A
Opinion Surveys on Employment-Based Health Benefits and Related Issues

The following questions were part of surveys conducted by the Gallup Organization for the Employee Benefit Research Institute (EBRI). Unless otherwise indicated, responses to questions represent combined results for November and December 1991 surveys. For these surveys, IOM staff worked with Dallas Salisbury, William Custer, and Laura Bos of EBRI to develop the questions. For some questions, certain response categories have been omitted in this summary. As a result, and also because of rounding errors, the totals below may not add up to 100.

Do you currently have health care coverage through either a health insurance plan, a health maintenance organization, or a government program?

Yes

85%

Of "Yes" respondents, source of coverage (could list more than one):

Employer (own/family member) program

63

Government program

18

Purchased on own

13

Other answer

11

Have you or a family member ever passed up a job opportunity or stayed in a job you would have preferred to have left solely because of health benefits? (November 1991 survey)

Yes

11%

Aged 18-34

17

Aged 35-54

10

Aged 55 and over

4



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OCR for page 287
Employment and Health Benefits: A Connection at Risk A Opinion Surveys on Employment-Based Health Benefits and Related Issues The following questions were part of surveys conducted by the Gallup Organization for the Employee Benefit Research Institute (EBRI). Unless otherwise indicated, responses to questions represent combined results for November and December 1991 surveys. For these surveys, IOM staff worked with Dallas Salisbury, William Custer, and Laura Bos of EBRI to develop the questions. For some questions, certain response categories have been omitted in this summary. As a result, and also because of rounding errors, the totals below may not add up to 100. Do you currently have health care coverage through either a health insurance plan, a health maintenance organization, or a government program? Yes 85% Of "Yes" respondents, source of coverage (could list more than one): Employer (own/family member) program 63 Government program 18 Purchased on own 13 Other answer 11 Have you or a family member ever passed up a job opportunity or stayed in a job you would have preferred to have left solely because of health benefits? (November 1991 survey) Yes 11% Aged 18-34 17 Aged 35-54 10 Aged 55 and over 4

OCR for page 287
Employment and Health Benefits: A Connection at Risk Which of the following best describes the reason you or your family member chose not to change jobs? (November 1991 survey) Prospective employer did not offer health benefits 26% You or someone in your family had a medical condition the prospective employer's health plan did not cover 9 Health benefits provided less coverage than you or a family member had previously 24 The prospective employer's health plan cost too much 19 None of these 20 For your own health care and that of your family, which of the following is your biggest concern? (December 1991 survey) Cost 49% Quality 36 Access and availability 12 Everything/all 1 For society as a whole, what do you think the biggest problem in health care is? (December 1991 survey) Cost 79% Access and availability 13 Quality 6 In the last few years, has your health insurance coverage? (November 1991 survey) Gotten better overall 16% Gotten worse overall 24 Which best describes your satisfaction with your health benefits? (November 1991 survey) Satisfied 64% Would rather have additional health benefits and less salary 20 Would rather have additional salary and fewer health benefits 7 How much more money would you or your family member's employer have to give you each year to make you willing to give up your current employer-provided health benefits? (September 1991 EBRI/Gallup survey) 0-$1,000 11% $1,001-$3,000 19

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Employment and Health Benefits: A Connection at Risk $3,001-$5,000 15 $5,001 or more 22 Don't know 29 How would you characterize your health plan? (November 1991 survey) Most of it is too hard to understand   10% <12 grade education 15   Some college 12   College graduate 5   Some of it is hard to understand   36 It is easy to understand   52 Does your employer offer you a choice of two or more health insurance plans or is only one plan available to you? (November 1991 survey) Offers choice 36% Only one plan available 36 Not applicable/no employer 26 How do you rate your current health insurance benefits? Excellent 27% Good 46 Fair 20 Poor 6 Don't know 3 You are confident that your employer (your spouse's employer) contracts with the best available health insurance plan(s) for its employees. (November 1991 survey) Agree 71% Disagree 24 Don't know 5 Many companies, insurers, and government programs have adopted measures to eliminate unnecessary expenditures on health care and to save costs by promoting cost-effective care. Have these cost management measures resulted in any of the following? (''Yes" respondents) (November 1991 survey) Your being denied health care services you think you needed? 9% Your experiencing unreasonable hassle or delays in obtaining health care services? 17 Your being required to receive health care services from a physician you would not have otherwise chosen? 16

OCR for page 287
Employment and Health Benefits: A Connection at Risk If your doctor recommends that you have a diagnostic test or treatment that is not covered by your health insurance, would you: (November 1991 survey) Follow his or her advice and pay for it yourself 34% Attempt to weigh the benefits of the recommendation against the cost before making a decision 20 Approach your employer or insurance company to see if an exception could be made 38 Does your household maintain a relationship with a physician who could be called your personal or family doctor? Yes   76% Male 72   Female 80   Aged 18-34 69   Aged 35-54 78   Aged 55 and over 84   Income under $20,000 70   Income $20,000 to <$75,000 79   Income $75,000 and > 83   White 78   Minority 69   In the last five years, has your household had to involuntarily change your personal or family physician? Yes 18% If yes to [above question], which of the following statements best describes the reason for that change? (December 1991 survey) Doctor moved/closed practice/retired 26% Respondent moved 15 Respondent changed jobs 15 Health plan required change/employer changed plan 17 Selected another health plan from employer 4 Other 24

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Employment and Health Benefits: A Connection at Risk Which of the following groups is in the best position to make decisions about the quality of health care provided by a hospital or physician? (December 1991 survey) Employer 10% Individual 55 Government 32 All the same 1 Which of the following groups do you think is in the best position to influence the cost of health care? (December 1991 survey) Employer 11% Individual 14 Government 28 Doctor 23 Insurers 20 All the same 2 Who do you think should be most responsible for providing health benefits for full-time employees and their dependents in the U.S.? (December 1991 survey) Employers 48% Federal government 31 Individual 14 All the same 3 If you had the choice, which of the following organizations would you prefer to purchase your health benefits through? (November 1991 survey) An employer 39% A trade association, union or professional group 8 State government 5 Federal government 16 On your own 25 Do you think employers should be required to provide health insurance if the employees pay a portion of the costs? (July 1991 survey) Yes 83% No 16

OCR for page 287
Employment and Health Benefits: A Connection at Risk In general, do you strongly favor, favor, oppose or strongly oppose the implementation by the U.S. government of some type of national health insurance system? (January 1992 survey) Strongly favor 25% Favor 54 Oppose 14 Strongly oppose 4 Which of the following do you think is the better way to deal with our nation's health care problems? (Gallup poll for CNN and USA Today, January 28, 1992) Reform of our current private health care system 64% Government-sponsored national health insurance 30