the nation’s health-care system, President Obama and the Democrats are still struggling to win the battle for public opinion. A new Washington Post-ABC News poll shows Americans deeply divided over the proposals under consideration and majorities predicting higher costs ahead.

But Republican opponents have done little better in rallying the public opposition to kill the reform effort. Americans continue to support key elements of the legislation, including a mandate that employers provide health insurance to their workers and access to a government-sponsored insurance plan for those people without insurance.

Over the past few months, public opinion has solidified, leaving Obama and the Democrats with the political challenge of enacting one of the most ambitious pieces of domestic legislation in decades in the face of a nation split over the wisdom of doing so. In the new poll, 48 percent say they support the proposed changes; 49 percent are opposed.

With the bill through the House, Senate Democrats are now looking for the votes to enact their version of the legislation and keep the reform effort moving forward. Whatever the outcome of the health-care debate, it will have a powerful influence in shaping the political climate for next year’s midterm elections.

The House bill contains a highly controversial provision prohibiting abortion coverage for those insured under a new public insurance plan as well as those who received federal subsidies to purchase private insurance. In the poll, 61 percent say they support barring coverage for abortions for those receiving public subsidies, but if private funds were used to pay for abortion expenses, the numbers flipped. With segregated private money used to cover abortion procedures, 56 percent say insurance offered to those using government assistance should be able to include such coverage.

, say they have an overall favorable impression of him, and a slim majority continues to see him as “about right” ideologically (four in 10 consider him “too liberal.”

The president, who is on a 10-day visit to Asia, gets his top mark on handling international affairs, and also picks up majority approval on dealing with the threat of terrorism. But Americans are more divided over his performance on other key issues, with nearly even splits in satisfaction with his work on health care, the economy and the situation in Afghanistan. On each of these three issues, intensity runs against the president, with significantly higher numbers expressing “strong” disapproval as strident approval. Obama receives generally negative reviews on his handling of the federal budget deficit, with 53 percent disapproving of his actions on that front.

Obama continues to be lifted by weakness in the opposition. In addition to his double-digit lead over congressional Republicans on health care, the president has a 15-point advantage on handling the nation’s still-struggling economy. More broadly, Democrats continue to have the edge as the party more trusted to deal with the country’s main problems over the next few years and when it comes to being more empathetic and more in tune with people’s values.

But there are also evident signs of an anti-incumbent mood in the new survey, which would disproportionately hurt the majority Democrats next fall should they hold. Most see the country as headed pretty seriously off on the wrong track and half of all Americans say they are inclined to look around for someone new to support for Congress; just 38 percent are inclined to reelect their member of Congress. These numbers are similar to those from November 1993, one year before Republicans took back control of the House and Senate and close to those from May 2006, six months before of independents do not trust.

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